MULITIDISCIPLINARY MANAGEMENT OF RADICULAR CYST WITH NONSURGICAL AND SURGICAL APPROACH: CASE SERIES

Dr. Dipti Limbekar*, Dr. Jaydip Tingare, Dr. Yogesh Doshi, Dr. Mona Shah, Dr. Srinivas Bakle, Dr. Rashmi Kale

ABSTRACT

Radicular cysts are the most common odontogenic cystic lesions of jaws; these are inflammatory in origin. These cysts result from the proliferation of cell rests of Malassez in the periodontal ligament as a consequence of inflammation, following pulpal necrosis of a nonvital tooth. The condition is usually asymptomatic but can result in a slow-growth in the affected region. There are various treatment modalities for management of radicular cysts which includes conventional nonsurgical root canal therapy when the lesion is localized or surgical treatment like enucleation, marsupialization or decompression when lesion is large. The clinical and radiographic examination in each case led to a provisional diagnosis of a radicular cyst, which was confirmed by biopsy. This case series represents multidisciplinary management of radicular cyst where in case of localized small lesion the symptoms subsided with conventional endodontic treatment and where the lesion was very large in size it did not subside by nonsurgical approach and in such cases surgical therapy of enucleation of cyst followed by apicectomy of infected and involved roots of tooth with retrograde MTA filling was done.

Keywords: Marsupialization, enucleation, apicoectomy, radicular cyst, odontogenic cyst.