Bahadure Rakesh N, Khubchandani Monika, Thosar Nilima R, Singh Rajeev Kumar
Department of Pedodontics & Preventive Dentistry, Sharad Pawar Dental College & Hospital, Wardha, Maharashtra, India.
BMJ Case Rep. 2013 Jul 5;2013:bcr2013009146. doi: 10.1136/bcr-2013-009146.
Radicular cyst is one of the most common odontogenic cystic lesions found in the jaws. It is inflammatory in nature and found mostly in relation to a non-vital tooth. It usually presents at a later stage in life because the formation of the cyst is the last step in the progression of inflammatory events after a periapical infection. The cyst usually goes unnoticed because of its painless nature and small size. We present the clinical, radiographic and histological characteristics of a radicular cyst along with its management. Cystic sac was removed surgically under general anaesthesia after the elevation of the mucoperiosteal flap. Histopathologically, the cystic sac was consistent with the features of a radicular cyst. Follow-up period of 21 months showed improved radiographical appearance on Coned Beam CT. Vestibular deepening was planned as a future treatment in the same region.
根端囊肿是颌骨中最常见的牙源性囊性病变之一。它本质上是炎性的，大多与无活力牙相关。它通常在生命后期出现，因为囊肿的形成是根尖周感染后炎症事件进展的最后一步。由于其无痛性和体积小，囊肿通常不易被察觉。我们展示了根端囊肿的临床、影像学和组织学特征及其治疗方法。在掀起粘骨膜瓣后，在全身麻醉下手术切除囊肿囊壁。组织病理学检查显示，囊肿囊壁符合根端囊肿的特征。21个月的随访期显示锥形束CT上的影像学表现有所改善。计划在同一区域进行前庭加深作为未来的治疗方法。
