Clinic Locations
FS Plaza, Shop 5, Gr Floor, Jagat Farm, Block E, Chandila, Gamma 1, Greater Noida, Uttar Pradesh, India, 201310
Mon - Sun
8:00 AM - 9:00 PM
Consult Fee ₹ 300
Services
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Artificial Teeth
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Cosmetic/ Aesthetic Dentistry
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Crowns and Bridges Fixing
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Dentofacial Orthopedics
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Complete/Partial Dentures Fixing
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Impaction / Impacted Tooth Extraction
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Tooth Extraction
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Dental Fillings
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Fixed Partial Denture (FPD)
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Flexible Partial/Complete Denture
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Gum Disease Treatment/ Surgery
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Immediate Dentures
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Dental Implant Fixing
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Invisible/Clear Braces
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Laser Gum Surgery
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Laser Surgery
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Periodontal Flap Surgery
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Post and Core
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RCT - Root Canal Treatment
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Sedation Dentistry
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Smile Design
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Scaling / Polishing
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Teeth Reshaping
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Dental Braces Fixing
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Teeth Whitening
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Thineers
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Tooth Coloured Fillings
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Veneers / Laminates
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Wedding Smile Planner
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Teeth - Jewellery
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Laser Dentistry
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Gap Closing
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Oral Rehabilitation
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Tongue Tie Release
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Zirconia Crowns
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Ceramic Veneers / Crowns
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Dental Crowns
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Dental X-Ray
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Dental Sealant
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Dental Examinations
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Dental prophylaxis
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Facet Dental
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Teeth Straightening
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Straightening Teeth (Invisalign)
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Tooth Air Polishing
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Surgical Tooth Extraction
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Wisdom Tooth Extraction
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Discolored Tooth Restoration
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Bleeding Gums Treatment
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Mouth Guard
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Oral Lesions Screening
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Alveolectomy
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Jaw Orthopedics
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Oral Surgery Procedures
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Panoramic radiology
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Oral & Maxillofacial Surgery
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Inlays and Onlays
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Cleft Lip Repair
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Porcelain inlays and onlays
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Dental Contact lens
Specialization
- Dentist
- Dental Surgeon
- Implantologist
- Cosmetic/Aesthetic Dentist
Procedure
- Dental Implant
- Root Canal Treatment (RCT)
- Dental Crowns
Dr Ishan Singh replied
Based on the information that a large dentigerous cyst was diagnosed during tooth extraction and there is suspicion of a pathological fracture of the maxillary floor, here is my professional view: Dentigerous cysts can grow significantly when associated with an impacted tooth, especially canines or third molars. Large cysts may cause thinning of cortical bone, expansion, and loss of structural integrity. When the cyst reaches a considerable size, pathological fracture of the maxillary floor or maxillary bone is possible, though not very common. If the surgical team is reporting this, it usually means: The bone was already extremely thin, or During surgical access, the weakened bone plate may have fractured. Important next steps: A CBCT scan is essential to evaluate: Size and extent of the cyst Actual presence of a pathological fracture Remaining bone support Proximity to sinus and surrounding structures Evaluation by Oral & Maxillofacial Surgeon (OMFS) is strongly recommended. Treatment considerations: Enucleation of the cyst is the ideal treatment if bone integrity allows. If the cyst is extremely large, marsupialization followed by enucleation may be recommended to reduce risk of fracture. If a pathological fracture is confirmed, management may include: Stabilization Sinus precautions Soft diet Possible internal fixation, depending on severity Antibiotics + decongestants if sinus involved Prognosis: With proper surgical management, healing is generally good. The maxilla has excellent blood supply; fractures heal well unless severely displaced. Red flags to monitor: Persistent nasal discharge Oro-antral communication Pain increasing after extraction Excessive swelling Difficulty in biting My Summary Opinion A large dentigerous cyst can definitely weaken maxillary bone, making a pathological fracture possible. However, the final diagnosis must rely on CBCT imaging. Most cases heal well with OMFS management, but timely intervention and proper follow-up are crucial. View Answer