“Management of a large periapical cyst (apical matrix &amp; surgical complications) - A case report”

George, MVerghese; Thomas, George J.; Kuttappa, MA; Govind, GirishKumar

doi:10.4103/0970-7212.351958

Cited by 3 publications

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“…(3) Enucleation of a large cyst can result in complications like hemorrhage, pain, swelling, ecchymosis, formation of an oro nasal communication, or damage of adjacent nerve. (4) Conservative approach as marsupialization can be preferred instead of excessive bone removal in cases of the large radicular cysts. [5] Furthermore, clinical and radiographic assessment of the effectiveness of decompression as a conservative treatment in decreasing the size of a pediatric radicular mandibular cysts and the correlation between cyst decompression and several variables such as impacted tooth angulation, cusp tip depth and cyst size on related impacted tooth eruption.…”

Section: Introductionmentioning

confidence: 99%

Clinical and radiographic assessment of the effectiveness of decompression as treatment of pediatric mandibular radicular cyst

Esmael

Aly

Abozekry

2022

Egyptian Dental Journal

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Background: Radicular cysts are the most common inflammatory odontogenic cyst which can be treated with decompression especially in children with large cyst and has vital structures and or vital tooth.Purpose: to evaluate clinical and radiographic effectiveness of decompression as a conservative treatment in decreasing the size of a pediatric radicular cysts and reveal the effect of different variables such as impacted tooth angulation, cusp tip depth and cyst size on related impacted tooth eruption.Methodology: A healthy 10 children with average age of 9years old with unilateral radicular mandibular cysts. decompression was done incorporating a multipurpose space maintainer. Clinical and radiographic follow up was done.Results: Ten patients were treated by decompression and the volume reduction rate was 79.1%. The monthly reduction rate was better in lesions greater than 275 mm2 with -28.00 ± 20.05and -17.52 ± 7.05 in lesions lower than 275mm2 with statistical significant difference (p<0.05). Conclusion:Decompression is effective for the treatment of radicular cystic lesions in pediatrics as it enables eruption of the impacted teeth within the cyst and decrease morbidity and protects neighboring vital structures.

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Section: Introductionmentioning

confidence: 99%

Clinical and radiographic assessment of the effectiveness of decompression as treatment of pediatric mandibular radicular cyst

Esmael

Aly

Abozekry

2022

Egyptian Dental Journal

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Surgical and nonsurgical management of bilateral periapical lesions in the maxillary anterior region

Tolasaria¹,

Das²

2011

J Surg Tech Case Report

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Conventional nonsurgical endodontic treatment has a high degree of clinical success, but in certain cases surgical intervention becomes necessary. This is the case report of a patient presenting with bilaterally separate periapical lesions in the maxillary anterior region. One lesion was managed by periapical surgery using a novel and safe method of separating the soft tissue mass of the periapical lesion which was in proximity to vital and vulnerable anatomical tissues, and the other was managed by long-term intracanal medicament, emphasizing the need of application of treatment in the best interest of the patient.

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Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst

Babu¹,

Chandran²,

Vivekchand³

et al. 2012

Conservative Dentistry and Endodontic Journal

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Radicular cysts are the most common cystic lesions affecting the jaws. They arise from the epithelial remnants in the periodontal ligament as a result of the stimulus from periapical infection following pulpal necrosis. Treatment options to manage large periapical lesions range from nonsurgical root canal treatment or apical surgery to extraction. New approaches involve the use of local drug delivery systems based on microparticles/ nanoparticles made from biocompatible polymers along with surgical intervention. Such devices enable the introduction of antimicrobial agents or other drugs directly in the periradicular area or inside the root canal, and the prolonged release of constant concentrations of these agents for fast and better healing. The present case report illustrates the combined endodontic and surgical management of a large periapical cyst with local drug delivery as an adjunct.

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“Management of a large periapical cyst (apical matrix & surgical complications) - A case report”

Cited by 3 publications

References 0 publications

Clinical and radiographic assessment of the effectiveness of decompression as treatment of pediatric mandibular radicular cyst

Clinical and radiographic assessment of the effectiveness of decompression as treatment of pediatric mandibular radicular cyst

Surgical and nonsurgical management of bilateral periapical lesions in the maxillary anterior region

Local Drug Delivery as an Adjunct to Surgical Intervention in the Management of Periapical Cyst

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