A CASE OF LEFT MAXILLARY

SWELLING
By
Dr. Ryfat Hossain
MS (Residency) Phase B
CHIEF COMPLAINTS AND HISTORY OF
PRESENT ILLNESS
 Rezia Begum50
years from
Narayangonj
 Noticed a
painless swelling
over the left
maxillary
alveolus about
one and half
years back
 The swelling
grew gradually
 About 3 months
back she noticed
discharge arising
from the swelling
EXAMINATION FINDING

 Oral hygiene very poor

 Multiple broken broken
down teeth affecting the
upper arch
 Firm to hard globullar
swelling involving the
upper left alveolus with
broken down 2nd
premolar and 1st molar
tooth associated with it
 The swelling also
presents with a
discharging sinus over
the buccal vestibule
 INVESTIGATION
 CBC  OPG
 FBS  Contrast CT Scan of

 S. Creatinine maxillofacial region

 S.Electrolytes with 3D
reconstruction
 ECG
 C/S of discharge
 Echocardiogram
 Incisional biopsy
 Chest X ray
ORTHOPENTAMPGRAM
CT SCAN (AXIAL VIEW)
 DIAGNOSIS

Infected radicular
cyst
 TREATMENT PLAN

 Enucleation of the cyst under general

anesthesia
INCISION AND EXPOSURE OF CYSTIC CAVITY
CYSTIC LINING
THANK YOU