case_images: PMC7424378_01
case_images: Intraoral view on the operative region.
case_images: CRID2020-8837706.001.jpg
case_images: PMC7424378_01_CRID2020-8837706.001.jpg
case_images: fig1
case_images: The extra oral examination showed no pathologies, whereas the intraoral examination resulted in disclosure of protuberance in the area of apexes of right upper deciduous molars with no symptoms of inflammation:mucosa was pink, shiny, and smooth (Figure 1).
case_images: CBCT scans (GXDP-800, OP300-1, Gendex Dental Systems, 2017, Medical University of Lodz, Poland. Software: InVivoDentalViewer 5.1, Anatomage, Milan, Italy).
case_images: CRID2020-8837706.002.jpg
case_images: PMC7424378_01_CRID2020-8837706.002.jpg
case_images: fig2
case_images: The computed tomography was performed, and it revealed a vast lesion above the teeth in described location and maxillary sinus with displacement of premolar germs (Figure 2).
case_images: Teeth 54 and 55 removed.
case_images: CRID2020-8837706.003.jpg
case_images: PMC7424378_01_CRID2020-8837706.003.jpg
case_images: fig3
case_images: Under general anesthesia (short-term intravenous anesthesia with use of combination of 50 mg of propofol and 20 mug of fentanyl with monitoring of saturation and heart rate), teeth 54 and 55 were removed (Figure 3); the flap was designed with vertical releasing incision in the area of tooth 53 with scalpel blade no. 15 (Swann-Morton, Sheffield, England, 2018) and reflected with Molt 9 periosteal elevator (Kohler Medizintechnik, Stockach, Germany, 2019).
case_images: Enucleation.
case_images: CRID2020-8837706.004.jpg
case_images: PMC7424378_01_CRID2020-8837706.004.jpg
case_images: fig4
case_images: The cyst was enucleated (Figure 4) with the germ of tooth 15 which was involved into the lesion, pushed beyond the bone, to the maxillary sinus (Figure 5), so the prognosis was poor.
case_images: Cyst and tooth 15 germ.
case_images: CRID2020-8837706.005.jpg
case_images: PMC7424378_01_CRID2020-8837706.005.jpg
case_images: fig5
case_images: The cyst was enucleated (Figure 4) with the germ of tooth 15 which was involved into the lesion, pushed beyond the bone, to the maxillary sinus (Figure 5), so the prognosis was poor.