Mishra Rohit, Pradhan Debapriya, Tiwari Saurabh, Choubey Varsha, Saini Nikita
Department of Periodontics, Hitkarini Dental College and Hospital, Jabalpur, IND.
Department of Pedodontics and Preventive Dentistry, Hitkarini Dental College and Hospital, Jabalpur, IND.
Cureus. 2025 Aug 14;17(8):e90127. doi: 10.7759/cureus.90127. eCollection 2025 Aug.
Dentoalveolar injuries can lead to complications like pulpal necrosis, apical periodontitis, and usually radicular cysts, which are common inflammatory odontogenic cysts often triggered by trauma or infection. Radicular cysts are typically asymptomatic but may cause slow, noticeable swelling. This case report details the surgical management of the same in the periapical region of a maxillary incisor in a 12-year-old female patient. The approach included root canal therapy followed by periapical surgery. The cystic lesion was surgically enucleated, and a combination of platelet-rich fibrin (PRF) and demineralized bone matrix (DMBM) xenograft was applied to enhance healing, alongside a type I collagen resorbable membrane. Follow-up evaluations showed the patient was asymptomatic, with significant periapical healing and almost complete bone regeneration observed on radiographs.
牙槽损伤可导致诸如牙髓坏死、根尖周炎等并发症，通常还会引发根囊肿，根囊肿是常见的炎性牙源性囊肿，常由创伤或感染引发。根囊肿通常无症状，但可能会导致缓慢、明显的肿胀。本病例报告详细介绍了一名12岁女性患者上颌切牙根尖区根囊肿的手术治疗。治疗方法包括根管治疗，随后进行根尖手术。通过手术摘除囊性病变，并应用富血小板纤维蛋白（PRF）和脱矿骨基质（DMBM）异种移植物的组合，同时使用I型胶原可吸收膜来促进愈合。随访评估显示患者无症状，根尖愈合良好，X线片显示几乎完全骨再生。
