Enucleation with Root Resection of Large Periapical Cyst in Maxilla: A Case Report
Keywords:
Large radicular cyst, Enucleation, Root resection, Cone-beam computed tomography (CBCT), Evaluation of cystic healingAbstract
Periapical cyst, also known as radicular cyst is most common odontodgenic cyst in oral cavity. Periapical cyst frequency coexists with infected tooth and not more than 2 centimeters in size. However larger cyst can develop and may appeared to invade nearby structures. Report case female presented with swelling of upper lip and paranasal area. Cone-beam computed tomography (CBCT) showed radiolucency lesion that measured 2.81 centimeters in width. The nasal floor, hard palate and labial bone were all invaded by lesion. The right upper lateral tooth had undergone root canal treatment was in a good condition. Incisional biopsy revealed an inflammatory cyst on histopathology. Treatment was performed one-step by total enucleation with root resection of right upper lateral tooth under local anesthesia.9 months followed-up, CBCT revealed that the lesion’s size had much decreased. Bone regeneration was founded on the border of lesion. Total enucleation with root resection is still appropriate treatment for periapical cysts, including those greater than 2 centimeters. The procedure can be performed in a single appointment under local anesthesia. It is important to rule out other lesions with comparable clinical and radiographic features from the differential diagnosis. A large lesion extends to several teeth, a histopathologic study is essential. For precisely determining the size and boundary of a lesion, especially one that affects the maxilla, CBCT is a useful method. However, the cost and amenities may influence choice.
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