Published June 1, 2014 | Version v1
Journal article Open

Management of a Large Periapical Cyst: A Case Report

  • 1. Department of Conservative Dentisry & Endodontics, Rishiraj College of Dental Sciences & R.C., Bhopa
  • 2. Department of Conservative Dentisry & Endodontics, People's College of Dental Sciences & R.C., Bhopal
  • 3. Department of Conservative Dentisry & Endodontics, R.K.D.F. Dental College & R.C., Bhopal,
  • 4. Department of Conservative Dentisry & Endodontics, habha College of Dental Sciences & R.C., Bhopal

Description

Traumatic injuries commonly affect the anterior teeth leading to slow death of the pulp. This may give rise to a
periapical or radicular cyst which results from the proliferation of cell rests of Malassez following pulpal necrosis of a non-
vital tooth. This condition is usually asymptomatic but can result in a slow-growth tumefaction in the affected region. On
radiography the lesion can be seen as a round or oval, well circumscribed radiolucent area involving the apex of the
infected tooth. Nonsurgical management should be the treatment of choice of a periapical cyst. However, periapical
surgery can be considered, if the lesion is extensive and fails to respond to a nonsurgical approach

Files

11. Dr. Antriksh Azad.pdf

Files (261.5 kB)

Name Size Download all
md5:2c9d8cb29efc4cdb0d9810696c47ad90
261.5 kB Preview Download

Additional details

References

  • 1. Bhaskar SN: Periapical lesion-types, incidence and clinical features. Oral Surgery, Oral Medicine and Oral Pathology, 1966; 21(5):657-671
  • 2. Shear M, Seward GR: Cysts of the Oral Regions. 3rd Edn. (Indian); Varghese Publication House, Mumbai, 1996; pp:136-170.
  • 3. Ali M, Baughman RA: Maxillary odontogenic keratocyst: A common and serious clinical misdiagnosis. JADA, 2003;134(7):877-883.
  • 4. Ribeiro PD (Jr.) Gonçalves ES, Neto ES, Pacenko MR: Surgical approaches of extensive Periapical cyst. Considerations about Surgical technique. Salusvita, 50People's Journal of Scientific Research Vol. 7(1), Jan. 2014 Bauru, 2004;23(2):317-328
  • 5. Hoen MM, LaBounty GL, Strittmatter EJ: Conservative treatment of persistent periradicular lesions using aspiration and irrigation. J Endod, 1990;16(4):182-186.
  • 6. Rees JS: Conservative management of a large maxillary cyst. Int Endo J, 1997;30(1):64-67.
  • 7. Çaliskan MK: Prognosis of large cyst-like periapical lesions following nonsurgical root canal treatment: a clinical review. Int Endod J, 2004;37(6):408-416.
  • 8. Leonardo MR, Silveira FF, Silva LA, Tanomaru Filho M, Utrilla LS: Calcium Hydroxide Root Canal Dressing. Histopathological Evaluation of Periapical Repair at Different Time Periods. Braz Dent J, 2002; 13(1):17-22.
  • 9. Shah N, Logani A, Bhaskar U, Aggarwal V: Efficacy of Revascularization to Induce Apexification/Apexogensis in Infected, Nonvital, Immature Teeth: A Pilot Clinical Study. J Endod, 2008; 34(8):919-925.
  • 10. Frank AL: Therapy for divergent pulpless tooth by continued apical formation. JADA, 1966; 72(1):87-93.