Maxillary and mandibular unusually large radicular cyst: A rare case report

Kolari, Vinayakrishna; Rao, Himagirish; T, Thomas

doi:10.4103/njms.njms_6_18

Cited by 17 publications

(14 citation statements)

References 9 publications

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“…Radicular cysts are quite small (5-15 mm) and commonly found into the maxilla. Only in case of infection or functional impairment they require surgical treatment [2]. In our patients we found a 33.7 mm radicular cyst-much larger than the usual range-originating from incisive and occupying almost entirely the maxilla (Figs.…”

Section: Commentssupporting

confidence: 43%

Surgical treatment of unusual osteoma associated with homolateral radicular cyst of the maxillary sinus

Cantone¹,

Torrisi²,

Romano³

et al. 2020

J Oral Med Oral Surg

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Introduction: We described a rare clinical case of osteoma associated with homolateral radicular cyst of the maxillary sinus. Observation: Imaging showed two different lesions in the right maxillary sinus. We performed a combined surgical approach to completely remove the lesions and used a plasma rich in growth factors membrane to repair dental roots. No relapse after a 2 years follow-up was observed. Commentaries: The simultaneous presence of two large lesions, a 23,7 mm osteoma and a 33,7 mm radicular cyst in the same maxillary sinus, has been rarely described in the literature. Although nasal endoscopy and imaging are mandatory to assess the diagnosis, the definitive diagnosis was obtained after histopathologic examination. A combined surgical approach allowed a complete removal of both lesions, ensuring, at same time, an optimal surgical field. Plasma rich in growth factors membrane due to its cohesive properties was particularly useful in improving bone neoformation and periodontal regeneration. Conclusion: Diagnostic assessment of maxillary lesions requires nasal endoscopy, imaging and histopathological examination. If these lesions are symptomatic, they should be completely removed and minimally invasive surgery is indicated. Plasma rich in growth factors membrane ensures a good postoperative recovery.

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Section: Commentssupporting

confidence: 43%

Surgical treatment of unusual osteoma associated with homolateral radicular cyst of the maxillary sinus

Cantone¹,

Torrisi²,

Romano³

et al. 2020

J Oral Med Oral Surg

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“…Displacement of the adjacent teeth and root resorption of the affected teeth have also been reported. 4 There are chances of transformation of radicular cyst into squamous cell carcinoma associated with long standing cases, but there was no histopathological evidence of epithelial dysplasia in our case [5] . Cystic lesions are most commonly treated pathologies via surgeries.…”

Section: Discussionmentioning

confidence: 54%

Surgical In toto enucleation of large periapical cyst: A case report

Singh¹,

Dhanesha²,

Sharma³

et al. 2022

Int. J. Appl. Dent. Sci.

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The aim of this report is to discuss a case about a failed root canal treated upper right lateral incisor presented with chronic periapical pathology. Apicoectomy involves surgical management of a tooth with a periapical lesion, which cannot be resolved by routine endodontic treatment. The goal of apical surgery is to prevent leakage of bacteria and their byproducts from the root canal system into peri-radicular tissue. With the advancements in magnification, armamentaria and materials, the success rate of treatment outgrows. Hence, present study describes a case of retreatment successfully treated by endodontic periapical surgery by in toto enucleation of large periapical cyst.

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“…5 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][8][9] As the size of the lesion increases, the surrounding alveolar bone usually becomes very thin due to subperiosteal bone deposition.…”

Section: Discussionmentioning

confidence: 98%

“…There has been evidence of bone‐resorbing factors such as receptor activator of nuclear factor kappa‐B ligand and osteoprotegerin, which have a role in facilitating the cystic expansion 5 . 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 .…”

Section: Discussionmentioning

confidence: 99%