NUMERO: #20250005

Título: SURGICAL APPROACH TO DENTIGEROUS CYST UNDER GENERAL ANESTHESIA: CASE REPORT

Nome do Apresentador: Iolanda Lídia NEGRÃO

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Cirurgia e traumatologia bucomaxilofacial

Resumo: Female patient, E.G., 74 years old, referred from a dental specialties center (CEO) with a history of facial edema and gingival enlargement in the posterior mandibular region. The patient has a diagnosed condition of hypertension controlled with medication and total cataract in both eyes.
The Oral Surgeon at the CEO requested a cone beam CT scan, which revealed a structure compatible with a tooth and a large volume of adjacent soft tissue. A surgical approach was decided upon, and due to the risk of intraoperative mandibular fracture, she was referred to a Hospitalar Oral and Maxillofacial Surgery and Traumatology service.
After obtaining pre-anesthetic clearance, the surgical procedure was carried out under general anesthesia. A modified Avelanal-type incision was made in the bilateral retromolar trigone region, followed by osteotomy and removal of the dental structure, as well as all adjacent soft tissue.
The patient presented in good general condition with proper healing after 1-month postoperative at the follow-up. The histopathological examination results in her possession indicates that the lesions was a Dentigerous Cyst.
This clinical case highlights the importance of concern and the indication for preventive extraction of impacted dental elements to prevent future pathologies that could cause significant problems for the patients.

Autor 1:  Iolanda Lídia NEGRÃO

E-mail 1:  [email protected]

Autor 2:   Grasieli de Oliveira RAMOS

E-mail 2:  [email protected]

Autor 3 :  Acir Jose DIRSCHNABEL

E-mail 3:  [email protected]

Autor 4:  Maria Helena KRINDGES

E-mail 4:  [email protected]

Autor 5:  Alana Gabrileli VOUK

E-mail 5:  [email protected]

Autor 6:  Eugênio Esteves COSTA

E-mail 6:  [email protected]