PMC7424378_01
Intraoral view on the operative region.
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The extra oral examination showed no pathologies, whereas the intraoral examination resulted in disclosure of protuberance in the area of apexes of right upper deciduous molars with no symptoms of inflammation:mucosa was pink, shiny, and smooth (Figure 1).
CBCT scans (GXDP-800, OP300-1, Gendex Dental Systems, 2017, Medical University of Lodz, Poland. Software: InVivoDentalViewer 5.1, Anatomage, Milan, Italy).
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The computed tomography was performed, and it revealed a vast lesion above the teeth in described location and maxillary sinus with displacement of premolar germs (Figure 2).
Teeth 54 and 55 removed.
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Under general anesthesia (short-term intravenous anesthesia with use of combination of 50 mg of propofol and 20 mug of fentanyl with monitoring of saturation and heart rate), teeth 54 and 55 were removed (Figure 3); the flap was designed with vertical releasing incision in the area of tooth 53 with scalpel blade no. 15 (Swann-Morton, Sheffield, England, 2018) and reflected with Molt 9 periosteal elevator (Kohler Medizintechnik, Stockach, Germany, 2019).
Enucleation.
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The cyst was enucleated (Figure 4) with the germ of tooth 15 which was involved into the lesion, pushed beyond the bone, to the maxillary sinus (Figure 5), so the prognosis was poor.
Cyst and tooth 15 germ.
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The cyst was enucleated (Figure 4) with the germ of tooth 15 which was involved into the lesion, pushed beyond the bone, to the maxillary sinus (Figure 5), so the prognosis was poor.