Whaites E., 3rd edn. London: Elsevier (Churchill Livingstone);
Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MCF Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104:e35-41
Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol. 1994; 77:276-280
Elliott KA, Franzese CB, Pitman KT. Diagnosis and surgical management of nasopalatine duct cysts. The Laryngoscope. 2004; 114:1336-1340
Swanson KS, Kaugars GE, Gunsolley JC. Nasopalatine duct cyst: an analysis of 334 cases. J Oral Maxillofac Surg. 1991; 49:268-271
Allard RHB, Van Der Kwast WAM, Van der Waal I. Nasopalatine duct cyst: review of the literature and report of 22 cases. Int J Oral Surg. 1981; 10:447-461
Bodin I, Isacsson G, Julin P. Cysts of the nasopalatine duct. Int J Oral Maxillofac Surg. 1986; 15:696-706
Escoda Francolí J, Almendros Marqués N, Berini Aytés L, Gay Escoda C. Nasopalatine duct cyst: report of 22 cases and review of the literature. Med Oral Patol Oral Cirugia Bucal. 2008; 13:E438-443
Dachi SF, Haley JV, Sanders JE. Standardization of a test for dental sensitivity to cold. Oral Surg Oral Med Oral Pathol. 1967; 24:687-692
Fulling HJ, Andreasen JO. Influence of maturation status and tooth type of permanent teeth upon electrometric and thermal pulp testing. Scand J Dent Res. 1976; 84:286-290
Mainkar A, Kim SG. Diagnostic accuracy of 5 dental pulp tests: a systematic review and meta-analysis. J Endod. 2018; 44:694-702
Fuss Z, Trowbridge H, Bender IB, Rickoff B, Sorin S. Assessment of reliability of electrical and thermal pulp testing agents. J Endodont. 1986; 12:301-305
Carrotte P. Endodontics: Part 2: Diagnosis and treatment planning. Br Dent J. 2004; 197:231-238
Estrela C, Bueno MR, Leles CR, Azevedo B, Azevedo JR. Accuracy of Cone Beam Computed Tomography and panoramic and periapical radiography for detection of apical periodontitis. J Endod. 2008; 34:273-279
Pauwels R, Beinsberger J, Collaert B, Theodorakou C, Rogers J, Walker A Effective dose range for dental cone beam computed tomography scanners. Eur J Radiol. 2012; 81:267-271
Hilfer PB, Bergeron BE, Ozgul ES, Wong DK. Misdiagnosis of a nasopalatine duct cyst: a case report. J Endod. 2013; 39:1185-1188
Wray D, Stenhouse D, Lee D, Clark AJE.London: Elsevier (Churchill Livingstone); 2003
Nasopalatine Cyst or Apical Pathology? A Diagnostic Dilemma and How to Manage It Marialena Cresta Robert Philpott Eleni Besi Dental Update 2024 47:2, 707-709.
Nasopalatine cysts (NPCs) present as maxillary midline radiolucencies and are the most common radiolucency of non-odontogenic origin. The proximity of these radiolucencies to the apical region of the maxillary anterior teeth may complicate diagnosis. We are presenting two cases of maxillary midline radiolucencies with a similar presentation but different diagnoses. Reaching a definitive diagnosis may be complicated, even when a detailed clinical examination has been carried out. The use of CBCT has been a valuable addition to the diagnostic armamentarium which can help clinicians reach more accurate diagnoses in such cases. A definitive diagnosis may be established following histopathological analysis, which is indicated in symptomatic cases.
CPD/Clinical Relevance: This article highlights the importance of careful assessment of apical radiolucencies associated with the maxillary midline, leading to the correct diagnoses and appropriate treatment planning.
Article
Nasopalatine cysts (NPCs) arise from the epithelial remnants of Jacobson’s organ along the nasopalatine duct.1 NPCs are located in the midline of the anterior maxilla and may also be referred to as nasopalatine, incisive canal, median palatine, palatine papilla or median alveolar cysts. NPCs are the most common non-odontogenic cyst, found in 1−4% of the total population and present more commonly in males in the 4th decade.2,3,4
The cause of the epithelial remnant proliferation and cyst formation is not fully understood. It has been suggested that NPCs arise from the entrapment of epithelium during fusion of the embryological process. More recently, the theory most accepted is that NPCs originate from the presence of oronasal ducts in the incisive canal.5 The development of NPCs is stimulated by trauma, bacterial infections and mucous retention.2
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