Akademik Veri Yönetim Sistemi
Sivas Cumhuriyet üniversitesi 1.uluslararası diş hekimliği kongresi , Sivas, Türkiye, 23 Kasım 2021 - 25 Mart 2022, ss.174-176
ENDODONTIC AND SURGICAL TREATMENTOF GİANT RADICULAR CYST İN THE MAXİLLA: A CASE REPORT
Büşra KOÇ1, Tuğçenur YILDIZ2
1Research Assistant, Department of Oral and Maxillofacial Surgery, Sivas Cumhuriyet University Faculty of Dentistry, Sivas, Turkey
1 ORCID ID: https://orcid.org/0000-0002-1986-2634
1 busrakoc302@gmail.com, 05075985222
2Research Assistant, Department of Endodontics, Cumhuriyet University Faculty of Dentistry, Sivas, Turkey
2 ORCID ID: https://orcid.org/0000-0003-2689-0622
2 dttugceyildiz@gmail.com, 05330949445
INTRODUCTION: The majority of lesions seen in the jaws can be classified as dental granuloma, radicular cyst or abscess, and the definitive diagnosis of the lesion type can only be made by histological examination. Radiographic examination of these lesions cannot distinguish whether they are cysts or granulomas. Cysts are pathological formations that grow from the center to the periphery, lined with epithelium and surrounded by connective tissue capsule.
CASE REPORT: Radicular cysts are usually asymptomatic and detected radiographically. Large radicular cysts are rarely encountered. In this study, case of radicular cyst resorbing the anterior wall of the right maxillary sinus of 24-year-old female patient with no systemic disease who applied with the complaint of painless swelling on the right side of her face is presented. It was decided that the size of the lesion examined by CBCT could not be enucleated due to its closeness to anatomical structures, and decompression of lesion was deemed appropriate by performing root canal treatment on the teeth in the relevant region. The decompressed lesion was enucleated after 6 months. In the 6.,12. and 24. months was seen healing with clinical and radiographic evaluations.
CONCLUSIONS: Although radicular cysts seen in the jaws do not usually reach very large sizes, they can rarely reach dimensions that can develop asymptomatically and damage the surrounding anatomical structures, as seen in this case. The importance of routine dental examinations is emphasized in our case in order to diagnose the lesions in the oral cavity in the early period.
Keywords: Decompression, giant radicular cyst, root canal treatment.