case_images: PMC3674742_01
case_images: Preoperative photo showing presence of sinus tract with respect to 12 and 13.
case_images: CRIM.DENTISTRY2013-564392.001.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.001.jpg
case_images: fig1
case_images: The clinical examination revealed intraoral swelling in palatal region accompanied with salty discharge with respect to teeth 11, 12, and 21, and a sinus opening with respect to the apex on buccal aspect of 12 and 13 (Figures 1 and 2).
case_images: Pre-operative photo showing swelling of the palatal soft tissue.
case_images: CRIM.DENTISTRY2013-564392.002.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.002.jpg
case_images: fig2
case_images: The clinical examination revealed intraoral swelling in palatal region accompanied with salty discharge with respect to teeth 11, 12, and 21, and a sinus opening with respect to the apex on buccal aspect of 12 and 13 (Figures 1 and 2).
case_images: Pre-operative IOPA radiograph showing well-defined large periapical lesion.
case_images: CRIM.DENTISTRY2013-564392.003.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.003.jpg
case_images: fig3
case_images: The IOPA radiographic examination revealed a large radiolucent lesion with a well-defined border in the periapical area of teeth 11, 12, and 21 suggestive of periapical cyst (Figure 3).
case_images: Pre-operative CBCT image in coronal plane showing presence of a large periapical lesion.
case_images: CRIM.DENTISTRY2013-564392.004.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.004.jpg
case_images: fig4
case_images: CBCT examination revealed presence of periapical radiolucency with respect to 11, 12, 13, and 21 in sagittal, coronal, and axial planes and reconstructed three-dimensional image (Figures 4, 5, 6, and 7).
case_images: Pre-operative CBCT image in sagittal plane.
case_images: CRIM.DENTISTRY2013-564392.005.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.005.jpg
case_images: fig5
case_images: CBCT examination revealed presence of periapical radiolucency with respect to 11, 12, 13, and 21 in sagittal, coronal, and axial planes and reconstructed three-dimensional image (Figures 4, 5, 6, and 7).
case_images: Pre-operative CBCT image in axial plane showing disruption of buccal and palatal cortex.
case_images: CRIM.DENTISTRY2013-564392.006.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.006.jpg
case_images: fig6
case_images: CBCT examination revealed presence of periapical radiolucency with respect to 11, 12, 13, and 21 in sagittal, coronal, and axial planes and reconstructed three-dimensional image (Figures 4, 5, 6, and 7).
case_images: Reconstructed 3D CBCT image.
case_images: CRIM.DENTISTRY2013-564392.007.jpg
case_images: PMC3674742_01_CRIM.DENTISTRY2013-564392.007.jpg
case_images: fig7
case_images: CBCT examination revealed presence of periapical radiolucency with respect to 11, 12, 13, and 21 in sagittal, coronal, and axial planes and reconstructed three-dimensional image (Figures 4, 5, 6, and 7).
case_images: PMC3674742_02
case_images: Postobturation IOPA radiograph.
case_images: CRIM.DENTISTRY2013-564392.008.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.008.jpg
case_images: fig8
case_images: The endodontic treatment was performed as per standard procedures in both cases under rubber dam isolation (Figures 8 and 33).
case_images: Surgical incision on palatal aspect.
case_images: CRIM.DENTISTRY2013-564392.009.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.009.jpg
case_images: fig9
case_images: This was followed by endodontic surgery (apicoectomy) (Figures 9, 10, 11, 12, 34, 35, 36, and 37), during which biopsy specimens were taken for histopathologic examination (Figures 13 and 38).
case_images: Flap reflection.
case_images: CRIM.DENTISTRY2013-564392.010.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.010.jpg
case_images: fig10
case_images: This was followed by endodontic surgery (apicoectomy) (Figures 9, 10, 11, 12, 34, 35, 36, and 37), during which biopsy specimens were taken for histopathologic examination (Figures 13 and 38).
case_images: Flap retraction and exposure of bony defect.
case_images: CRIM.DENTISTRY2013-564392.011.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.011.jpg
case_images: fig11
case_images: This was followed by endodontic surgery (apicoectomy) (Figures 9, 10, 11, 12, 34, 35, 36, and 37), during which biopsy specimens were taken for histopathologic examination (Figures 13 and 38).
case_images: Suturing.
case_images: CRIM.DENTISTRY2013-564392.012.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.012.jpg
case_images: fig12
case_images: This was followed by endodontic surgery (apicoectomy) (Figures 9, 10, 11, 12, 34, 35, 36, and 37), during which biopsy specimens were taken for histopathologic examination (Figures 13 and 38).
case_images: Lesional tissue stored in formalin for histopathological examination.
case_images: CRIM.DENTISTRY2013-564392.013.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.013.jpg
case_images: fig13
case_images: This was followed by endodontic surgery (apicoectomy) (Figures 9, 10, 11, 12, 34, 35, 36, and 37), during which biopsy specimens were taken for histopathologic examination (Figures 13 and 38).
case_images: Splinting of mobile teeth using composite.
case_images: CRIM.DENTISTRY2013-564392.014.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.014.jpg
case_images: fig14
case_images: Splinting with composite was done in the first case of the mobile teeth for 4 weeks (Figure 14).
case_images: Tooth preparation.
case_images: CRIM.DENTISTRY2013-564392.015.jpg
case_images: PMC3674742_02_CRIM.DENTISTRY2013-564392.015.jpg
case_images: fig15
case_images: Then tooth preparation was done followed by temporisation of the involved teeth with acrylic crowns (Figures 15, 16, 39, and 40).