scholarly journals Conservative Approach in the Management of Radicular Cyst in a Child: Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Narendra Varma Penumatsa ◽  
Srinivas Nallanchakrava ◽  
Radhika Muppa ◽  
Arthi Dandempally ◽  
Priyanaka Panthula

Radicular cyst is the most common odontogenic cystic lesion of inflammatory origin. It is also known as periapical cyst, apical periodontal cyst, root end cyst, or dental cyst. It arises from epithelial residues in the periodontal ligament as a result of inflammation. The inflammation usually follows the death of dental pulp. This paper presents a case report of a patient with radicular cyst associated with a primary molar.

Author(s):  
Rose Maria Joseph ◽  
Y M Karuna ◽  
Dharnappa Poojary ◽  
Ashwin P Rao ◽  
P Anupama Nayak

Author(s):  
T. A. Oyedele ◽  
B. Sodipo ◽  
O. A. Adetayo ◽  
A. O. Ajimoko ◽  
E. Olawale

Introduction: Avulsion has been described as the traumatic displacement of the tooth out of the socket, and it accounts for 0.5% to 16% of traumatic injuries in the permanent dentition. Many complications have been associated with avulsed tooth following replantation. This paper aimed at presenting a case of the large cystic lesion following replantation of avulsed teeth. Case Presentation: A case of a 17-year-old undergraduate student who presented in the dental clinic for medical screening as a mandatory exercise upon gaining admission. During the examination, a purulent pus discharge was noticed on the labial sulcus about tooth 11. History revealed that she had avulsion of teeth 11 and 12 about 4-years earlier that was replanted and splinted for 2-3 weeks and subsequently she was discharged from the clinic without any further treatment. Radiographic examination revealed periapical radiolucency without well define margin about teeth 11 and 12. Periapical surgery was carried out and two large cystic cavities were seen at about teeth 11 and 12 during surgery. The histology report of the specimen revealed a benign lesion suggesting periapical cyst. Conclusion: There is the need for adequate follow-up and monitoring of replanted teeth the following avulsion to arrest any complication that might arise from the procedure. Also, the importance of endodontic treatment following replantation of the avulsed tooth cannot be overemphasized.


2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Hongmei Guo ◽  
Wei Lu ◽  
Qianqian Han ◽  
Shubo Li ◽  
Pishan Yang

Aim. To report a case with an unusual drainage route of periapical inflammation exiting through the gingival sulcus of an adjacent vital tooth and review probable factors determining the diversity of the discharge routes of periapical inflammation.Summary. An 18-year-old male patient presented with periodontal abscess of tooth 46, which was found to be caused by a periapical cyst with an acute abscess of tooth 45. During endodontic surgery, a rarely reported drainage route for periapical inflammation via the gingival sulcus of an adjacent vital tooth was observed for the first time. Complete periodontal healing of the deep pocket of tooth 46 and hiding of the periapical cyst of tooth 45 followed after root canal treatment and periapical surgery with Bio-Oss Collagen implantation on tooth 45. The drainage routes of periapical inflammation are multivariate and the diversity of drainage pathways of periapical inflammation is mainly related to factors such as gravity, barriers against inflammation, and the causative tooth itself.


2015 ◽  
Vol 17 (2) ◽  
pp. 23
Author(s):  
Diego Rojas Jimenez DDS ◽  
Daniela Zamora Arce ◽  
Natalia Vargas Monge ◽  
Diego Guillén Colombari DDS, MSc

Odontogenic cysts are divided into development and inflammatory cysts. Periapical or radicular cyst of inflammatory origin, remains the most frequently described odontogenic cyst and is formed from the epithelial rests of Malassez in the periodontal ligament as a result of apical periodontitis after the pulpal necrosis. The treatment of these lesions is variable, sometimes the lesion is resolved with an endodontic treatment, or combination with certain surgical procedures (biopsy, marsupialization, decompression). However, in cases do not resolved with the initial endodontic treatment or retreatment, which should be combined with enucleation, apicoectomy. It is presented bellow a clinical case of a male patient with a tumor lesion on the vestibular sulcus in oral mucosa associated with dental organ 1.1. Radiological study was performed, it proceeds with incisional biopsy resulting reports periapical cyst, surgically enucleation and curettage of the lesion was performed.


