Body Nasopalatine Duct Cyst Modified

Abstract

This article aim to introduce the study process and outcome of Maxillary Midline Diastema formation after Nasopalatine Duct Cyst (NPDC); which is the most common non-neoplastic, non-odontogenic maxillary cyst. In this report we present a 24-year old male student recently experienced the formation of a maxillary midline diastema. The maxillary central incisors exhibited less than 1 mm of buccolingual mobility and less than 2 mm of attachment loss. Panoramic and periapical radiographs showed a radiolucent lesion located in the premaxilla, between the maxillary central incisors. A cone-beam computed tomography (CBCT) scan suggested that the radiolucent lesion was confluent with the incisive canal. A presumptive diagnosis was Nasopalatine Duct Cyst (NPDC) and the cyst was surgically excised via palatal approach. Surgical enucleation is usually the treatment of choice, although marsupialization also has been used for larger lesions. On the basis of the clinical, radiographic, and histopathologic features, the diagnosis of NPDC was confirmed. The spontaneous appearance of an MMD in an adult patient should suggest the possibility of pathology. The differential diagnosis should include periodontal attachment loss and expansile lesions, most notably the nasopalatine duct cyst. The review is to show the relationship between Maxillary Midline Diastema and Nasopalatine Duct Cyst.