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Management of A Large Radicular Cyst: A Non Surgical Endodontic Approach
Management of A Large Radicular Cyst: A Non Surgical Endodontic Approach
Management of A Large Radicular Cyst: A Non Surgical Endodontic Approach
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Departmentsof Conservative Dentistry and Endodontics, 1Oral and Maxillofacial Surgery, 2Department of
Orthodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi,
Uttar Pradesh, India
Key words:
Calcium hydroxide, nonsurgical
endodontic therapy, periapical lesion,
radicular cyst, vitapex
ABSTRACT
A radicular cyst arises from epithelial remnants stimulated to proliferate
by an inflammatory process originating from pulpal necrosis of a nonvital
tooth. Radiographically, the classical description of the lesion is a round or
oval, wellcircumscribed radiolucent image involving the apex of the tooth.
Aradicular cyst is usually sterile unless it is secondarily infected. This paper
presents a case report of conservative nonsurgical management of a
radicular cyst associated with permanent maxillary right central incisor, right
lateral incisor and right canine in a 24yearold female patient. Root canal
treatment was done together with cystic aspiration of the lesion. The lesion
was periodically followed up and significant bone formation was seen at the
periapical region of affected teeth and at the palate at about 9 months. Thus,
nonsurgical healing of a large radicular cyst with palatal swelling provided
favorable clinical and radiographic response.
INTRODUCTION
CASE REPORT
10.4103/1658-5984.138149
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Dwivedi, etal.: Use of calcium hydroxide in periapical area to treat large radicular cyst
DISCUSSION
The development of a periapical cyst is a gradual
process. The inflammatory process stimulates the
epithelial rest cells of Malassez, and cystic fluid
develops around the apex which is composed of
a
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Dwivedi, etal.: Use of calcium hydroxide in periapical area to treat large radicular cyst
a
a
d
Figure 4: Clinical photograph of the palate after 1 month of
commencement of treatment (a). Occlusal view of the palate after 3
month (b), 6 month (c) and 9 month of commencement of treatment (d)
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Dwivedi, etal.: Use of calcium hydroxide in periapical area to treat large radicular cyst
CONCLUSION
Surgical treatment is indicated only when nonsurgical
treatment or retreatment is impractical or unlikely to
provide the desired outcome.
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