Aim: this case report describes the diagnostic process and the surgical treatment of a solitary bone cyst of the maxilla. In ad- dition, we aimed to verify the bone healing of the surgical site supported by PRF (platelet-rich fibrin), 12 months after the enucleation of the lesion. Methods: a 59-year-old patient, with no significant systemic pathologies, came to our attention with a large osteolytic le- sion of the upper jaw. Surgical enucleation of the lesion was performed under general anesthesia, followed by primary wound closure of the access flaps. The residual cavity was filled with PRF from a sample of the patient’s blood. Results: the postoperative course was uneventful, without si- gnificant complications. After 12 months, a three-dimensional radiographic evaluation showed complete restoration of bone architecture in the surgical site and no sign of recurrence of the lesion. Pulp vitality was preserved for all the elements adjacent to the enucleated lesion. Conclusions: the outcomes of this clinical case suggest that the clot formation, the support of both the flap and the clot with palatal plate, and the enrichment of the clot with PRF pro- mote good healing and re-ossification of bone cavities, even after enucleation of large lesions. Noteworthy is also the rarity of the location of the solitary cyst.
RARE CASE OF SOLITARY BONE CYST OF THE UPPER JAW: A CASE REPORT
Borella A.;Rizzo R.;Bussani R.;Pozzan L.;Maglione M.
2023-01-01
Abstract
Aim: this case report describes the diagnostic process and the surgical treatment of a solitary bone cyst of the maxilla. In ad- dition, we aimed to verify the bone healing of the surgical site supported by PRF (platelet-rich fibrin), 12 months after the enucleation of the lesion. Methods: a 59-year-old patient, with no significant systemic pathologies, came to our attention with a large osteolytic le- sion of the upper jaw. Surgical enucleation of the lesion was performed under general anesthesia, followed by primary wound closure of the access flaps. The residual cavity was filled with PRF from a sample of the patient’s blood. Results: the postoperative course was uneventful, without si- gnificant complications. After 12 months, a three-dimensional radiographic evaluation showed complete restoration of bone architecture in the surgical site and no sign of recurrence of the lesion. Pulp vitality was preserved for all the elements adjacent to the enucleated lesion. Conclusions: the outcomes of this clinical case suggest that the clot formation, the support of both the flap and the clot with palatal plate, and the enrichment of the clot with PRF pro- mote good healing and re-ossification of bone cavities, even after enucleation of large lesions. Noteworthy is also the rarity of the location of the solitary cyst.Pubblicazioni consigliate
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