11/10/2023
SURGERY CASE
Radicular cysts are the most common inflammatory cysts arising from the epithelial residues in the periodontal ligament as a result of periapical periodontitis following necrosis of the pulp, remains asymptomatic and left unnoticed until detected during routine periapical radiography.
These cysts comprise about 52% to 68% of all the cysts affecting the human jaw.[1] Their incidence is highest in third and fourth decade of life with male predominance.[2] Anatomically the periapical cysts occur in all tooth-bearing sites of the jaw but are more frequent in the maxillary than the mandibular region.[1,3]
Radicular cysts can heal spontaneously after endodontic treatment or extraction. However, some authors propose that suspected radicular cysts must be totally enucleated surgically to remove all epithelial remnants.[4]
1. Nair PN. Review New perspectives on radicular cysts: Do they heal? Int Endod J. 1998;31:155–60. [PubMed] [Google Scholar]
2. 3rd ed. Singapore: Varghese Publication House; 1992. Mervyn Shear, Cysts of oral regions; pp. 136–70. [Google Scholar]
3. Rees JS. Conservative management of a large maxillary cyst. Int Endod J. 1997;30:64–7. [PubMed] [Google Scholar]
4. Walton RE. The residual radicular cyst: Does it exist? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82:471. [PubMed] [Google Scholar]
Case done by : Dr Anass Benmalk
