EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

SURGICAL ENUCLEATION OF A LARGE RADICULAR CYST IN THE MAXILLA: A CASE REPORT

Joanna Sancharita Biswas*, Babu G. V. and Shilpy Dwivedi

ABSTRACT

Radicular cysts usually present as an osteolytic lesion at the periapical area of a tooth with an infected necrotic pulp. This case is a presentation of a massive radicular cyst in the maxillary anterior region of the jaw removed by surgical enucleation after endodontic treatment. A 15-year-old girl had come to the department with a chief complaint of pain and swelling in the left upper front region of the jaw. The girl had fallen down the stairs and hit her teeth 8 years ago. Since then, there was occasional pus discharge from a sinus tract that had formed above 21. Based on clinical, radiological and analysis of aspirate, a provisional diagnosis of an infected radicular cyst was made. Management of cyst by endodontic treatment followed by surgical excision was planned under local anaesthesia. Root canal treatment was done and surgically enucleated lesion was sent for biopsy. Histopathology revealed that underlying sub-epithelial tissue showed moderate inflammatory infiltrates of lymphocytes, plasma cells and few multinucleated giant cells and was rimmed by bony trabeculae confirming a radicular cyst. These cysts can occur in the periapical area of any teeth, at any age but are seldom seen associated with the primary dentition. Anatomically, the apical cysts occur in all tooth-bearing sites of the jaws but are more frequent in maxillary than mandibular teeth. The recommended treatment option available for radicular cyst is the conventional endodontic approach combined with decompression or surgical enucleation of a cyst with extraction of the offending tooth.

Keywords: Anterior trauma, Infected radicular cyst, Surgical enucleation, Endodontic treatment, Apicoectomy.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database