Should we order CBT or CT Scan ?
Female early 50 came with chief complain swelling on her left cheek since 1 year ago
Aspiration result yellow fluid contains blood
OPG view : rounded radiolucent from tooth #36 to impacted #38
Working diagnosis: Dentigerous cyst
Differential Diagnosis : unicystic Ameloblastoma
Treatment planning : enucleation + extraction of #37 + #38 odontectomy
Histopatologic result : on going
Yes, it’s classic type of cyst and I did it with old school method in removing the cyst
Can you see the Alveolar artery ?
It just appeared soon after I did odontectomy of #38
Lucky me, the artery still intact and did not rupture during the operation
Can you imagine if it’s cut accidentally?
Lessons from this case :
Never underestimate whatever operation you would do even it just ordinary, simple cyst enucleation
Pray before working because you never know what would come to you after the words “.... 15th blade please...” _______________________________________________________
Please tell B*J*S almighty that we are Doctor not Sauron or Saruman . We need proper CBCT / CT for our work
#omfs #omfsurgery #dentistry #dentista #doktergigi #bedahmulut #bedahmulutdanmaksilofasial #oralsurgery #oralandmaxilofacialsurgery #oralmaxillofacialsurgeon