A recent pan xray of my daughter's impacted wisdom teeth showed a radiolucent area of right posterior mandibule.
Records show the same on orthodontic pans from 2005 and 2007.(it was not discovered until the recent pan of june 2009) No change in size of cyst? The I cat scan shows what appears to be a cyst and bone loss in the mandibule. The nerve is involved in the lesion. My daughter is a trumpet player and does not wish to lose feeling in her lip or mouth. The OMS suggests a biopsy first to do pathology on the cells of the lesion , the other option is to remove the wisdom teeth and see if the cyst goes away, and the third is to do something called marsupilzation. My concern is after seeing the cat scan and bone loss and nerve involvement is if the biopsy requires drilling through her mandible is there a risk of fracture to the jaw. How to best proceed. The OMS said the cyst does not look like cancer because it has remained the same size for 4 years, he thinks maybe it is a dentigerous cyst or possibly could be a amblastoma (spelling) which would need more treatment because of the recurrence rate.
Question: Is the biopsy the best option, Can a needle biopsy be done instead of drilling? Risk of fracture? Risk of nerve damage.
Thank you very much, worried Mom
Radiographic image can generally formulate sound clinical differential diagnosis. If the lesion is an unilocular radiolucency and well attached to third molar, dentigerous cyst is likely. If the lesion is multilocular rsdiolucency, odontogenic keratocyst or ameloblastoma are like diagnoses. Consultation with an oral pathologist and oral surgeon is advised. Needle biopsy generally does'nt yield sufficient tissue for histopathologic exam.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.