Penatalaksanaan Kista Radikulerpada Maksila Anterior Secara Enukleasi

Abstract

A radiculer cyst is an odontogenic cyst which most frequentlyencounterd. Usually these cysts grew up around the tip oftooth root. They had arisen resulting from an inflammatoryprocess and generally started by a presence of granuloma. Awell of radiculer cyst consisted of stratified squamousepithelium. In the initial stadium, these cyst do not give thesymptoms. They are often discovered incidentally in theradiographic examination ofnon vital tooth root. Nevertheless,these cyst can grow to become greater progressivelly, so thatleading to facial deformity. If bone layers have flattened,would be encountered a ping pong ball phenomenon andthere have been a fluctuation and the treatment was done byenukleation technique.

Fistula Management Due to Chronic Infection of Radicular Cyst

“…A cyst is a pathologically sac-like pocket of membranous tissue filled with fluid or semifluid that develops abnormally in space or JHDS 2021 | 211 organs. 1 Radicular cyst is the most common in odontogenic cysts. In one of the jaws cyscomesome from the remnants, epithelial Malassez of the periodontal ligament due to chronic inflammation or irritation from root canal infect.…”

“…It begins with periapical granuloma formation as a result of bacterial infection and pulp necrosis. 1,2 Radicular cysts have the highest frequency in the third decade of life, and there are many cases involving the fourth and fifth decades of life. This case is more common in men than women, with maxillary 60% and mandibular 40%.…”

“…Radicular cysts are asymptomatic, and patients usually complain of swelling that gets bigger over time and disturbing aesthetically and functionally, involves mobility and migration of other teeth. 1,4 The radiography appearance is round or oval with radiolucent content surrounded by a radiopaque border that extends the lamina dura of the involved tooth. 4 The pathogenesis of the cyst consists of three phases, namely phase 1, the initiation phase, phase 2, which the cyst begins to form, and phase 3, the developmental stage of the cyst until it reaches a large size.…”