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Research ArticleCase Report

Focal Abscess: Description of a clinical case

Alexis M. Troy, Leciel K. Bono and JoAnn R. Gurenlian
American Dental Hygienists' Association April 2023, 97 (2) 39-44;
Alexis M. Troy
Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
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  • For correspondence: [email protected]
Leciel K. Bono
Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
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JoAnn R. Gurenlian
American Dental Hygienists’ Association, Chicago IL, USA
Department of Dental Hygiene, Idaho State University, Pocatello, ID, USA
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Abstract

Purpose The purpose of this article is to present a case report of a periapical lesion found in a 24-year-old female who presented to a university dental hygiene clinic with a chief complaint of vestibular pain around tooth #22. Radiographically, the lesion appeared radiolucent and unilocular with well-defined borders and significant bone resorption. The area of radiolucency increased in size over a period of five weeks indicating an aggressive pathosis. Given the clinical and radiographic presentations, the differential diagnosis included an odontogenic keratocystic tumor (odontogenic keratocyst), central giant cell granuloma, periapical cyst, and squamous cell carcinoma. Biopsy revealed the diagnosis of a focal abscess. The patient’s presenting signs and symptoms are reviewed. Management and contributing factors are discussed.

Keywords
  • focal abscess
  • granuloma
  • periapical abscess
  • keratocystic odontogenic tumor
  • odontogenic keratocyst
  • Received October 17, 2022.
  • Accepted January 20, 2023.
  • Copyright © 2023 The American Dental Hygienists’ Association
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American Dental Hygienists' Association: 97 (2)
American Dental Hygienists' Association
Vol. 97, Issue 2
April 2023
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Focal Abscess: Description of a clinical case
Alexis M. Troy, Leciel K. Bono, JoAnn R. Gurenlian
American Dental Hygienists' Association Apr 2023, 97 (2) 39-44;

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Focal Abscess: Description of a clinical case
Alexis M. Troy, Leciel K. Bono, JoAnn R. Gurenlian
American Dental Hygienists' Association Apr 2023, 97 (2) 39-44;
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Keywords

  • focal abscess
  • granuloma
  • periapical abscess
  • keratocystic odontogenic tumor
  • odontogenic keratocyst

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ISSN #: 1553-0205

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