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 with

 S.Electrolytes 3D reconstruction
 C/S of discharge
 ECG
 Incisional biopsy
 Echocardiogram

 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