2019 ◽  
Vol 9 (2) ◽  
pp. 43-45
Author(s):  
Sivaramakrishnan Muthanandam ◽  
Yamini Kanipakam ◽  
Santha D Arumugam ◽  
Prem L Kulandairaj

2021 ◽  
Vol 1 (Volume 1 No 2) ◽  
pp. 209-218
Author(s):  
Tichvy Tammama ◽  
Winda Afrilia Megayanti

A radicular cyst is the most common odontogenic cyst that arises from the epithelial residues in the periodontal ligament due to periapical periodontitis following death and necrosis of the pulp. A fistula may form a cyst with a pulp infection that produces pus and seeks its way out to the gingival surface to create a canal. The purpose of this case report is to report the management of a patient with a chronically infected radicular cyst with fistula while retaining the involved tooth. A case report was a 13-year-old female patient who came to Department Oral Surgery of a hospital with a complaint of a lump in the front gum and palate that didn't heal for two years ago and often discharged pus. Intraoral examination showed a lump in the gingiva and palate with fistula in the interdental gingiva of teeth 11-12 with soft consistency and pain with palpation. Panoramic results showed characteristics of the radicular cyst at the 13-11 tooth region. The lesion is diagnosed as a chronic infection of a radicular cyst due to pulp necrosis in teeth 12-11 with interdental fistulas. Biopsy enucleation of the cyst was performed with teeth preservation. The patient was advised to have regular check-ups. On the sixth month of control, the surgical wound was good, without any complaints and signs of recurrence. The result is that a radicular cyst can become chronically infected and form a fistula that oozes pus into the oral cavity. The cyst can be treated with enucleation biopsy and fistulectomy with the preservation, without any recurrences.


Author(s):  
V Truong-Nhu-Ngoc ◽  
N Vu-Thai-Lien ◽  
L Minh-Hang ◽  
D Thanh-Tung ◽  
V Thi-Nga ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Elhakim ◽  
Sunil Kim ◽  
Euiseong Kim ◽  
Alaa H. Elshazli

Abstract Background Radicular cysts may enlarge considerably, cause extensive bone destruction, and jeopardize the integrity of the associated vital teeth. The different treatment approaches are aimed mainly at eliminating the cystic epithelial membrane while reducing the risk of injury to vital structures. Contrary to other treatment modalities, preapical surgery offers an unequivocal single occasion resolution for the patient. However, it has been associated with higher risk of collateral damages. Case presentation A patient presented with a large radicular cyst originating from a maxillary lateral incisor. The adjacent central and canine teeth initially failed to exhibit responses to sensibility tests but showed signs of vitality. Microsurgical management was aimed at enucleating the cystic membrane while maintaining adjacent teeth vitality. Upon careful and controlled cyst enucleation under the dental operating microscope, the neurovascular bundle of one of the involved teeth was visualized and its integrity was maintained throughout the procedure. Results The procedure was successful and follow up recalls revealed recovery of normal sensibility of tooth 11 and 13 with complete bone regeneration around their apices. Conclusion Within the limitation of the present case report, we demonstrated that complete excision of large periapical cyst can be performed without sacrificing the vitality of the adjacent teeth, by preserving the integrity of their neurovascular supply through controlled microsurgical enucleation, and by a potential apical vascular repair ensuing unintended injury. Diagnosing the pulp vitality of non-offending teeth whose apices protrude into the cystic lumen is a complex process and can be misleading. Pressure from the growing cyst can inhibit vital teeth responses to neural-based sensibility tests leading to false negative results. Thus, in such cases, the use of blood perfusion-based vitality testing is recommended for correct initial diagnosis.


2021 ◽  
Vol 3 (1) ◽  
pp. 13-16
Author(s):  
Hattan Zaki ◽  
Albraa B. Alolayan ◽  
Weam Mohammed Ahmed ◽  
Ebtihal Zain Alabdeen ◽  
Shadia Abdel-Hameed Elsayed

The removal of an odontogenic jaw cyst usually requires at least elevation of the mucoperiosteal flap for adequate access to the cystic lesion and its complete enucleation. In this report, we present a simple intra-socket flapless cystic removal technique for a radicular cystic lesion related to the mandibular first molar. This technique produces an optimal outcome and gives the patient the most comfortable surgical experience.


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