Gambaran Karakteristik Kista Radikular Menggunakan Cone Beam Computed Tomography (Cbct): Laporan Kasus

Abstract

KATA KUNCI ABSTRAK CBCT, Kista Radikular, MandibulaPendahuluan: Kista radikular merupakan kista yang paling umum terjadi pada rongga mulut yang berkaitan erat dengan terjadinya nekrosis pulpa dan infeksi yang terjadi pada saluran akar gigi. Kasus dan Penatalaksanaan: Laki-laki berusia 49 tahun datang ke praktek dokter gigi mengeluhkan pembengkakan disertai nyeri pada rahang kirinya, untuk melihat keadaan tersebut dokter gigi merujuk pasien ke laboratorium radiologi untuk dilakukan pemeriksaan radiografis 3D (CBCT). Dari gambaran CBCT gambaran lesi radiolusen berbatas jelas terkortikasi, bentuk oval, terletak di apikal gigi 35-36 disertai resorpsi akar, destruksi batas kanalis mandibularis dan batas kortikal bukal. Kista radikular merupakan kista inflamasi yang berkembang dari sisa sel epitelium malassez pada ligamen periodontal dari hasil inflamasi yang berasal dari gigi non vital. Laporan kasus ini bertujuan untuk menggambarkan karakteristik klinis dan radiologis dari kista radikular. Simpulan: Pemeriksaan radiologis seperti pencitraan CBCT menunjukan perluasan dari lesi kista radikular yang berukuran cukup besar sehingga sangat berperan untuk penegakan diagnosa dan rencana perawatan dari kista radikular.

Extraction Management of Gangrene Radix with Radicular Cyst

“…Clinical signs found in the maxilla were amplification of the buccal and palatal cortical plates, while in the mandible there was enlargement of the buccal and rarely lingual cortical plates. 3,5 In this case, the gingiva was found to feel solid/dense when palpated, round in shape with a diameter of ± 1 cm. The patient stated that he currently does not complain of pain.…”

“…2 Cysts that grow on the jaw generally have the characteristics of being painless, asymptomatic, slow growth of lesions, except for lesions that are already infected. 3,4 Chronic cysts or infections that have been going on for a long time can cause acute exacerbations of cysts accompanied by swelling, pain and pus discharge. Clinical signs found in the maxilla were amplification of the buccal and palatal cortical plates, while in the mandible there was enlargement of the buccal and rarely lingual cortical plates.…”

“…2 The radiographic appearance of a radicular cyst is a round or oval unilocular radiolucent with a radiopaque sclerotic border in the periapical area of the infected tooth. 3,5 The borders of the lesion are radiopaque, clear, but sometimes unclear due to infection and rapid growth. The size varies and surrounds the apex of the tooth.…”

“…Clinical signs found in the maxilla were amplification of the buccal and palatal cortical plates, while in the mandible, there was enlargement of the buccal and rarely lingual cortical plates. 3,5 Radicular cysts tend to have slowed growth. The supporting tissue and size of the lesion can also influence cyst growth.…”

“…6 The radiographic appearance is that there is a round or oval unilocular radiolucent with a radiopaque sclerotic border within the periapical area of the infected tooth. 3,5 Treatment that can be done for radicular cysts consists of surgical and nonsurgical treatments. Several studies suggest that to treat radicular cysts, complete enucleation should be done through a surgical process to remove all remaining epithelium.…”