Page 24 - GP Fall 2019

Management of large cystic lesions has been 2. Damm, D.D., R.J. Lee, and R.C. Rho- Dr. Raid Sadda
the subject of prolonged discussion. 1,2,4,5,7,12,13 ton, Concurrent nasopalatine duct cyst received his dental
The treatment options for large cystic max- and bilateral mesiodens. Oral Surgery, degree from New York
illary lesions range from conventional non- Oral Medicine, Oral Pathology, 1988. University College of
surgical root canal treatment to different sur- 65(2): p. 264-265. Dentistry. For over
gical interventions. 7,9,12 Some endodontists 3. Kadam, N.S., et al., Management of 40 years he has been
large radicular cyst by conservative sur-
maintain that true cysts---those containing gical approach: a case report. Journal practicing oral and
cavities completely enclosed by epithelial of clinical diagnostic research: JCDR, maxillofacial surgery
lining---can be successfully treated only by 2014. 8(2): p. 239. and over 20 years practicing dental
endodontic treatment, but this is sometimes 4. Litvin, M., D. Caprice, and L. Infranco, implant in New York and New Jersey.
He has completed a 2 year
not sufficient. Other authors defend imme- Dentigerous cyst of the maxilla with im- postgraduate fellowship Implantology
1,3
diate enucleation as the most effective defin- pacted tooth displaced into orbital rim program at NYU, and has been a
itive treatment, but in cases of large cystic and floor. Ear, Nose, Throat Journal, professor at NYU and attending Oral
lesions, total excision can compromise adja- 2008. 87(3): p. 160-163. surgeon at St. Barnabas hospital in
cent anatomic structures. 1,7,14 5. Shrestha, S., Hong Yi, Zhang, Dentig- Bronx for over 20 years.
erous Cyst Crossing The Midline Asso-
According to recent peer-reviewed liter- ciated With Multiple Inverted Supernu- Dr. Cristina Navarro
merary Teeth And Impacted Permanent
ature, marsupialization is a conservative Tooth: A Case Report. Journal of Nepal was born in Madrid,
approach that has proven successful in the Dentists Association, 2014. 14(1). Spain. She received
treatment of large cystic lesions. 3,12,14 Ex- 6. Kondori, I., R.W. Mottin, and D.M. her dental degree by
cellent functional and aesthetic results have Laskin, Accuracy of dentists in the clin- San Pablo CEU in
been achieved in cases reported of large ical diagnosis of oral lesions. J Quintes- 2018 and later joined
cystic lesions that have undergone marsupi- sence International, 2011. 42(7). the oral surgery
program at NYU. She
alization, without compromising structural 7. Samuels, H.S., Marsupialization: Ef- finished the oral surgery program in
integrity of nearby anatomy. This tech- fective management of large maxillary June 2019 and is currently starting the
1,7
nique is intended to reduce the size of a cyst cysts: Report of a case. Oral Surgery, esthetic dentistry program in NYU.
and facilitate subsequent surgical enucle- Oral Medicine, Oral Pathology, 1965.
20(5): p. 676-683.
ation to eliminate the pathology while also 8. Ferrés-Padró, E., J. Prats-Armengol, Dr. Gomez is a
reducing trauma and maxillary destruction. and E.J.s. Ferrés-Amat, A descriptive first year resident
It is critical to note when considering mar- study of 113 unerupted supernumerary (preliminary) in the
supialization depending on size and extent teeth in 79 pediatric patients in Barce- Department of Oral
of the lesion, surgical management is more lona. 2009. 14(3): p. 46-52. and Maxillofacial
than likely necessary for full resolution. 3 9. Meighani, G. and A.J.J.o.d. Pakdaman, Surgery at University
Diagnosis and management of super- of Florida Health -
Jacksonville, FL.
Prolonged misdiagnosis of pathology of the numerary (mesiodens): a review of the She completed undergraduate studies
oral cavity can result in a difficult and pain- literature. 2010. 7(1): p. 41. at Florida Atlantic University in
ful situation for many patients. Complete 10. Asaumi, J., et al., Radiographic exam- Jupiter, FL in 2015, and dental school
differential diagnosis to establish proper ination of mesiodens and their associated at New York University College of
complications. 2004. 33(2): p. 125-127.
treatment as well as medical and dental his- 11. Prasad, G.R., et al., Intranasal tooth-an Dentistry in May 2019. Throughout
tory of the patient is essential for avoiding ectopic eruption of mesiodens in nasal dental school, Dr. Gomez maintained
recurrent problems. 6 cavity: A case report and review. 2011. research positions in the Department
23(3): p. 252. of Oral and Maxillofacial Surgery and
Most reported cases of large cysts in the max- 12. Aoki, N., et al., Multidisciplinary ap- the Department of Biomaterials and
illa associated with an impacted tooth are proach for treatment of a dentigerous Biomimetics. Dr. Gomez’s academic
dentigerous cysts. 4-6,10,12,13,15 For this reason, cyst–marsupialization, orthodontic interests currently include TMJ
this case is a very rare scenario, further en- treatment, and implant placement: a diagnostics, tissue engineering for
forcing importance of careful planning, diag- case report. Journal of medical case re- reconstructive surgery, treatment of
nosis and a proper treatment with continuous ports, 2018. 12(1): p. 305. maxillofacial pathology, and evaluation
monitoring for postoperative sequelae. Final- 13. Hosseini, S.V., et al., Dentigerous cyst as- of dental implant prognosis.
ly, due to careful diagnosis and conservative sociated with a mesiodens: a case report.
Journal of dental research, dental clinics,
treatment being carried out in this rare case, dental prospects, 2011. 5(2): p. 76.
the prognosis is deemed quite promising. 14. Perjuci, F., et al., Evaluation of Sponta-
neous Bone Healing After Enucleation
References of Large Residual Cyst in Maxilla with-
1. Torres-Lagares, D., et al., Treatment of a out Graft Material Utilization: Case
large maxillary cyst with marsupializa- Report. J Acta stomatologica Croatica,
tion, decompression, surgical endodon- 2018. 52(1): p. 53-60.
tic therapy and enucleation. J Can Dent 15. Grover, S., et al., Mesiodens presenting
Assoc, 2011. 77(77): p. b87. as a dentigerous cyst: Case report. Indi-
an Journal of Radiology Imaging, 2005.
15(1): p. 69.

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