Arash Sarrafzadeh, Maryam Mohebiniya, Soheila Jadidi,
Volume 36, Issue 0 (5-2023)
Abstract
Background and Aims: The incisive canal cyst also known as nasopalatine duct cyst (NPDC) is the most common developmental non odontogenic cyst and it is usually asymptomatic with a well corticated round, ovoid or in some cases unique heart shaped radiolucent radiographic finding. Its accurate diagnosis from odontogenic cysts, odontogenic tumor, and benign non-odontogenic tumors using clinical and radiographic findings leads to eradication of pathologic condition with minimum residual defects and patient discomfort. In this case report, the clinical and radiographic findings of a 60-year-old female with the chief complaint of swelling was reviewed. There were typical histologic and radiographic findings related to nasopalatine duct cyst. The surgical management is explained. Follow up visit showed satisfactory healing and no dehiscence. It could be suggested that heart shaped radiographic finding in 3-D reconstructed image in the maxillary midline would be a good predictor for NPDC.
Mohammad Rahimi, Pooya Eini,
Volume 38, Issue 0 (4-2025)
Abstract
This article presents a challenging case of a 64-year-old man with episodic fever, urticarial rash, and arthralgia, prompting a detailed diagnostic process. Despite initial considerations of adult-onset Still's disease, the atypical symptoms led to further investigations, revealing a periapical abscess through a dental examination. The patient's symptoms significantly improved following dental intervention, challenging the initial diagnostic inclination towards a rheumatological disorder. This case underscores the importance of thorough physical examinations and interdisciplinary collaboration in reaching accurate diagnoses. The ultimate diagnosis of systemic presentation due to an occult dental abscess, highlights the need for a comprehensive approach to medical evaluations, considering various clinical aspects and avoiding diagnostics biases. This case study serves as a reminder of the evolving landscape of medical diagnostics and the continued significance of holistic patient assessments and physical examination as valuable practicing skills.
Fatemeh Owlia, Mohsen Barzegar, Farinaz Sabaghzadegan, Shima Mosallaei Pour, Zahra Gorji, Kimia Mashayekh,
Volume 39, Issue 0 (3-2026)
Abstract
Ameloblastoma is one of the most common benign tumors originating from odontogenic tissues. Despite being benign, it has a locally aggressive behavior and a high tendency to relapse. While, this tumor is mainly found in the posterior region of the mandible, its occurrence in the maxilla is rare and is associated with more diagnostic and therapeutic challenges. This report presents a rare case of ameloblastoma in the maxilla of a 64-year-old male patient who presented with painless swelling and significant extension of the lesion to the midpalate. Clinical, radiological, and histopathological findings were reviewed and after necessary evaluations, the diagnosis of ameloblastoma was confirmed. The anatomical complexity of the maxilla, proximity to vital structures, and surgical limitations make the management of these tumors more difficult. The present report emphasizes the importance of early diagnosis, careful histological examination, and the need for a multidisciplinary therapeutic approach in dealing with this type of tumor.
