Treatment of a Secondarily Infected Nasopalatine Duct Cyst: A Case Report

Yasser Alhabib,Meltem Kucuk,Gurkan Unsal,Ali Temelci

doi:10.55549/ephels.2

Yasser Alhabib, Meltem Kucuk + Show 2 more

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https://doi.org/10.55549/ephels.2

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Abstract

Nasopalatine duct cyst (NPDC) is an intraosseous, developmental, epithelial, non-neoplastic cyst and is considered the most common non-odontogenic cyst of the midline anterior palate. This cyst develops mainly from epithelial remnants in the nasopalatine duct. Following the non-vital pulp, lesions may develop in the periapical area around the apex of the anterior teeth due to the spread of infection and the formation of NPDC. Radiographically, the NPDC is well-defined round or roughly heart-shaped. Enucleation is the preferred treatment plan for removing NPDC. The presented report deals with the diagnosis and treatment of NPDC in a 30-year-old male patient with no complaints or symptoms.

Highlights

Nasopalatine duct cyst, first described by Meyer in 1914, is the most common non-odontogenic lesion resulting from the proliferation of epithelial remnants of the embryological nasopalatine duct (Garg et al, 2019)
Nasopalatine duct cyst (NPDC) accounts for approximately 5% of all jaw cysts and 80% of all non-odontogenic cystic lesions
Intra-oral examination revealed deep dentin caries extending into the pulp chamber in maxillary left first premolar tooth and metal-supported porcelain crowns which had deformities.Orthopantomograph revealed apical lesions at the apical region of maxillary left first incisor and maxillary right first incisor and behind those apical lesions, another radiolucency was present at the midline (Figure 1)

Summary

Introduction

Nasopalatine duct cyst, first described by Meyer in 1914, is the most common non-odontogenic lesion resulting from the proliferation of epithelial remnants of the embryological nasopalatine duct (Garg et al, 2019). NPDC accounts for approximately 5% of all jaw cysts and 80% of all non-odontogenic cystic lesions. It is most common in patients aged 30-60 years and has a male/female ratio of approximately 3:1 (Garg et al, 2019). International Conference on General Health Sciences (ICGeHeS), June 10-13, 2021, Istanbul/Turkey specific for NPDCs. NPDC should be treated by complete removal with a combination of labial and palatal surgical approaches (Srivastava et al.). Intra-oral examination revealed deep dentin caries extending into the pulp chamber in maxillary left first premolar tooth and metal-supported porcelain crowns which had deformities.Orthopantomograph revealed apical lesions at the apical region of maxillary left first incisor and maxillary right first incisor and behind those apical lesions, another radiolucency was present at the midline (Figure 1). Given that the NPDC was located at the palatal site of central incisors, NPDC was likely secondarily infected

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