Doctor I have aquestion how can we differentiate between periapical lesion and cyst I mean when see it radiographically whet should first come to our mind because some times there is large periapical lesion
Dear Dr. Alshiky, Thank you for the question. I am assuming you are asking how to differentiate between a periapical cyst and periapical abscess/granuloma on a radiograph. When small, it is difficult to differentiate. If the lesion is about a centimeter or larger, look for the border of the lesion. If you see a corticated margin (thin white line), this is more likely to be a cyst. The margin of the abscess is usually is irregular, and surrounded by areas of sclerosis. The sclerotic bone does not have a defined margin. You will have difficulty identifying the limits of sclerosis. So, if you’re struggling to identify the extent of sclerosis, most likely it is an abscess or an infected cyst. What I have described is more of an academic debate. For patient care, it does not matter much whether the lesion is an abscess or a granuloma or a cyst. This tooth needs to be treated, either endodontically or surgically. Since the treatment is the same, I would prefer to call a smaller lesion as apical periodontitis and recommend the same treatment. In the periapical area, sometimes odontogenic keratocyst may also happen. Make sure that you can differentiate between these two lesions. If the tooth is vital and there is a periapical lesion, this may be odontogenic keratocyst. Typically, a keratocyst is tunnel-shaped while a radicular cyst is circular/oval. Earlier I had posted a video (th-cam.com/video/xkdpodba1JI/w-d-xo.html) of a keratocyst that almost looked like a radicular cyst. That video might help you with your question. I hope this explains.
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Perfect explanation 👏🏽thx a lot
A fantastic lecture sir !!
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Should i go to a dentist if i suspect to have a cyst in the jaw?
Amazing
could you help me? I have this problem and if you have time I would share the 3d image
Doctor I have aquestion how can we differentiate between periapical lesion and cyst I mean when see it radiographically whet should first come to our mind because some times there is large periapical lesion
Dear Dr. Alshiky, Thank you for the question. I am assuming you are asking how to differentiate between a periapical cyst and periapical abscess/granuloma on a radiograph. When small, it is difficult to differentiate. If the lesion is about a centimeter or larger, look for the border of the lesion. If you see a corticated margin (thin white line), this is more likely to be a cyst. The margin of the abscess is usually is irregular, and surrounded by areas of sclerosis. The sclerotic bone does not have a defined margin. You will have difficulty identifying the limits of sclerosis. So, if you’re struggling to identify the extent of sclerosis, most likely it is an abscess or an infected cyst. What I have described is more of an academic debate. For patient care, it does not matter much whether the lesion is an abscess or a granuloma or a cyst. This tooth needs to be treated, either endodontically or surgically. Since the treatment is the same, I would prefer to call a smaller lesion as apical periodontitis and recommend the same treatment. In the periapical area, sometimes odontogenic keratocyst may also happen. Make sure that you can differentiate between these two lesions. If the tooth is vital and there is a periapical lesion, this may be odontogenic keratocyst. Typically, a keratocyst is tunnel-shaped while a radicular cyst is circular/oval. Earlier I had posted a video (th-cam.com/video/xkdpodba1JI/w-d-xo.html) of a keratocyst that almost looked like a radicular cyst. That video might help you with your question. I hope this explains.
I appreciated as usuall clear and pricise explantation thx
Great sir keep it up 👌
Dr. Najeeb Ullah, Thank you for stopping by and your comment.
I have also same problem
Thanks for that! A polycystic, enlers-danlos syndrome !!! I was blessed with cysts making! I hate my body!
Cristal clear sir.... thank u
Thank you, Dr. Aggrawal!
🍁
مافيش برامج طبية عن cyst
21:55 residual cyst