Manjushree R, Prasad Keerthi
Department of Pedodontics and Preventive Dentistry, Bangalore Institute of Dental Sciences, Bangalore, Karnataka, India.
Rajiv Gandhi University of Health Sciences, Bangalore, Karnataka, India.
J Conserv Dent. 2021 Jul-Aug;24(4):399-403. doi: 10.4103/jcd.jcd_57_21. Epub 2022 Jan 13.
The maxillary anterior region is the most common site for the occurrence of radicular cyst in permanent dentition, because of a high frequency of trauma in this region. As radicular cyst is categorized as an inflammatory cyst, endodontic treatment of the tooth associated with the cyst becomes a part of the treatment regimen. Management of radicular cyst becomes challenging when it involves tooth with complex root morphology. This report presents the diagnosis and successful management of a dilacerated maxillary central incisor associated with a radicular cyst and external root resorption. Cone-beam computed tomography was used to view the extent of the cyst and understand the aberrant root canal morphology of the dilacerated tooth. Root canal therapy was followed by cyst enucleation, apicoectomy, and placement of platelet-rich fibrin. At 1-year recall, appreciable healing as evidenced by a decrease in the size of the radiolucency on the radiographic examination was seen.
上颌前部区域是恒牙列中发生根囊肿最常见的部位,因为该区域创伤发生率高。由于根囊肿被归类为炎性囊肿,与囊肿相关牙齿的根管治疗成为治疗方案的一部分。当根囊肿累及具有复杂牙根形态的牙齿时,其处理变得具有挑战性。本报告介绍了一例与根囊肿和牙根外吸收相关的上颌中切牙牙根移位的诊断和成功处理。采用锥形束计算机断层扫描来观察囊肿范围并了解牙根移位牙齿的异常根管形态。根管治疗后进行囊肿摘除、根尖切除术并放置富血小板纤维蛋白。在1年的复查中,影像学检查显示透影区大小减小,表明愈合良好。