Nasopalatine cyst excision and bone regeneration

Gabriela Vanessa Cobos Andagoya1, Karina Estefanía Sanguil Vásquez 1, Leonardo Flavio Cabrera Maldonado 2 and Hugo Xavier Guamán Roldan 3 *

1 Dentistry students from the University of Cuenca, Cuenca – Ecuador.
2 Professor of surgery at the Faculty of Dentistry of the University of Cuenca, Cuenca – Ecuador.
3 Oral and Maxillofacial Surgeon Hospital Vicente Corral Moscoso, Cuenca-Ecuador.
 
Case Study
World Journal of Advanced Research and Reviews, 2023, 18(02), 847–854
Article DOI: 10.30574/wjarr.2023.18.2.0910
 
Publication history: 
Received on 09 April 2023; revised on 16 May 2023; accepted on 18 May 2023
 
Abstract: 
Introduction: The nasopalatine cyst is a non-odontogenic cyst, located within the nasopalatine duct of the maxilla, its diagnosis in most cases is by routine radiological finding and in other cases by the presence of symptomatology; coming to generate pain, paresthesia and visible signs such as facial deformities.
Case description: The objective of this article is to make a literature review and presentation of the case of a 38-year-old male patient, who comes to the consultation for presenting an increase in volume in the anterior maxilla, of two years of evolution that presented favorable results after excision and placement of bone graft.
Final considerations: Nasopalatine cyst represents less than 5% of the cysts at maxillary level and its recurrence is low. When it is a large cyst with destruction of the surrounding bone tissue, the best option is the use of a bone graft depending on biocompatibility, the affected site and costs. Demineralized bone matrix (DBX) is considered the gold standard due to its capacity for osteoinduction, osteoconduction and osteogenesis.
 
Keywords: 
Non-odontogenic cyst; Nasopalatine cyst; Bone regeneration; Bone graft; DBX
 
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