Nasopalatine Duct Cyst: A Case Report

Abstract

Nasopalatine duct cysts are the most common cysts of non-odontogenic origin. On many occasions, their clinical and radiographic characteristics lead to a precise presumptive diagnosis, however, when they reach a large size, are displaced from the midline or the adjacent teeth have undergone previous endodontic treatment, the diagnosis can be difficult and lead to totally erroneous therapeutic options, with aesthetic and functional consequences, therefore, the general dentist must know this pathology and its treatment. The main objective of this study was to describe a clinical case suffering from the disease. A 41-year-old female patient is presented, who came to the consulting room due to two months old inflammation and slight pain in the anterior palate. The X-rays showed a round radiolucent image, approximately 1 cm in diameter in the maxillary midline, with a radiopaque halo, in apparent relation to 1.1 and 2.1, both teeths with preserved vitality. Enucleation of the lesion was performed through a scalloped incision and elevation of the palatal mucoperiosteal flap with primary closure. The histopathological study confirmed the diagnosis. Follow-up is maintained in consultation with the patient.