Akademik Veri Yönetim Sistemi
AÇBİD 15th İnternational Congress, Antalya, Türkiye, 11 - 15 Mayıs 2022, ss.203-204
Objective: Odontogenic cysts are generally divided into two classes as developmental and inflammatory. It is the most common radicular cyst among the inflammatory odontogenic cysts. Radicular cysts are more common in the anterior maxilla. In cases where it is observed in the posterior maxilla, the root of the devital tooth, which causes the development of the cyst, is in the maxillary sinus, causing the infection to spread to the maxillary sinus.
Case: A 36-year-old male without any systemic disease was admitted to our clinic with complaints of pain and swelling in the posterior region of the right maxilla. radiographic evaluation revealed a cystic lesion resembling a radicular cyst related to the roots of the right maxillary first molar, second premolar and first premolar teeth, encompassing the maxillary sinus with root resorption. The patient was operated under general anesthesia. A straight incision was made from the crest up to the maxillary posterior Associated teeth were extracted. The cystic lesion was enucleated. The flap was sutured primarily with a 3/0 resorbable suture. Histopathological examination confirmed the lesion as a radicular cyst. The patient was prescribed analgesic and antibiotic drugs postoperatively.The follow-up of the patient, who did not have any complications in the postoperative period, continues.
Conclusion: Radicular cysts are diagnosed during routine radiographic examinations or after the appearance of acute symptoms. It should be considered in the differential diagnosis of cases involving maxillary sinus.The recommended treatment option for radicular cysts is surgical enucleation of the cyst with root canal treatment or extraction of the involved tooth.
Keywords: Radicular Cyst, Enucleation