Multilocular Radicular Cyst – A Common Pathology with Uncommon Radiological Appearance

Shivhare, Peeyush; Singh, Amarjit; Haidry, Naqoosh; Monu, Yadav; Shankarnarayan, Lata

doi:10.7860/jcdr/2016/16031.7486

Cited by 13 publications

(10 citation statements)

References 6 publications

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“…Residual cysts may develop in a residual granuloma left after tooth extraction, and account for roughly 10% of all odontogenic cysts 67. They are most commonly seen in the third and fourth decades of life and have a male predilection 8. Radiographically, they appear as well-defined, round to oval radiolucent lesions with a cortical margin (Fig.…”

Section: Resultsmentioning

confidence: 99%

Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid

et al. 2019

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Purpose This study reviewed the common conditions associated with displacement of inferior alveolar nerve canal. Materials and Methods General search engines and specialized databases including Google Scholar, Pub Med, Pub Med Central, Science Direct, and Scopus were used to find relevant studies by using keywords such as “mandibular canal”, “alveolar canal”, “inferior alveolar nerve canal”, “inferior dental canal”, “inferior mandibular canal” and “displacement”. Results About 120 articles were found, of which approximately 70 were broadly relevant to the topic. We ultimately included 37 articles that were closely related to the topic of interest. When the data were compiled, the following 8 lesions were found to have a relationship with displacement of mandibular canal: radicular/residual cysts, dentigerous cyst, odontogenic keratocyst, aneurysmal bone cyst, ameloblastoma, central giant cell granuloma, fibrous dysplasis, and cementossifying fibroma. Conclusion When clinicians encounter a lesion associated with displaced mandibular canal, they should first consider these entities in the differential diagnosis. This review would help dentists make more accurate diagnoses and develop better treatment plans according to patients' radiographs.

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Section: Resultsmentioning

confidence: 99%

Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid

et al. 2019

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“…O cisto radicular apresenta-se comumente radiolúcido unilocular, com uma variante multilocular, com bordas corticalizadas e lúmen bem uniforme. Envolve na maioria dos casos o periápice dentário e possui tamanho de aproximadamente 20mm, podendo ocasionar a movimentação de raízes de dentes próximos [8][9][10] . É mais encontrado em pacientes adultos entre 30 e 60 anos, e sempre é identificado em dentes desvitalizados, com predominância para área anterior de maxila, em seguida área posterior de maxila .…”

Section: Discussionunclassified

Enucleação de cistoperiapical associado a tratamento endodôntico: relato de caso

Costa¹,

Santos²,

Arashiro³

et al. 2020

Arch Health Invest

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Introdução: O cisto periapical é uma lesão óssea inflamatória envolvida por um epitélio de revestimento formando uma cavidade com líquido e substâncias semi-sólidas no ápice dental que ocorre mais em região anterior de maxila. Geralmente apresenta-se radiograficamente radiolúcido e unilocular com ou sem sintomatologia sendo cada caso com sua especificidade e isso deve ser levado em consideração na hora da eleição do melhor tratamento, como: o tamanho da lesão, a extensão e áreas próximas vitais. Podemos associar técnicas cirúrgicas como enucleação com técnicas endodônticas. Deste modo, é objetivo: apresentar um caso de paciente, sexo feminino, 44 anos, que procurou o Complexo de Clinicas Odontológicas da Faculdade de Odontologia da Universidade Federal de Mato Grosso do Sul queixando-se de dor do elemento 11 ao 14. No exame radiográfico junto com exame clínico foi detectado um possível cisto periapical reincidente em região previamente realizada procedimento cirúrgico de enucleação de cisto periapical. Material e método: A enucleação junto com apicectomia foi o tratamento elegido para a paciente. Este trabalho é um relato de caso sobre associação de técnicas cirúrgicas e endodônticas para o tratamento de cistos periapicais. Conclusão: a remissão da sintomatologia da paciente foi bastante satisfatória e houve melhora de sua qualidade de vida.Descritores: Cisto Periapical, Cisto Radicular, Diagnóstico, Terapêutica.ReferênciasSimon JH. Incidenceof periapical cysts in relationtother root canal. J Endod. 1980;6(11):845-48.Tavares DP, Rodrigues JT, Do Santos TCRB, Armada L, Pires FR. Clinical and radiological analysis of a series of periapical cysts and periapical granulomas diagnosed in a Brazilian population. J Clin Exp Dent. 2017;9(1):129-35.Perjuci F, Abdyli RA, Abdyli Y et al. Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report. Acta Stomatol Croat. 2018;52(1):60-53.Andrade ED. Terapêuticas medicamentosa em odontologia. 3 ed. São Paulo: Artes Médicas; 2014.Yagiela JA, Dowd FJ, Johnson BS,Mariotti AJ, Neidle EA. Farmacologia e terapêutica para dentistas. 6 ed. Rio de Janeiro: Elsevier; 2011.De Rossi SS. Orofacial pain: A primer. Dent Clin North Am. 2013;57(3):383-92.Napeñas JJ. Intraoral pain disorders. Dent. Clin. North Am. 2013;57(3):429-47.Shivhare P, Singh U, Haidry N, Yadav H, Shankarnarayan G. Multilocular Radicular Cyst - A Common Pathology with uncommon radiological appearance. J Clin Diagn Res. 2016;10(03):13-5.Tijoe KC, NozuImada TS, Pardo, MP, Consolaro A, Gonçales ES. Large radicular cyst involving the maxillarys in us. Rev Assoc Paul Cir Dent. 2015;69(4):383-86.Rius JM, Llobet LB, Soler EL. The periodontium as a potential cause of orofacial pain: a comprehensive review. Open Dent J. 2018;12:520-28.Regezi JA, Sciubba JJ. Patologia Bucal- Correlações Clinico patológicas. 3.ed. Rio de Janeiro: Guanabara Koogan; 2000.Ciulli E, Rocci M, Bollero R, Pandolfi C, Ottria L, Mampieri G et al. Maxillarycyst: descriptionof a clinical case. Oral Implantol (Rome). 2009;2(2):28-33.Brandini DA, Debortoli CV, Felipe Akabane ST, Poi WR, Amaral MF. Systematic review of the effects of excessive occlusal mechanical load on the periodont umofrats. Indian J Dent Res. 2018;29(6):812-19.Saravanan R, Babu PJ, Rajakumar P. Trauma from occlusion – an orthodontist's perspective. J Indian Soc Periodontol. 2010;14(2):144-45.Burgett FG, Ramfjord SP, Nissle RR, Morrison EC, Charbeneau TD Caffesse RG. A randomized trial of occlusal adjustment in the treatment of periodontitis patients. J Clin Periodontol. 1992;19(6):381-87.

