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Related Experiment Videos

Rapid cystic development in relation with an impacted lower third molar: a case report.

C H Chye1, B Singh

  • 1Faculty of Dentistry, National University of Singapore, Singapore.

Annals of the Academy of Medicine, Singapore
|February 24, 2005
PubMed
Summary

A rapidly growing odontogenic keratocyst (OKC) developed in the mandible within two years, highlighting the aggressive potential of cysts linked to unerupted teeth. Regular radiographic monitoring is crucial for early detection and management.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Pathology
  • Radiology

Background:

  • Cystic changes are associated with unerupted lower third molars.
  • Odontogenic keratocysts (OKCs) can exhibit rapid and aggressive growth patterns.

Observation:

  • A large OKC developed rapidly over two years in the mandible, presenting with acute symptoms.
  • Radiographs taken two years apart documented the significant growth of the OKC.
  • The lesion was associated with an unerupted third molar and impacted second molar.

Findings:

  • The OKC was surgically enucleated.
  • Carnoy's solution was used to treat the residual cavity.
  • Bismuth iodoform paraffin paste dressing was applied.
  • Associated impacted molars were extracted.

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Implications:

  • This case underscores the potential for rapid cyst development adjacent to unerupted teeth.
  • It highlights the need for timely radiographic assessment and the limitations of outdated diagnoses.
  • The authors recommend a tighter radiographic monitoring interval of 6-12 months for unerupted teeth.