scholarly journals Treatment of a large radicular cyst - enucleation or decompression?

2015 ◽  
Vol 72 (4) ◽  
pp. 372-374 ◽  
Author(s):  
Stevo Matijevic ◽  
Bojan Jovicic ◽  
Marija Bubalo ◽  
Smiljka Dukic ◽  
Tatjana Cutovic

Introduction. Radicular cysts treatment involves surgical approach, more or less aggressive. However, treatment of large cystic lesions, including radicular cysts, causes some of dilemmas concerning the choice of the surgical method, especially the degree of radicalism. Case report. We presented a 65-year-old male patient with large radicular cyst in the mandible. A large elliptical multilocular radiolucency, located in the left side of the mandible, being in close vicinity to the mandibular canal, was registered at the orthopantomographic radiography. There was a risk of pathological fracture of the mandible. However, the cyst was completely removed by enucleation without intraoperative and postoperative complications. Conclusion. The presented case support the opinion that careful enucleation of large mandibular cysts may be done without complications, such as damages of surrounding anatomical structures or mandibular fracture. The authors indicate reasons for strong support of the undertaken surgical approach of treating large radicular cysts in the mandible.

1994 ◽  
Vol 17 (2) ◽  
pp. 74-75 ◽  
Author(s):  
N.M. Hay ◽  
J.F. Mahony

A fifty-six year old man who had been on haemodialysis for a total of seventeen years sustained a pathological fracture of the femoral neck six months after successful renal transplantation. Multiple cystic lesions were present in both hips and a bone specimen from the fracture site confirmed amyloid deposition on immunohistochemical staining. Renal transplantation may prevent further deposition of amyloid but the long-term complications of dialysis-related amyloidosis may still occur.


RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 68
Author(s):  
Jaiane Aparecida Ribas Pereira ◽  
Kassiane Caciatori Garcia ◽  
Thalyta Verbicaro ◽  
Michele Nascimento Meger ◽  
Paola Fernanda Cotait de Lucas Corso ◽  
...  

Introduction: Periapical cysts are the most frequent odontogenic cystic lesions, commonly asymptomatic and discovered in routine dental examinations. The treatment may vary according to the size of the cyst. Objective: The objective of this study is to report the diagnosis and treatment of a large periapical inflammatory cyst in the maxilla. Case report: Patient A.B., 38 years old, male with major complaint of pain in the left maxilla region, facial asymmetrywith increased volume in the zygomatic bone region. After the intrabuccal and radiographic examinations, a lesion with a dimension of approximately 6.5 cm was observed, extending throughout the of the upper left side, with well-defined extension. It was performed the extraction of the affected teeth, collection of the biological material for histopathological analysis and installation of a drain for decompression maintained in the buccal cavity for 6 months with periodic irrigations with saline solution. After regression of the lesion, enucleation and curettage were performed. After 36 months following-up it is possible to observe absence of signs and symptoms of lesion recurrence, with good healing and bone neoformation. Conclusion: Decompression followed by enucleation forthe treatment of periapical inflammatory cyst should be considered as a treatment option because it minimizes damage to adjacent anatomical structures.


2013 ◽  
Vol 4 (3) ◽  
pp. 214-216 ◽  
Author(s):  
Mridula Trehan ◽  
Prateek Agarwal ◽  
Abhishek Vashistha

ABSTRACT Cystic lesions are frequent in the oral cavity. They are defined as a pathologic cavity with or without fluid or semifluid material. Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin affecting the jaws. They are most commonly found at the apices of the involved teeth. This case report presents the successful surgical management of large infected radicular cyst involving entire body region of right side of mandible. We illustrate the possibility of healing of cystic periapical lesions with conservation of vital structures. How to cite this article Agarwal P, Sharma S, Trehan M, Vashistha A. Management of Infected Radicular Cyst by Marsupialization. World J Dent 2013;4(3):214-216.


2017 ◽  
Vol 07 (04) ◽  
pp. 049-051
Author(s):  
Venkatesh Anehosur ◽  
Kiran Radder ◽  
Harish K. ◽  
Veda Hegde

AbstractStafne's bone defects (SBD) are usually asymptomatic and appears as a radiolucent lingual/buccal bone lesions of the lower jaw and are frequently caused by soft tissue inclusion. SBDs bone defects are considered to be an anatomic condition and most often seen in the posterior part the mandible below the mandibular canal. This is a case of anterior mandibular SBD, which was accidently detected in a patient with mandibular fracture.


2018 ◽  
Author(s):  
Ingrid Różyło-Kalinowskav ◽  
Karolina Sidor

The purpose of this article was to present a case report of 11–year old female patient with a large osteolytic mandibular lesion which healed after endodontic treatment. The patient was referred for radio diagnostics due to an incidental finding of a large osteolytic lesion of the area of the left lower first and second premolars in the panoramic radiograph taken before orthodontic treatment. CBCT was performed and the patient asked to have teeth 33-35 treated by endodontics before surgery. The patient missed the surgical appointment and when she reappeared several months later, the lesion showed signs of healing thus surgery were aborted. The presented case testifies to the observation that even large osteolytic lesions can heal after endodontic treatment without surgical approach.


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