Clinical and radiographic diagnosis of Nasopalatine Duct cyst treated by total enucleation - Case report / Diagnóstico clínico e radiográfico de cisto do Ducto Nasopalatino tratado por enucleação total - Relato de caso

The nasopalatine duct cyst presents as a cyst of non-odontogenic origin, whose etiology has not yet been defined. However is believed in the theory of the proliferation of embryonic remains of the nasopalatine duct that leads to its formation. It is often detected in routine radiological examinations, which shows characteristics of a radiolucent lesion, defined, with a radiopaque halo, with a heart format due to overlapping of the anterior nasal spine. Because of this, it can be easily confused with an inflammatory periapical cyst from the upper central incisors. Besides, clinically the patient may complain of pain and swelling in the anterior region of the hard palate. The pain, pus, and swelling are usually associated with secondary infection. The present study aims to report a successful clinical case, of the diagnosis of a nasopalatine duct cyst, where the pulp sensitivity test and computed tomography helped in the treatment, that consisted in palatal access and total enucleation of the lesion. The recurrence of this cyst is low and usually affects adults from the fourth to the sixth decade of life. Treatment consists of total enucleation for small cysts or marsupialization followed by enucleation for larger cysts. This way, the imaging exams, and the clinical exam assist in the correct diagnosis, enabling the correct treatment. In our case, the total enucleation of the lesion was satisfactory, since, it did not cause damage to the adjacent structures and was the definitive treatment in only one surgical time. The patient continues been followed up, not showing symptoms or recurrence. 

Removal of fungal ball from the jaws by lefort i osteotomy : difficulty in diagnosing patients with chronic sinusitis

Aspergillosis, aka fungal ball (FB), is classified as a type of non-invasive fungal rhinosinusitis, which usually occurs unilaterally in the maxillary sinus of an immunocompromised patient. Its diagnosis is complex and depends on the association between

Clinical Approach to External Cervical Resorption in the Anterior Teeth: A Case Report Study: Management of external cervical resorption

External cervical resorption (ECR) is a pathology that is difficult to diagnose early, and because it is often confused with root decay, it can be treated inadequately and even result in tooth loss. Currently, treatment does not have a defined protocol, being widely varied in the literature. This article proposes that cases of ECR should be treated individually, following different criteria, based on aspects related to the patient and the tooth involved. Furthermore, this work illustrates, through a case report, how a patient can present unique characteristics that require treatment to be case-dependent and should be discussed among a multidisciplinary team