RADICULAR CYST : A CASE SERIES WITH REVIEW OF LITERATURE

Abstract

Radicular cysts are the most common odontogenic cystic lesions of jaws, these are inflammatory in origin. These cysts result from the proliferation of cell rests of Malassez in the periodontal ligament as a consequence of inflammation, following pulpal necrosis of a nonvital tooth. The condition is usually asymptomatic but can result in a slow-growth in the affected region. On radiography the lesion is often seen as a round or oval, well circumscribed radiolucent area involving the apex of the infected tooth. Nonsurgical management should be the treatment of choice of a radicular cyst. However, periapical surgery is often considered, if the lesion is extensive and fails to reply to a nonsurgical approach. The case report is of a 43-year-old male patient with the complaint of swelling in an anterior region of maxilla since past 2 months which was gradually increase in size with no history of any pain or pus discharge. Patient had history of root canal treatment with upper right canine 10 years back. The second case report is of 45-year-old male patient with the complaint of pus discharge from destructed teeth in anterior region since one month. No intraoral and extra oral swelling present. The third case report is of 15 yrs. old male patient with the complaint of pain in upper anterior tooth since 7 days. Patient had history of root canal treatment with right lateral incisor 2 months back. The definitive diagnosis was made based on clinical, radiological and histopathological examination. Both the case reports discusses detailed description of clinical, radiographic, histopathologic features, pathogenesis, and its surgical management.