Giant radicular cyst of the maxilla

Abstract

Radicular cysts are inflammatory odontogenic cysts of tooth bearing areas of the jaws. Most of these lesions involve the apex of offending tooth and appear as well-defined radiolucencies. Owing to its clinical characteristics similar to other more commonly occurring lesions in the oral cavity, differential diagnosis should include dentigerous cyst, ameloblastoma, odontogenic keratocyst, periapical cementoma and Pindborg tumour. The present case report documents a massive radicular cyst crossing the midline of the palate. Based on clinical, radiographical and histopathological findings, the present case was diagnosed as an infected radicular cyst. The clinical characteristics of this cyst could be considered as an interesting and unusual due to its giant nature. The lesion was surgically enucleated along with the extraction of the associated tooth; preservation of all other teeth and vital structures, without any postoperative complications and satisfactory healing, was achieved.

Tunnel’ radicular cyst and its management with root canal treatment and periapical surgery: A case report

“…An average size of the radicular cyst can range between 0.5 to 1.5 cm 6 . However, large radicular cysts with the measurement reaching up to 5.0‐10 cm have also been reported in various studies 7‐9 . As the size of the lesion increases, the surrounding alveolar bone usually becomes very thin due to subperiosteal bone deposition.…”

“…6 However, large radicular cysts with the measurement reaching up to 5.0-10 cm have also been reported in various studies. [7][8][9] As the size of the lesion increases, the surrounding alveolar bone usually becomes very thin due to subperiosteal bone deposition. Our patient presented with the condition where the cyst had completely eroded both buccal and palatal bone surfaces, which created a tunnel shaped appearance.…”

Tratamiento de lesión periapical con obturación retrógrada e injerto óseo. Reporte de un caso

“…La radio transparencia relacionada con un quiste periapical siempre es redonda u ovoide con un halo radiopaco contigua a la lámina dura del diente afectado 18 , varían de 5 mm a varios centímetros de diámetro 19 . En quistes que han permanecido largo tiempo se puede detectar resorción de la raíz del diente afectado y ocasionalmente de dientes adyacentes 20 . Se ha reportado desde un 37% hasta un 97% de curación completa después de la cirugía apical y regeneración ósea guiada 21 .…”

Frecuencia de quistes odontogénicos en pacientes de la Facultad de Odontología, Universidad Nacional de Colombia

“…Se incluyeron historias clínicas de pacientes institucionalizados con diagnóstico definitivo de quiste odontogénico confirmado con el estudio histopatológico y la información pertinente al estudio se encontrará registrada de manera completa en la historia clínica. Los datos evaluados fueron: Edad agrupada en rangos de (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20), (20-30) y (30-inf), sexo (masculino y femenino) y localización del quiste (maxilar anterior, maxilar posterior, mandibular anterior, mandibular posterior).…”