Huh Jong-Ki, Yang Dong-Kyu, Jeon Kug-Jin, Shin Su-Jung
Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry, Seoul, Korea.
Department of Conservative Dentistry, Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Korea.
Restor Dent Endod. 2016 May;41(2):137-42. doi: 10.5395/rde.2016.41.2.137. Epub 2016 Feb 22.
We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.
我们报告一例与牙髓源性相关的大型根囊肿进展病例，以强调对牙髓病变进行适当干预和随访的重要性。一名25岁男性患者，一颗经过牙髓治疗的磨牙出现透射区。由于没有不适症状，他未采取任何干预措施。五年后，患者复诊。先前的根尖周病变急剧扩大，累及两颗相邻牙齿。对该牙齿进行了囊肿切除和根尖切除术。组织病理学分析显示病变为炎性根囊肿。除了手术后3天有中度肿胀外，患者未报告任何不适。尽管患者一直无症状，但密切随访对于确定根管治疗后是否仍有根尖周病变至关重要。
