Management Of Large Radicular Cyst by Root End Resection
DOI:
https://doi.org/10.52783/jns.v14.4033Keywords:
Radicular cyst, Bio-Ceramic Obturation, Endodontic Surgery, Retrograde filling, (PRF) membrane, Bone graftAbstract
A 45-year-old male patient who reported to the department with a chief complaint of pain, tenderness and swelling in upper front tooth region showed a soft, non-tender, non-fluctuant swelling on examination, between teeth #11 #12 and #13 with radiographic evidence of periapical radiolucency. Cone Beam Computed Tomography (CBCT) scans confirmed a well-defined radiolucency in the affected region, indicative of a Radicular cyst. Root Canal Treatment was completed with Bio-ceramic sealer obturation during the third visit. An Endodontic Surgery was performed to remove the cystic content, followed by retrograde filling and the placement of bone graft material, a platelet-rich fibrin (PRF) membrane, and sutures to facilitate bone regeneration. This comprehensive approach aimed to resolve the periapical pathology and promote tissue healing around the affected tooth.
Downloads
Metrics
References
von Arx T. Failed root canals: the case for apicoectomy (periradicular surgery). J Oral Maxillofac Surg. 2005 Jun;63(6):832-7. doi: 10.1016/j.joms.2005.02.019. PMID: 15944982.
Mazumdar, Paromita & Das, U.K. & Rahaman, Sk.M. & das, subhasis. (2013). A Comparative Evaluation of the Sealing Ability of Biosilicate Material, Mineral Trioxide Aggregate, light cure Glass Ionomer Cement, Silver Amalgam as Root End Filling Materials by Dye Penetration Method. International Medical Journal. 20.
Agrafioti A, Tzimpoulas N, Chatzitheodoridis E, Kontakiotis EG. Comparative evaluation of sealing ability and microstructure of MTA and Biodentine after exposure to different environments. Clin Oral Investig. 2016 Sep;20(7):1535-40. doi: 10.1007/s00784-015-1638-6. Epub 2015 Nov 6. PMID: 26541151
Aydemir S, Cimilli H, Gemi PM, Bozkurt A, Orucoglu H, Chandler N. Comparison of the sealing ability of Biodentine, Iroot BP Plus and mineral trioxide aggregate. CDJ. 2016;19:166–71.
Biočanin V, Antonijević Đ, Poštić S, Ilić D, Vuković Z, Milić M, Fan Y, Li Z, Brković B, Đurić M. Marginal Gaps between 2 Calcium Silicate and Glass Ionomer Cements and Apical Root Dentin. J Endod. 2018 May;44(5):816-821. doi: 10.1016/j.joen.2017.09.022. Epub 2018 Jan 12. PMID: 29336880.
Barnett JD, Mellonig JT, Gray JL, Towle HJ. Comparison of freeze-dried bone allograft and porous hydroxylapatite in human periodontal defects. J Periodontol. 1989 May;60(5):231-7. doi: 10.1902/jop.1989.60.5.231. PMID: 2544717
Kolimi P, Narala S, Nyavanandi D, Youssef AAA, Dudhipala N. Innovative Treatment Strategies to Accelerate Wound Healing: Trajectory and Recent Advancements. Cells. 2022 Aug 6;11(15):2439. doi: 10.3390/cells11152439. PMID: 35954282; PMCID: PMC9367945.
Hendi SS, Karkehabadi H, Eskandarloo A. Iatrogenic Errors during Root Canal Instrumentation Performed by Dental Students. Iran Endod J. 2018 Winter;13(1):126-131. doi: 10.22037/iej.v13i1.18507. Erratum in: Iran Endod J. 2018 Spring;13(2):277. PMID: 29692848; PMCID: PMC5800454.
Nair, (1998), New perspectives on radicular cysts: do they heal?. International Endodontic Journal, 31: 155-160. https://doi.org/10.1046/j.1365-2591.1998.00146.x
Kadam, Nilesh S et al. “Management of large radicular cyst by conservative surgical approach: a case report.” Journal of clinical and diagnostic research : JCDR vol. 8,2 (2014): 239-41. doi:10.7860/JCDR/2014/5763.4069
Ribeiro, Paulo Domingos et al. “surgical approaches of extensive periapical cyst . considerations about surgical technique.” (2007).
L Andersson, KE Kahnberg, MA Pogrel. Oral and Maxillofacial Surgery. Wiley: Blackwell; 2010.
KT Koh. Mineral trioxide aggregate (MTA) as a root end filling material in apical surgery: a case report. Singapore Dent J. 2000;23:72–8.
Panda, Shaswatee et al. “Management of a Persistent Radicular Cyst in the Maxillary Right Lateral Incisor: A Case Report.” Cureus vol. 16,8 e66421. 8 Aug. 2024, doi:10.7759/cureus.66421
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

