CASE REPORT

C.R. No.: A6736 NAME : Brahma Nand

MAILING ADDRESS : #96 Galli no.2 Jagatpura village, Mohali
AGE: 68 years SEX: Male DATE OF BIRTH: July, 1948

OCCUPATION : gardener MARTIAL STATUS : Married

HOME PHONE: 9909574145 WORK PHONE: ---
IN CASE OF EMERGENCY NOTIFY:
NAME: Leena Kumari Nand PHONE: ---- RELATIONSHIP: Wife

CHIEFCOMPLAINT: Swelling with salty discharge in left upper back tooth

region since 1year

HISTORY OF PRESENT ILLNESS & OTHER RELEVANT INFORMATION:

Onset: Gradual Duration: 1 year

Intensity: Severe Progression: Progressive

FAMILY HISTORY: No family history suggestive of diabetes, hypertension, tuberculosis,

asthma, hepatitis or any cardiac or nervous system disorders.

MEDICAL HISTORY:

Current illness(es): Not significant.

Past illness(es): No past history of Tuberculosis, asthma, hepatitis,
diabetes and hypertension.
Drug/Food allergies: No food or drug allergies
Current medication(s): None

WOMEN ONLY:
Are you pregnant: Not Applicable Not sure if pregnant: Not
Applicable
Using birth control pills: Not Menopausal/postmenopausal: Not
Applicable Applicable

DENTAL HISTORY:

Past Dental Treatment: Eventful or not: Not Applicable

Got scaling done one year back Regular/Irregular attendance? :
irregular

SOCIAL HISTORY:
Smoker : Cigarettes smoker Quantity /Day: 4-5
( Pipe/Cigarette/Bidi) cigarettes/ day
Alcohol consumption : Alcoholic Amount/week: 2 bottles/
week
Smokeless tobacco : No Quantity/day: Not
(Chewed/sucked/inhaled) Applicable
Site of application: Not
Applicable

ORAL HYGIENE ACTIVITY:

Tooth brushing:
Frequency/day or week : Once/day Method of use : circular
Frequency of replacement of tooth brush : 1 year
Interproximal cleaning: No
Frequency/day or week: Not Applicable Method of use: Not Applicable

Other adjuncts to cleaning: No

Frequency/day or week: Not Applicable Method of use: Not Applicable
GENERAL PHYSICAL EXAMINATION:

Pulse: 76 bpm in right radial artery B.P.: 120/90 mm Hg in right arm

Good volume, regular rhythm

Color of sclera and conjunctiva : Normal

EXTRAORAL EXAMINATION:

Swelling/Lump: present Ulcers: Not present

Draining Sinuses/Pus: pus discharge since one year in upper left region
Rashes: None
White/Red Lesions: Not present
Discoloration of soft tissues: Melanin pigmentation on attached gingiva.
Lymph Node Examination: Lymph nodes not palpable.

INTRAORAL EXAMINATION:
Oral soft tissues

Lips: Competent Gingiva: Melanin pigmentation on the

attached gingiva with soft and edematous
interdental papillae, stippling present.
Buccal Mucosa: No abnormality Alveolar Mucosa: No abnormality detected
detected
Tongue: Normal Salivary gland and orifice : No abnormality
detected
Floor of the Mouth: Normal Salivary Flow: Normal
Hard Palate: No abnormality Tonsils: Normal
detected
Soft palate :Normal Pharynx: Normal

CALCULUS AND STAINS: Stains and calculus are present

Distribution:- Generalized/Localized: +, Generalized

Interproximal/Marginal: Marginal

OCCLUSION:

Type: Class I
Overjet: 2 mm Overbite: 3mm
Diastema: No Open Bite: Anterior: No
Posterior: No
Anterior Cross bite: No Posterior Cross bite: No

DENTAL EXAMINATION

Missing M

(M)
Decayed D D D D D

(D)
Restored
(R)
Sensitive
(S)
Wasting
diseases
Attrition/
Abrasion/
Erosion/
Ablation/A
bfraction)
Mobility
(Mb)
Tenderness
on
Vertical
Percussion
(TOP-V)
Tenderness
on
Horizontal
Percussion
(TOP-H)
Fractured
(#)
Furcation
Involveme
nt (Fr)
Pocket
(Pk)
Plaque (Pl) Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl
Gingival G G G G G G

Bleeding
(G)
18 17 16 15 14 13 12 11 21 22 23 24 25 26 27 28
48 47 46 45 44 43 42 41 31 32 33 34 35 36 37 38
Missing M M

(M)
Decayed
(D)
Restored
(R)
Sensitive
(S)
Wasting W W W W W

diseases-
W(Attritio
n
Abrasion/
Erosion/
Ablation/A
bfraction)
Mobility
(Mb)
Tenderness
on
Vertical
Percussion
(TOP-V)
Tenderness
on
Horizontal
Percussion
(TOP-H)
Fractured
(#)
Furcation
involveme
 nt (Fr)
Pocket
(Pk)
Plaque (P) Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl Pl
Gingival G G

Bleeding
(G)

PROVISIONAL DIAGNOSIS:
Odontogenic keratocyst

INVESTIGATION AND RESULTS: N/L

HISTOPATHOLOGY:

10x : The epithelium is non keratinized stratified squamous type 4-6 layer thick. Prominent intracellular bridges
were seen. Epithelial thickening shows eosinophilic hyalinized structures resembling ghost cells. The underlying
connective tissue stroma shows loose collagen with many eosinophilic hyalinized islands . A cystic lining of
odontogenic epithelium can also be seen.

40x: The odontogenic epithelial lining shows a prominent basal layer with a few stellate reticulum like areas.
Few ghost cells can also be seen in the epithelium and many cells in the connective tissue capsule. Numerous
odontogenic epithelial islands are seen in the connective tissue capsule arranged in cords and strands. Lots of
extravasated R.B.Cs with building capillaries were seen .

FINAL DIAGNOSIS:
 Calcifying Odontogenic Cyst

TREATMENT PLAN:
Enucleation with regular follow ups.

REFER TO THE DEPARTMENT OF:

Department of Oral Surgery

Dr. Harvansh Singh Judge Institute of Dental

Sciences And Hospital
Panjab University, Chandigarh

CALCIFYING
ODONTOGENIC CYST
 SUBMITTED TO:
THE DEPARTMENT OF ORAL PATHOLOGY

SIGNATURE OF INCHARGE

Submitted By: Sakshi Aggarwal

WORK COMPLETION CERTIFICATE

This is to certify that

SAKSHI AGGARWAL
3RD YEAR
BATCH- 2013
has completed her Oral Pathology case assignment
for the year 2015- 2016.
Signature of HOD