Browsing by Author "Jagtap, Rohan"
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Item A rare presentation of radicular cyst: a case report and review of literature(Ankara Üniversitesi Diş Hekimliği Fakültesi, 2021) Jagtap, Rohan; Other; OtherThe radicular cyst is the most common inflammatory odontogenic cyst in the jaws. It is a periapical lesion associated with non-vital teeth in the tooth-bearing regions of the jaws with a slight male predilection. A radicular cyst is typically asymptomatic, but if large or secondarily infected may cause swelling. The usual radiographic appearance of a radicular cyst is that of a periapical radiolucent lesion. This case report documents a rare case of 61-year-old male with a mixed-density periapical lesion diagnosed as a radicular cyst. The lesion presented as a well-defined, expansile, space occupying, corticated, sclerotic, hydraulic, unilocular, mixed density lesion, associated with the right mandibular second premolar that was predominantly radiolucent with scattered foci of radiopacities. Microscopic examination revealed fragments of lining epithelium along with small fragments of inflamed fibrous connective tissue, aggregates of necrotic cellular debris, and bacterial colonies intermixed with foci of dystrophic calcifications. The histopathological diagnosis was a radicular cyst with dystrophic calcification. Although rare, this entity should be considered in the differential diagnosis of mixed-density periapical lesions. Complete history and proper diagnosis is important in this type of rare cases as treatment varies between a radicular cyst and other odontogenic neoplasms.Item Pre-eruptive Intra-coronal resorption: A report of two cases and review of the literature(Ankara Üniversitesi Diş Hekimliği Fakültesi, 2021) Jagtap, Rohan; Diş Hekimliği; Diş Hekimliği FakültesiPre-eruptive intracoronary resorption is a rare condition mainly affecting pediatric patients. It is a radiographic finding in the dentin of the crown of an unerupted tooth just below the enamel-dentin junction. It is visualized in radiographs as a radiolucent coronal lesion of variable depth; it is well-defined and located in the dentin adjacent to the amelodentinal limit of an unerupted tooth. Historically, this lesion was misdiagnosed as caries and was misnamed pre-eruptive caries, when in reality they were pre-eruptive intracoronal resorptions. We present two rare cases of pre-eruptive intracoronary resorption in patients that needed radiographs for orthodontic purposes. The Oral & Maxillofacial Radiologist detected the existence of pre-eruptive intracoronary resorption in mandibular second premolars and mandibular second molar. These radiographic findings provided the clinician with the advantage of knowing this condition before teeth eruption, allowing for conservative treatment and periodic radiographic follow-up.