Abscess Diagnostic case

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Abscess Diagnostic case - Courtesy ROOTS

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From: Noemí Pascual
To: ROOTS
Sent: Thursday, July 19, 2007 5:59 PM
Subject: [roots] Abscess DIAGNOSTIC CASE

This young boy was referred for evaluation in 22. He is 10 years old.
Asymptomatic. 1-2 days of evolution of the abscess. No tenderness to
percussion or palpation. Mobility II. The vitality tests were not conclusive.
No caries. He plays football and he got a hit with a ball on his face 1 month
ago. He is under orthodontic treatment due to Brodie Syndrome.

What´s your opinion??? - Noemí Pascual

Hi Noemi,

Interesting differential diagnostic, if the palpation of the tumour is not painful and even is
hard not fluctuating to palpation it could be the erupción cist of 23 (11 USA) taking into account
the location and the position of 23 in the Rx.

I don´t know Brodie Syndrome, perhaps you can explain something about it.
What kind of orthodontic treatment is been done? Movile device? - Nuria

Hi Nuria,

Yes...I agree with your diagnostic.  The temporal 63 had mobility grade III. We decided to do the
extraction of 63 after speaking with his orthodontist.

3 days after the extraction the abscess had disappeared. Patient asymptomatic, no tenderness
to palpation or percussion. The vitality tests again were not conclusive.

Brodie syndrome is bilateral buccal crossbite. The orthodontic treatment in these cases is very complex.
Patients with this rare but interesting skeletal pattern almost always require a combined orthodontic-surgical
treatment approach according to the criteria of a severe Class II (division 2 case).  - Noemí