Jaiswal Priyanka, Kotecha Sakshi Vishal, Bhagat Shweta, Sedani Shweta, Thakare Akash
Department of Periodontics and Implantology, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Sawangi, Meghe, Wardha, Maharashtra, India.
Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College, Datta Meghe Institute of Higher Education and Research, Sawangi, Meghe, Wardha, Maharashtra, India.
J Med Case Rep. 2025 Jul 9;19(1):333. doi: 10.1186/s13256-025-05380-2.
Periapical lesions are common sequelae of endodontic infections, often presenting as chronic apical periodontitis. These lesions result from the microbial invasion of the root canal system, leading to inflammation and subsequent bone resorption. While conventional root canal therapy is the primary treatment modality, it occasionally fails to resolve periapical pathology. In such cases, surgical intervention becomes necessary.
This report presents the case of a 32-year-old female of Indian ethnicity with chief complaints of pain and pus discharge in the upper right front area in the past 2 months. Radiographic findings were evident, depicting periapical radiolucency. Upon debriding the lesion, it was observed to be creamish with irregular shape and size and, hence, it was sent for histopathological analysis. It was inferred to be a dental cyst associated with the right upper front region of the jaw.
This case report pinpoints the importance of considering the diagnosis of periapical lesions. It also adds to the point of treatment plan that can be followed as a multidisciplinary approach to challenging periapical lesions.
根尖周病变是牙髓感染常见的后遗症，常表现为慢性根尖周炎。这些病变是由于微生物侵入根管系统，导致炎症及随后的骨质吸收。虽然传统的根管治疗是主要的治疗方式，但它偶尔无法解决根尖周病变。在这种情况下，手术干预就变得必要。
本报告介绍了一名32岁的印度裔女性病例，其主要诉求是在过去2个月右上前方区域疼痛和有脓液排出。影像学检查结果明显，显示根尖周透射区。在对病变进行清创时，观察到病变呈乳白色，形状和大小不规则，因此将其送去进行组织病理学分析。推断其为与右上颌前部区域相关的牙囊肿。
本病例报告指出了考虑根尖周病变诊断的重要性。它还补充了可作为处理具有挑战性的根尖周病变的多学科方法的治疗计划要点。
