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I Have A Dental Cyst With A Biopsy That Says
Question: I have a dental cyst with a biopsy that says 'Inflamed cyst with focal ameloblastic islands. There are marked inflammatory reactive changes present. Such changes can alter the histology of the lining... The specimen consists of cystic epithelium which is hyperplastic, proliferative and marked inflamed. There are scattered ameloblastic islands in the wall.
Recommended additional biopsies of the lesion before definitive treatment.
This will give more of a definitive diagnosis of ameloblastoma.
Okay...I haven't gotten the 2nd biopsy yet. My cyst is 4.5cm. It has resorbed roots of two teeth. Half of another and it touches the next tooth in the back. It extends forward to the midline of my mouth with bone loss but with full roots of my front teeth. The cyst is maxillary. If the biopsy showsit to be unicystic, then that is better than the other sub-types.
My question is, do wide resections require bone grafting?
Do all the teeth need to be extracted?
What are your recommendations for my case, what should I do next?
Further information...the cyst has not moved any of my teeth and all are solid with no movement. No pain. No facial swelling.
Recommended additional biopsies of the lesion before definitive treatment.
This will give more of a definitive diagnosis of ameloblastoma.
Okay...I haven't gotten the 2nd biopsy yet. My cyst is 4.5cm. It has resorbed roots of two teeth. Half of another and it touches the next tooth in the back. It extends forward to the midline of my mouth with bone loss but with full roots of my front teeth. The cyst is maxillary. If the biopsy showsit to be unicystic, then that is better than the other sub-types.
My question is, do wide resections require bone grafting?
Do all the teeth need to be extracted?
What are your recommendations for my case, what should I do next?
Further information...the cyst has not moved any of my teeth and all are solid with no movement. No pain. No facial swelling.
Preferred doctor is Dr. XXXXXXX XXXXXXX T S
Brief Answer:
Cyst enucleation, ameloblastoma, resection, X rays, Biopsy
Detailed Answer:
Thanks for your query. I have gone through your query.
As per your history and report details, it goes more in favor of Ameloblastoma.
Based on your history and description, i cannot give you the diagnosis and treatment plan. If it is a cyst, the treatment modality will be of Enucleation or complete removal of the cyst. If it is a ameloblastoma, then the treatment option will differ. It has to be managed with surgical excision or Resection of the area of involvement. To decide this you need to get the X ray and biopsy done to confirm the diagnosis. Consult an Oral and maxillofacial surgeon and get it evaluated. If the cyst is small, then the defect created by enucleation can be filled with graft. If the lesion has to be treated with resection, then it requires reconstruction of the surgically removed part.
I hope i have answered your query. If you have any queries reply me back. Take care.
Cyst enucleation, ameloblastoma, resection, X rays, Biopsy
Detailed Answer:
Thanks for your query. I have gone through your query.
As per your history and report details, it goes more in favor of Ameloblastoma.
Based on your history and description, i cannot give you the diagnosis and treatment plan. If it is a cyst, the treatment modality will be of Enucleation or complete removal of the cyst. If it is a ameloblastoma, then the treatment option will differ. It has to be managed with surgical excision or Resection of the area of involvement. To decide this you need to get the X ray and biopsy done to confirm the diagnosis. Consult an Oral and maxillofacial surgeon and get it evaluated. If the cyst is small, then the defect created by enucleation can be filled with graft. If the lesion has to be treated with resection, then it requires reconstruction of the surgically removed part.
I hope i have answered your query. If you have any queries reply me back. Take care.
Above answer was peer-reviewed by :
Dr. Kampana
Dear Doctor, I feel you have not answered my queries.
I described the conditions of my teeth such as firmness and not been moved by the tumor. Here are the questions...
My question is, do wide resections require bone grafting?
Do all the teeth need to be extracted?
Please review and answer my queries.
I described the conditions of my teeth such as firmness and not been moved by the tumor. Here are the questions...
My question is, do wide resections require bone grafting?
Do all the teeth need to be extracted?
Please review and answer my queries.
Brief Answer:
Surgical removal of ameloblastoma followed by grafting, teeth removal
Detailed Answer:
Thanks for your reply,
respected sir, you are telling it's cyst and your histopathology report is saying it as ameloblastoma. Ameloblastoma is a benign tumor of tooth origin. Regarding your teeth, if the teeth roots are resorbed, then those teeth needs to be removed. If it is ameloblastoma then all the involved teeth needs to be removed irrespective of whether the teeth have pain or not, whether it's moved or not. To tell whether you require grafting or not we need to see the radiograph or x ray images.
Following surgical resection of the ameloblastoma, even part of the normal bone structure also needs to be removed along with the ameloblastoma it results in facial disfugurment that requires grafting with scapula, iliac crest or fibula.
I hope i have answered your query. If you have any queries reply me back. Take care.
Surgical removal of ameloblastoma followed by grafting, teeth removal
Detailed Answer:
Thanks for your reply,
respected sir, you are telling it's cyst and your histopathology report is saying it as ameloblastoma. Ameloblastoma is a benign tumor of tooth origin. Regarding your teeth, if the teeth roots are resorbed, then those teeth needs to be removed. If it is ameloblastoma then all the involved teeth needs to be removed irrespective of whether the teeth have pain or not, whether it's moved or not. To tell whether you require grafting or not we need to see the radiograph or x ray images.
Following surgical resection of the ameloblastoma, even part of the normal bone structure also needs to be removed along with the ameloblastoma it results in facial disfugurment that requires grafting with scapula, iliac crest or fibula.
I hope i have answered your query. If you have any queries reply me back. Take care.
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
Dr. Mahesh Kumar T S
Dentist, Oral and Maxillofacial Surgery
Practicing since :2007
Answered : 3377 Questions
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