Akademik Veri Yönetim Sistemi
AÇBİD-AsianAOMS 16th İnternational Congress, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.166
Objective: Odontogenic cysts are divided into two classes: developmental and inflammatory. Radicular cyst is in the class of inflammatory cysts and is the most common cyst. Radicular cysts seen in the posterior maxilla may cause the infection to spread to the sinus as they are close to the maxillary sinus.
Case: A 44-year-old male patient without any systemic disease was admitted to our clinic with complaints of pain and swelling in the posterior region of the left maxilla. Radiographic evaluation revealed a radicular cyst-like cystic lesion associated with the roots of the left maxillary 1st molar, 1st and 2nd premolar teeth, and maxillary sinus. Root canal treatment was performed on the involved teeth. The patient was operated under local anesthesia and the mucoperiosteal flap was raised. After enucleation of the cystic lesion, apical resection of the relevant teeth was performed. The flap was closed primarily with a 4/0 resorbable suture. We confirmed that the lesion is a radicular cyst by histopathological examination. In the postoperative period, the patient was given analgesic and antibiotic drugs. The follow-up of the patient, who did not develop any complications in the postoperative period, continues.
Conclusion: Radicular cysts are diagnosed during routine radiographic examinations or by acute symptoms. It should be kept in mind in the differential diagnosis of cysts involving the maxillary sinus. The recommended treatment option for radicular cysts is surgical enucleation of the cyst.
Keywords: Apical resection, Enucleation, Radicular Cyst