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Expansion of the cyst causes erosion of the floor of the maxillary sinus. As soon as it enters the maxillary antrum, the expansion rate increases due to available space for expansion. Performing a percussion test by tapping the affected teeth will cause shooting pain. This is often clinically diagnostic of pulpal infection. [citation needed]
Clinically, buccal exostoses appear as single, broad-based masses, usually situated bilaterally in the premolar and molar region on the facial surface of the maxillary alveolar bone. [11] The mass is generally smooth although in some cases a sharp, bony prominence may be present resulting in tenderness beneath the mucosa. [ 12 ]
Cysts rarely cause any symptoms, unless they become secondarily infected. [1] The signs depend mostly upon the size and location of the cyst. If the cyst has not expanded beyond the normal anatomical boundaries of the bone, then there will be no palpable lump outside or inside the mouth. The vast majority of cysts expand slowly, and the ...
Antibiotic in case of a sudden onset of symptoms in less than 24 hours. [ 8 ] Periapical periodontitis or apical periodontitis [ 9 ] ( AP ) is an acute or chronic inflammatory lesion around the apex of a tooth root , most commonly caused by bacterial invasion of the pulp of the tooth . [ 10 ]
However, the conservative enucleation is the treatment of choice for most odontogenic cysts. The removed cyst must be evaluated by pathologist to confirm the diagnosis , and to rule out other neoplastic lesions with similar clinical or radiographic features (e.g., cystic or solid ameloblastoma , central mucoepidermoid carcinoma ). [ 6 ]
Treatment of gingivitis is dependent on how severe and how far the disease has progressed. If the disease is not too severe it is possible to treat it with chlorhexidine rinse and brushing with fluoride toothpaste to kill the bacteria and remove the plaque, but once the infection has progressed antibiotics may be needed to kill the bacteria. [20]
The average showing of the incisors when the lips are at rest is 1/3 of its clinical crown height. With maxillary excess, more than 1/3 of the incisors would show. When the patient smiles, maxillary excess would manifest as the entire clinical crown and a portion of the gums showing as well. [42] This is regarded as a ‘gummy smile.’
There are currently no preventative measures available for cementomas. Treatment of a cementoma involves surgically removing the mass and possibly a portion of the affected area and/or teeth. Surgical removal without damage to surrounding teeth is limited unless the lesion is small and if there is a sufficient crown-to-root ratio.