Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

Chybicki, Damian; Lipczyńska-Lewandowska, Małgorzata; Ratajek-Gruda, Monika; Janas-Naze, Anna

doi:10.1155/2020/8837706

Cited by 9 publications

(7 citation statements)

References 14 publications

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“…Todavia, os cistos geralmente são assintomáticos, porém em alguns casos podem ocorrer sintomas como os de sensação de repleção na região orbital e frontal ou bloqueio das narinas causado pela expansão de grandes cistos para o vestíbulo nasal (CHYBICKI et al, 2020;NEVILLE et al, 2009). Tal fato pode ser corroborado clinicamente, sendo relatado, no caso clínico apresentado, a obstrução parcial das narinas, por parte da paciente, com apresentação de melhora após a eliminação do cisto inflamatório.…”

Section: Discussionunclassified

Cisto radicular inflamatório associado à comunicação buco-sinusal decorrente de tratamento endodôntico malsucedido: relato de caso

Pereira¹,

Nascimento²,

Soares³

et al. 2022

BJDV

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Lesões císticas radiculares, quando próximas a região de seio maxilar, podem decorrer em cistos inflamatórios invasivos, adentrando o seio maxilar. O processo inflamatório pode ser danoso para ambas as estruturas podendo resultar em uma comunicação buco-sinusal de difícil regeneração. O objetivo deste trabalho é discutir, em forma de relato de caso clínico, as condutas terapêuticas utilizadas na resolução de uma extensa lesão cística em região de seio maxilar originada por um tratamento endodôntico malsucedido. A lesão cística radicular inflamatória demonstrou associação à região periapical do dente 27, com rompimento da lâmina dura do soalho do seio maxilar, gerando uma comunicação buco-sinusal. Foi realizada a extração do dente 27, apresentando tratamento endodôntico malsucedido, com obturação intracanal inadequada e aquém do forame apical. Posteriormente, foi realizada punção aspirativa via comunicação buco-sinusal, curetagem do sítio cirúrgico com posterior levantamento de seio fechado, enxertia e utilização de membranas de colágeno. O procedimento de punção aspirativa da lesão cística associada à técnica de levantamento de soalho de seio maxilar com posterior enxertia e uso de membranas de colágeno, possibilitaram a eliminação do cisto radicular inflamatório instalado no seio maxilar, demonstrando o fechamento da comunicação buco-sinusal e ganho de volume ósseo local. Em adição, a permanência de um tratamento endodôntico inadequadamente instrumentado e obturado pode desencadear no desenvolvimento de um cisto inflamatório, possibilitando acometer estruturas adjacentes, levando injurias adicionais a estas estruturas.

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Section: Discussionunclassified

Cisto radicular inflamatório associado à comunicação buco-sinusal decorrente de tratamento endodôntico malsucedido: relato de caso

Pereira¹,

Nascimento²,

Soares³

et al. 2022

BJDV

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“…However, cysts associated with deciduous teeth occur more often in the mandible. (11,(19)(20)(21)(22).…”

Section: Radicular Cyst Clinical Featuresmentioning

confidence: 99%

Inflammatory Odontogenic Cysts

Hamied

Al-Shaikhani

Ali

2021

Al-Kindy Col. Med. J

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Cystic conditions of the jaw cause bony destruction and may cause resorption or displacement of adjacent teeth. Odontogenic cysts have developmental or inflammatory origins. To describe in detail the inflammatory odontogenic cysts, a manual search was done in hard copy books of oral and maxillofacial pathology, and an electronic search was done in the google website, oral and maxillofacial pathology E-books, PubMed, Research Gate, Academia, and Google scholar using the keywords "odontogenic cysts," "classification of the odontogenic cysts," "radicular cyst," "periapical cyst," "lateral inflammatory cyst," "residual cyst," "paradental cyst," "collateral inflammatory cyst," "treatment of inflammatory odontogenic cysts," and matching each odontogenic inflammatory cyst subtype with these words "gross description," "pathogenesis," "microscopical," clinical," "radiographical" appearance. Articles published till February 2021 were included in this review. In conclusion, an accurate diagnosis of an inflammatory odontogenic cyst requires information relative to its clinical, radiographical, macro- and microscopical findings. In many instances, two cysts that are classified differently may exhibit similar histopathological features. In such cases, clinical and radiographic findings are necessary to make a precise diagnosis.

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“…Під час видалення одонтогенних кіст великих розмірів (діаметром більше 3,0 см), які проросли у гілку нижньої щелепи, додатково робили інфільтраційну анестезію субмасетеріального простору для блокади щелепної гілки великого вушного нерва. Хірургічні втручання у верхньощелепній пазусі під час цистектомії одонтогенних кіст, що вросли у цю пазуху, проводяться як під загальним знеболенням [24][25][26] так і під місцевою потенційованою анестезією [27,28]. Під час видалення радикулярних кіст великих розмірів, які вросли у носову порожнину, досягти повного знечулення їх оболонки можна лише при блокаді носопіднебінного нерва внутрішньоносовим способом [14], що підтверджується проведеними клінічними спостереженнями [29].…”

Section: львівський національний медичний університет імені данила галицького українаunclassified

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Mokryk¹,

Havryltsiv²,

Korniienko³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to analyze the data of modern domestic and foreign professional literature, which are devoted to new surgical methods of treatment of odontogenic cysts, to highlight the results of own clinical studies on the effectiveness of developed methods of cystectomy in jaw bones and their anesthesia. Materials and methods. Analytical and bibliosemantic methods were used in the research. The search for scientific information on medical topics for the period from 2010 to 2021 was carried out in the databases of electronic searching systems. Results and discussion. The use of standard techniques of conduction anesthesia of the trigeminal nerve is not always effective during cystectomy in the lateral parts of the mandible, due to the variability of branching of the trigeminal nerve, the possibility of additional innervation of the jaw branch from the superficial cervical plexus. Taking into account these anatomical factors, it is painless to perform a cystectomy of odontogenic cysts on the mandible. During oronasal cystectomy of odontogenic cysts that have grown into the nasal cavity it is advisable to block the nasopalatine nerve in the middle nasal passage. Modified methods of marsupialization can be used as an independent method of treatment of odontogenic cysts of large size, or be combined with radical removal of the cyst membrane. The use of ultrasound medical techniques reduces the risk of damage to adjacent soft tissues during enucleation of bone membranes in complex topographic and anatomical areas. The use of modern laser technologies and medical radiophysical equipment can increase the effectiveness of surgical treatment of odontogenic jaw cysts. The use of endovideosurgery techniques reduces the percentage of intraoperative complications. The introduction of computer spatial imaging of anatomical objects in dental practice has made it possible to develop new surgical technologies for precision-guided osteotomy and resection of the tips of the roots of masticatory teeth adjacent to the shells of radicular jaw cysts. Conclusion. In modern clinical practice, technical developments are used, which are based on the latest advances in laser optics, radio physics, bioacoustics, computer technology, which minimizes injuries during cystectomy operations, reduces the frequency of intraoperative complications. Individual-anatomical features of innervation of the maxillofacial area should be taken into account during local anesthesia, cystectomy and cystotomy operations in the jaw bones

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Massive Radicular Cyst in the Maxillary Sinus as a Result of Deciduous Molar Tooth Pulp Necrosis

Cited by 9 publications

References 14 publications

Cisto radicular inflamatório associado à comunicação buco-sinusal decorrente de tratamento endodôntico malsucedido: relato de caso

Cisto radicular inflamatório associado à comunicação buco-sinusal decorrente de tratamento endodôntico malsucedido: relato de caso

Inflammatory Odontogenic Cysts

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

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