Obturator after marsupialization of a recurrence of a radicular cyst of the mandible

Sakkas, Nikolaos; Schoen, Rudolf; Schulze, Dirk; Otten, Jörg-Elard; Schmelzeisen, Rainer

doi:10.1016/j.tripleo.2006.06.063

Cited by 21 publications

(19 citation statements)

References 8 publications

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“…Case reports have shown that large cyst-like apical periodontitis lesions could regress after a decompression (marsupialization or partsch) procedure to avoid periapical surgery, which might devitalize neighboring tooth/teeth or damage adjacent vital structures (28)(29)(30). It is not known whether all large apical periodontitis lesions are cystic lesions.…”

Section: Regression Of Large Cyst-like Apical Periodontitismentioning

confidence: 99%

“…The large cyst-like apical periodontitis lesions have been demonstrated to regress to smaller sizes and even complete healing after nonsurgical root canal therapy (30,(36)(37)(38)(39)(40) because of a decrease in periapical inflammation. A decompression procedure is to some degree similar to an apical surgical procedure; it can effectively evacuate irritants in the lumen of radicular cysts and enhance periapical wound healing if bacterial contamination is minimized (28,36,41).…”

Section: Regression Of Large Cyst-like Apical Periodontitismentioning

confidence: 99%

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Nonsurgical Root Canal Therapy of Large Cyst-like Inflammatory Periapical Lesions and Inflammatory Apical Cysts

Lin

Ricucci²,

Lin

et al. 2009

Journal of Endodontics

127

124

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Section: Regression Of Large Cyst-like Apical Periodontitismentioning

confidence: 99%

Section: Regression Of Large Cyst-like Apical Periodontitismentioning

confidence: 99%

Nonsurgical Root Canal Therapy of Large Cyst-like Inflammatory Periapical Lesions and Inflammatory Apical Cysts

Lin

Ricucci²,

Lin

et al. 2009

Journal of Endodontics

127

124

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“…Scholl et al [23] reportan que el tratamiento de los quistes verdaderos consiste en: enucleación, resección radicular en caso de molares, marsupialización, tratamiento de conductos retrógrado o exodoncia del diente comprometido [23][24][25][26][27][28][29][30][31][32][33][34][35]. Las lesiones de quistes verdaderos son las que presentan menor probabilidad de resolverse mediante endodoncia convencional, puesto que están aisladas de los irritantes del canal radicular y son autosostenidas [74].…”

Section: Discussionunclassified

“…El quiste radicular inflamatorio es el más común de los quistes odontogénicos presentes en los maxilares [21][22][23][24][25][26][27][28][29][30]; su incidencia varía entre 52 y 75%, y constituyen del 6 al 55% de las lesiones pulpoperiapicales [5,31,32]. El 9% corresponde a quistes verdaderos, que disminuyen la probabilidad de eliminarse mediante tratamiento endodóntico convencional [7][8][9][10][11]29].…”

Section: Introductionunclassified

Quiste radicular de origen odontogénico

Álvarez

2014

Rev. nac. odontol.

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Resumen. El quiste radicular es el más común de los quistes odontogénicos presentes en los maxilares, cuya incidencia varía entre 52 y 75%; constituyen del 6 al 55% de las lesiones pulpoperiapicales. El 9% corresponde a quistes verdaderos, cuya resolución se logra mediante tratamiento endodóntico convencional. La mayor frecuencia se presenta en mujeres y en edad adulta. Algunos autores reportan que no existe preferencia de edad ni sexo; otros reportan que esta lesión es más frecuente en el sexo masculino y que afecta la región anterior del maxilar. Estos quistes se presentan asociados a un diente necrótico como granuloma en una reacción defensiva hiperplásica frente a un estímulo inflamatorio. Clínicamente, son asintomáticos y la mayoría no produce expansión ósea; sin embargo, cuando la produce, se suele presentar en la zona vestibular. No generan cambios en los tejidos blandos, aunque pueden deteriorarse y provocar dolor y fistulización. El principal tratamiento es la endodoncia convencional y la posterior observación radiográfica de la lesión; otro es la endodoncia y la apicectomía o curetaje de la lesión en la zona apical; la extracción de la unidad dentaria y el posterior curetaje de la zona se hace para eliminar restos celulares. En caso de lesiones extensas, la descompresión de la lesión permite disminuir el tamaño del quiste y después se realiza la enucleación.Palabras clave: quiste odontogénico, quiste radicular, necrosis pulpar, granuloma, endodoncia. Root Cysts of Odontogenic OriginAbstract. Root cysts are the most common odontogenic cysts found on the maxillas, with prevalence between 52% and 75%; they account for 6% to 55% of pulpoperiapical lesions. 9% are true lesions that are resolved through conventional endodontic treatment. They are most frequently found among women and adults. Some authors report no prevalence due to age or sex; others hold this lesion to be more frequent among males and that it affects the anterior maxillary region. These cysts occur in association with a necrotic tooth in the form of a granuloma as a defensive hyperplasic reaction to an inflammatory stimulus. Clinically, they are asymptomatic and most do not produce bone expansion; however, when they do produce extension, this tends to occur in the vestibular zone. They do not generate changes in the soft tissues, although they can cause deterioration and pain as well as fistula formation. The main treatment consists of conventional endodontics followed by radiographic observation of the lesion; another option is endodontics and apicectomy or curettaje of the lesion in the apical zone; extraction of the dental unit and subsequent curettaje of the zone is performed to eliminate any remaining cells. In extensive lesions, decompression helps to decrease the size of the cyst and is followed by enucleation.Keywords: odontogenic cyst, root cyst, pulp necrosis, granuloma, endodontics. Cisto radicular de origem odontogênicaResumo. O cisto radicular é o mais comum dos cistos odontogênicos presentes nos maxilares, cuja incidência vari...

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“…Marsupialization represents synonymous with Partsch’s operation, 4 and is the conversion of a cyst into a pouch, 5 it requires considerable aftercare and patient cooperation in keeping the cavity clean whilst it resolves and heals by relieving the internal pressure. This technique is indicated when cyst is in close proximity to vital structures and where there is significant risk of injury with enucleation.…”

Section: Introductionmentioning

confidence: 99%

When Nature plays upon an Ailment: A Case Report

Somani

Garewal

Bhandari

et al. 2012

International Journal of Clinical Pediatric Dentistry

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Of the most common odontogenic cysts, radicular cysts represent cystic lesions of inflammatory origin and are managed either by surgical enucleation or by marsupialization. This article aims to report a clinical case of radicular cyst of a huge proportion treated with a conservative management. An illustration of possible complete healing of such a cystic periapical lesion in mixed dentition with conservation of vital structures is covered.How to cite this article: Somani R, Garewal R, Bhandari PP, Kumar D. When Nature plays upon an Ailment: A Case Report. Int J Clin Pediatr Dent 2012;5(1):61-63.

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Obturator after marsupialization of a recurrence of a radicular cyst of the mandible

Cited by 21 publications

References 8 publications

Nonsurgical Root Canal Therapy of Large Cyst-like Inflammatory Periapical Lesions and Inflammatory Apical Cysts

Nonsurgical Root Canal Therapy of Large Cyst-like Inflammatory Periapical Lesions and Inflammatory Apical Cysts

Quiste radicular de origen odontogénico

When Nature plays upon an Ailment: A Case Report

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