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“…A “radicular cyst” is defined as a cyst arising from the epithelial residues in the periodontal ligament as a consequence of inflammation following necrosis of the dental pulp. The most common etiology is dental caries with pulp involvement [1, 2]. Radiographically, a radicular cyst presents well-defined unilocular radiolucency located periapical to a tooth with pulp involvement.…”

Section: Discussionmentioning

confidence: 99%

“…In our patient's case, the radiographic appearance showed bilocular radiolucency apart from the usual radiolucency. There have been very few reports of a radicular cyst with multilocular radiolucency [2–4].…”

Section: Discussionmentioning

confidence: 99%

“…Radiographically, a radicular cyst presents well-defined unilocular radiolucency. However, multilocular radiolucent radicular cysts are quite rare; there are few reported cases [2–4]. For multilocular radicular cysts, a differential diagnosis with other cysts and tumors (dentigerous cyst, ameloblastoma, odontogenic keratocyst, pseudocyst, etc.)…”

Section: Introductionmentioning

confidence: 99%

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A Bilocular Radicular Cyst in the Mandible with Tooth Structure Components Inside

Noda

Abe

Shinozaki‐Ushiku

et al. 2019

Case Reports in Dentistry

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Background. A radicular cyst is the most common odontogenic cyst of inflammatory origin. Radiographically, it commonly demonstrates clear unilocular radiolucency; radicular cysts with multilocular radiolucency are quite rare. Case Presentation. A 64-year-old Japanese man who presented with a bilocular radiolucent lesion in his left mandible was referred by a dental clinic to our oral and maxillofacial surgery department. He had no particular subjective symptoms. Orthopantomography and computed tomography (CT) revealed an 18 mm×15 mm lesion with well-defined bilocular radiolucency in the left mandible expanding from the distal side of a canine tooth to the bottom of the 2nd premolar. The lesion included the roots of the 1st and 2nd premolars. The root of the 2nd premolar showed knife-edge resorption. Although the 1st premolar was nonvital, the 2nd premolar was a vital tooth. As differential diagnoses, a radicular cyst, ameloblastoma, odontogenic keratocyst, pseudocyst, and others might be considered. We performed a total resection of the bilocular lesion and diagnosed the lesion as a radicular cyst with tooth structure components inside. The tooth structure components represented lamellar structures of cementum; they were located only in the proximal part (under the 1st premolar) of the lesion. The distal part of the lesion presented distinctive inflammation without tooth structure components. Conclusion. We encountered a rare case of a bilocular radicular cyst with tooth structure components inside.

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Multilocular Radicular Cyst – A Common Pathology with Uncommon Radiological Appearance

Cited by 13 publications

References 6 publications

Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid

Common conditions associated with displacement of the inferior alveolar nerve canal: A radiographic diagnostic aid

Enucleação de cistoperiapical associado a tratamento endodôntico: relato de caso

A Bilocular Radicular Cyst in the Mandible with Tooth Structure Components Inside

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