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Case Reports
. 2018 Jan;22(Suppl 1):S135-S140.
doi: 10.4103/jomfp.JOMFP_280_17.

Trigeminal neuralgia induced by odontogenic keratocyst associated with impacted supernumerary teeth: A rare case report

Annaji Araleri Gopalkrishna  1 , B N Tejasree  2 , M Manjunath  1 , D P Ashwin  3
Affiliations
Case Reports

Trigeminal neuralgia induced by odontogenic keratocyst associated with impacted supernumerary teeth: A rare case report

Annaji Araleri Gopalkrishna et al. J Oral Maxillofac Pathol. 2018 Jan.

Abstract

Odontogenic keratocyst(OKC)is a cyst oftooth origin with an aggressive behavior including a high recurrence rate, it has been rechristened to keratocystic odontogenic tumor(KCOT) as it be the reflects its neoplastic nature. We report a case of KCOT in association with an impacted supernumerary tooth along with Trigeminal Neuralgia, that subsided by itself after removal of the cyst.

Keywords: Odontogenic Keratocyst; Supernumerary tooth; Trigeminal Neuralgia.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Clinical picture
Figure 2
Figure 2
Intraoral examination revealed missing teeth in relation to 46, 47 and 48 with no buccal and lingual plate cortical expansion. Attrition and cervical abrasion present in relation to 44 and 45
Figure 3
Figure 3
Intraoral examination revealed missing teeth in relation to 46, 47 and 48 with no buccal and lingual plate cortical expansion. Attrition and cervical abrasion present in relation to 44 and 45
Figure 4
Figure 4
An orthopantomogram revealing a well-defined radiolucency in the right body of the mandible that surrounds impacted supernumerary teeth. Presence of 2 more supernumeraries in the maxillary 1st quadrant and 3rd quadrant.
Figure 5
Figure 5
Mandibular cross-section view
Figure 6
Figure 6
Panoramic view on cone-beam computed tomography
Figure 7
Figure 7
Axial view on cone-beam computed tomography
Figure 8
Figure 8
Cross-section view on cone-beam computed tomography
Figure 9
Figure 9
Soft-tissue incision placed distal to 45
Figure 10
Figure 10
A bony trough was placed on the alveolus
Figure 11
Figure 11
The lesion was retracted and here we can see the attachment of the lesion to the mandibular nerve
Figure 12
Figure 12
Complete removal of the lesion and the impacted tooth with thorough irrigation
Figure 13
Figure 13
Excised specimen
Figure 14
Figure 14
Sutures placed
Figure 15
Figure 15
H&E picture, odontogenic keratocyst
See this image and copyright information in PMC

References

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