Cystectomy of An Apical Root Cyst: Clinical Case and Literature Review

Abstract

The root cyst is a cyst of odontogenic epithelial origin and inflammatory cause. It represents one of the most frequent cyst found on the oral cavity and has greater frequency at the maxillary level. The diagnosis is usually a casual finding on a routine X-ray. They are associated to tooth with negative vitality and the size is very variable. The treatment is a combined endodontic (root canal treatment) and surgical treatment (excision of the lesion). The diagnosis of certainty is obtained by a histopathological analysis. In this clinical case, a common situation of this type of lesions is shown, although in this case the patient comes to the clinic with symptoms. The root canal treatment of the affected tooth was performed. The periapical lesion did not disappear, so cystectomy was performed. The sample was sent for histopathological analysis that confirmed the diagnosis of radicular cyst. After 6 months follow-up, a periapical x-ray revealed how the lesion was ossifying.