Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Department of Surgery, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2022 May;72(5):965-968. doi: 10.47391/JPMA.2111.
Radicular cyst is the most common type of odontogenic cyst associated with the apex of non-vital teeth. The lining of the radicular cyst usually arises from the epithelial rests of Malassez. These cyst usually persists even after the elimination of microbial load from the root canals. Surgical removal is deemed necessary for the management. For larger lesions extending to the facial or palatal cortical plates, additional regenerative procedures such as bone grafting along with collagen membrane are warranted. This case report describes the surgical and prosthetic management of a giant radicular cyst that was perforating the cortical plates in the anterior maxilla.
根囊肿是最常见的牙源性囊肿类型,与无活力牙齿的根尖相关。根囊肿的衬里通常起源于 Malassez 的上皮剩余。即使在根管内微生物负荷消除后,这些囊肿通常仍然存在。手术切除被认为是必要的治疗方法。对于延伸至面部或腭骨皮质板的较大病变,需要额外的再生程序,如骨移植和胶原膜。本病例报告描述了在前上颌穿透皮质板的巨大根囊肿的手术和修复管理。