Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed

Seoul OB Dental Hospital 4th and 5th floors, 196 Baekjegobun-ro, Songpa-gu, Seoul

Hello.

This is Seoul OB Dental Hospital.

Today, we would like to introduce a case in which a male patient in his 30s who wanted treatment for a broken front tooth was unexpectedly found to have a cyst near the root of the tooth, leading to extraction, cyst removal, and front tooth implant surgery all at once.

My front tooth is broken. I am visiting the dentist for the first time in a long time.

The patient visited our clinic with part of his front tooth broken due to trauma. At first glance, the tip of the front tooth appeared only slightly chipped, but to make an accurate diagnosis, we performed panoramic X-ray and CT imaging.

Diagnosis result

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 1

Diagnosis result: Cyst found at the root of tooth #11

When we examined the inside of the front tooth that seemed to have only a simple fracture, a large cyst (periapical cyst) had formed in the root area of tooth #11, and overall, there was extensive tooth damage requiring treatment.

The patient initially wanted treatment only for the front tooth, so we decided to proceed with treatment limited to the front tooth.

✅ Although it looked like a small fracture on the outside, ✅ extraction was unavoidable internally, ✅ and cyst removal with immediate implant surgery was necessary.

Treatment plan and procedure

At Seoul OB Dental Hospital, a specialist in oral and maxillofacial surgery is on staff, so cyst surgery and implant surgery can be performed at the same time.

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 2

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 3

① Extraction of tooth #11 and cyst removal surgery

– At the same time as extraction, the 2 cm cyst lesion was completely removed. – Allograft bone was also placed in the bone area resorbed by the cyst.

② Same-day implant placement

– After carefully checking the bone condition, surgery was performed at the depth and angle suitable for immediate placement. – Since this was the anatomically important front tooth area, precise angle and depth control were necessary.

③ Recovery after surgery and waiting for prosthetic restoration

– After surgery, inflammation is controlled and tissue stabilization is encouraged for 2 to 3 months, – then the treatment proceeds to the final prosthetic fabrication stage.

Biopsy result

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 4

✅ Diagnosis

Oral cavity, maxilla, anterior, excision

→ Excised tissue from the oral cavity, maxillary anterior region

Consistent with periapical cyst

→ Findings consistent with a periapical cyst

📌 Interpretation: This lesion was judged to be an inflammatory periapical cyst, which is a representative type of cyst that usually forms at the tip of the tooth root due to tooth infection or trauma.

Before-and-after comparison

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 5

📸 Before surgery

– Cystic lesion in the periapical area

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 6

📸 Postoperative X-ray

– Complete removal of the lesion and implant placement

– Bone height secured with graft material

Even though it was a larger-than-expected surgery, the patient said,

"The diagnosis was so accurate that it actually made me feel relieved," "I was very worried because it was a front tooth, but the surgery finished smoothly and quickly."

Frequently asked questions

Q1. If my front tooth is only slightly chipped, do I really need a CT scan?

– It is difficult to determine the condition of a front tooth based only on what is visible on the outside. In particular, after trauma, the tooth root and gum bone are often damaged as well, so an accurate diagnosis through CT is essential.

Q2. If there is a cyst, is extraction always necessary?

– It depends on the size and location of the cyst and the condition of the tooth. However, if the lesion near the root is large and the tooth has no function, extraction followed by lesion removal and implant placement is the safest option.

Q3. Will a front tooth implant look aesthetically acceptable?

– Seoul OB Dental Hospital can reproduce the same color and shape as natural teeth based on digital prosthetic design and an in-house dental lab, so you can receive treatment without worrying about aesthetics.

As in this case, even a tooth fracture that seems simple on the outside can reveal unexpected problems through precise diagnosis.

Seoul OB Dental Hospital provides accurate and safe treatment all in one place, from extraction to surgery and prosthetics, based on our CT diagnostic system, oral surgery specialists, and in-house dental lab system.

All photos used in this article are actual case photos from treatments performed at Seoul OB Dental Hospital, and were posted with the patient's consent for the purpose of providing medical information.

Samjeon Station Dental Clinic: A man in his 30s who visited after breaking his front tooth, and a case in which a cyst was found and implant surgery was also performed image 7

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