Infected Radicular Cyst of the Maxilla

Authors

  • Watcharachai Thivakorakot, D.D.S. Dental Department, Napalai Hospital, Samut Songkhram

Keywords:

radicular cyst, I & D, histopathology, enucleation

Abstract

Radicular cysts are the most common cystic lesions in the jaws. Complete enucleation is the treatment of choice. In the presenting case report, the 23-year-old woman visited the dentist with chief complaint of still pain and swelling of gum at upper right anterior tooth after tooth was removed for 10 days. Oral examination showed extraction wound of tooth #11 with pus. First, infection was treated by I & D and antibiotics for 12 days but did not get well. So, complete enucleation and biopsy was done. The definitive diagnosis with histopathology was radicular cyst. Two weeks later, patient came back with small pain and swelling at the same area because of residual cyst wall. Complete enucleation was done again, and the patient did well in six months of follow-up.

References

1. Marx RE, Stern D. Oral and maxillofacial pathology: a rationale for diagnosis and treatment. Chicago: Quintessence; 2003.

2. Manwar NU, Agrawal A, Chandak MG. Management of infected radicular cyst by surgical approach. Int J Dent Clin 2011;3:75-6.

3. Shear M, Speight PM. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Munksgaard; 2007.

4. Neville BW, Damm DD, Allen CM, et al. Oral and maxillofacial pathology. 2nd ed. Philadelphia: WB Saunders; 2002.

5. Bhaskar SN. Oral surgery--oral pathology conference No. 17, Walter Reed Army Medical Center. Periapical lesions--types, incidence, and clinical features. Oral Surg Oral Med Oral Pathol 1966;21:657-71.

6. Amos M, Dalghous A, Alkhabuli J, et al. Massive maxillary radicular cyst presenting as facial fracture and abscess, a case report. Libyan J Med 2007;2:211-3.

7. Ribeiro PD, Goncalves ES, Neto ES, et al. Surgical approaches of extensive periapical cyst. Considerations about surgical technique. Salusvita 2004;23:317-28.

8. Natkin E, Oswald RJ, Carnes LI. The relationship of lesion size to diagnosis, incidence and treatment of periapical cysts and granulomas. Oral Surg Oral Med Oral Pathol 1984;57:82-94.

9. Lin LM, Ricucci D, Lin J, et al. Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. J Endod 2009;35:607-15.

10. Neaverth EJ, Burg HA. Decompression of large periapical cystic lesions. J Endod 1982;8:175-82.

11. Abramowitz PN, Rankow H, Trope M. Multidisciplinary approach to apical surgery in conjunction with the loss of buccal cortical plate. Oral Surg Oral Med Oral Pathol 1994;77:502-6.
วารสารแพทย์เขต 4-5

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Published

2018-04-26

How to Cite

1.
Thivakorakot W. Infected Radicular Cyst of the Maxilla. Reg 4-5 Med J [internet]. 2018 Apr. 26 [cited 2025 Dec. 8];36(4):317-24. available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/120265

Issue

Vol. 36 No. 4 (2017): October - December

Section

Case Report

License

ลิขสิทธิ์บทความเป็นของผู้เขียนบทความ แต่หากผลงานของท่านได้รับการพิจารณาตีพิมพ์ลงวารสารแพทย์เขต 4-5 จะคงไว้ซึ่งสิทธิ์ในการตีพิมพ์ครั้งแรกด้วยเหตุที่บทความจะปรากฎในวารสารที่เข้าถึงได้ จึงอนุญาตให้นำบทความในวารสารไปใช้ประโยชน์ได้ในเชิงวิชาการโดยจำเป็นต้องมีการอ้างอิงถึงชื่อวารสารอย่างถูกต้อง แต่ไม่อนุญาตให้นำไปใช้ในเชิงพาณิชย์