Salaria Sanjeev Kumar, Kamra Shilpa, Ghuman Simrat Kaur, Sharma Garima
Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India.
Contemp Clin Dent. 2016 Oct-Dec;7(4):562-565. doi: 10.4103/0976-237X.194098.
Radicular cyst (RC) is the most common odontogenic cyst of inflammatory origin affecting the jaws; involves the roots of the carious or traumatic non-vital tooth. Different therapeutic modalities, such as nonsurgical endodontic therapy or surgical enucleation with primary closure, decompression etc., were proposed for the management of such lesions. Presenting a case of a 28-year-old otherwise healthy male patient who reported with pain and swelling with respect to tooth #41, 31. Diagnosis of infected RC at a rare location was established on the basis of clinical, radiographical and fine needle aspiration cytological examination. Looking after the clinical characteristics, origin, extension, size of cystic lesion and patient cooperation; nonsurgical endodontic therapy utilizing Bhasker's hypothesis was opted. One year post-operative result suggested that nonsurgical endodontic therapy along with minimally invasive treatment utilizing Bhasker's hypothesis is an effective tool to transform infected radicular cystic lesion to healthy periapical periodontal tissue.
根端囊肿（RC）是颌骨中最常见的炎症性牙源性囊肿；累及龋坏或外伤导致的无活力牙齿的牙根。针对此类病变的处理，人们提出了不同的治疗方式，如非手术根管治疗或手术摘除并一期缝合、减压等。本文报告了一例28岁的健康男性患者，其主诉41、31号牙疼痛和肿胀。基于临床、影像学及细针穿刺细胞学检查，确诊为罕见部位的感染性根端囊肿。综合考虑临床特征、囊肿起源、范围、大小以及患者的配合情况，选择了基于巴斯克假说的非手术根管治疗。术后一年的结果表明，基于巴斯克假说的非手术根管治疗以及微创治疗是将感染性根端囊肿病变转变为健康根尖周牙周组织的有效方法。
