Oral and Maxillofacial Surgery

Case of the Month

January 1998


The patient was a 12 y.o. white female referred to our office for evaluation of pain and edema in the anterior maxillary vestibule.


Medical history revealed a well-developed white 12 y.o. female. The patient had no known drug allergies. Medications included Ceclor. There were no serious illnesses.

Oral examination revealed malformed clinical crowns of teeth numbers 7 and 10. A draining fistula was noted on the labial aspect of tooth number 7. Periapical radiographic examination revealed invagination of enamel invading into the roots of teeth number 7 and 10. Radiolucent periapical lesions were present bilaterally involving the maxillary lateral incisors.

Histopathologic examination was consistent with an apical periodontal cyst for tooth number 7 and 10.



  1. IV sedation and local anesthesia
  2. Extraction teeth numbers 7 and 10
  3. Enucleation of apical periodontal cyst area number 7 and 10
  4. Insertion of immediate maxillary removable partial denture
  5. Future orthodontic treatment
  6. Future endosseous implants

Patient treated by:
  • Dr. Steven R. Tucker Oral and Maxillofacial Surgery
  • Dr. Carol Braun Pediatric Dentistry
  • Dr. Mark Bothwell Endodontics

 Steven R. Tucker DMD, PSC
 Oral and Maxillofacial Surgery
 909 Scherm Road
 Owensboro, KY 42301
 phone: 1-502-926-4107
 fax: 1-502-926-4166
 url: http://www.srt-psc.com


Last Modified: December 31, 1997

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