抄録
We report a case of calcifying odontogenic cyst associated with odontoma developing in the maxilla, and add a brief discussion.
A 7-year-old boy was referred to our hospital on October 20, 2000, complaining of swelling of the right cheek. Oral examination revealed swelling and oppressive pain in the buccal gingiva of the right maxilla.
X-P findings showed a radiolucent lesion involving the right maxillary sinus. Computed tomography findings revealed a high-density area in the low-density lesion. The tooth germs of right lateral incisor, canine, first and second premolar teeth, and the second molar tooth were positionally deviated remarkably by the lesion. A tentative diagnosis of maxillary cyst was made, and biopsy and fenestration were performed. Pathological diagnosis of calcifying odontogenic cyst was made.
Enucleation of the tumor was conducted on March 27, 2001. In order to raise the likelihood of a cure, radical shaving of the surrounding bone was done. After the abrasion of thelesion, the tooth germs were judged to have been preserved. Post operative course was uneventful. One year and 9 months postoperatively, the tooth germs are in the tendency to recover the position as compared with the corresponding tooth germs on the other side of the maxilla.
