Kethineni Balaji, Peddi Ravigna, Puppala Ravindar, Banavath Sunitha, Chowdary Uday Kumar, Raj Deepak
Department of Pedodontics & Preventive Dentistry, SVS Institute of Dental Sciences, Mahabubnagar, Andhra Pradesh, India.
J Int Oral Health. 2013 Apr;5(2):44-8.
Radicular cysts are the most common odontogenic cystic lesions of inflammatory origin and are usually asymptomatic and are left unnoticed, until detected by routine radiography. It is managed either by surgical enucleation or marsupialization. Conventional nonsurgical endodontic treatment has a high degree of clinical success, but in certain cases surgical intervention becomes necessary. This is the case report of a patient presenting with unilateral radicular cyst. The lesion is managed by marsupialization using a novel and safe method of separating the soft tissue mass of the periapical lesion which was in proximity to vital and vulnerable anatomical tissue, emphasizing the need of application of treatment in the best interest of patients. The treatment of choice is dependent on the size and localization of the lesion, the bone integrity of the lesions wall and its proximity to vital structure. This case report of radicular cysts emphasis on the advantages and disadvantages of the leading criteria that should be taken into consideration when assessing the treatment modalities for radicular cyst.
Odontogenic cysts, Radicular cyst, Marsupialization, Enucleation. How to cite this article: Kethineni B, Peddi R, Puppala R, Sunitha B, Chowdary U K, Raj D. Right Attitude, Right Decision and Timely Planning in Surgical Pedodontics -Scoop Out or Expose It. J Int Oral Health 2013; 5(2):50-54.
根端囊肿是最常见的炎症性牙源性囊性病变，通常无症状，往往在常规影像学检查时才被发现。其治疗方法包括手术摘除或袋形术。传统的非手术牙髓治疗有较高的临床成功率，但在某些情况下手术干预是必要的。本文报告了一例单侧根端囊肿患者的病例。该病变采用袋形术治疗，使用了一种新颖且安全的方法来分离根尖病变的软组织块，该软组织块靠近重要且脆弱的解剖组织，强调了为患者的最大利益而应用治疗方法的必要性。治疗方法的选择取决于病变的大小和位置、病变壁的骨完整性及其与重要结构的接近程度。本根端囊肿病例报告强调了在评估根端囊肿治疗方式时应考虑的主要标准的优缺点。
牙源性囊肿；根端囊肿；袋形术；摘除术。如何引用本文：Kethineni B, Peddi R, Puppala R, Sunitha B, Chowdary U K, Raj D. 儿童口腔外科的正确态度、正确决策和及时规划——挖出还是暴露它。《国际口腔健康杂志》2013 年；5(2):50 - 54。
