Penanganan kista radikuler pada gigi insisivus lateralis rahang atas dengan menggunakan kalsium hidroksida Management of a radicular cyst of upper lateral incisive by using calcium hydroxide

Abstract

Cyst is an enclosed cavity surrounded by epithelial cells and contains cholesterin. Radicular cysts are formed as aresult of chronic inflammation of malassez epithelium, caused by trauma or untreated pulp necrosis. In this case, a 21years-old man came to Clinic of Conservative Dentistry, Faculty of Dentistry, University of Padjadjaran, in Bandungto get dental endodontic treatment on his maxillary right lateral incisor. Patient experienced trauma after a motorcycleaccident ten years ago. Clinical examination with vitality test, percussion test, palpation test showed no complaints.Radiological examination revealed a radiolucent lesion with a clear boundary around the apical. The disorder wasdiagnosed as a radicular cyst of teeth 12. Conventional endodontic treatment performed using calcium hydroxide as aroot canal medication in eight times visiting. The outcome of the treatment was assessed by clinical and radiographicevaluation that showed a reduction of radicular cyst size. It is concluded that conventional endodontic treatment usingcalcium hydroxide as medications is an adequate root canal treatment, that was accompanied by periodic observationcould heal the radicular cysts

Root Canal Treatment and Endodontic Surgery on Maxillary Incisor with Radicular Cyst

“…Treatment of radicular cysts can be done surgically, without surgery or a combination of both. Conventional endodontic treatment with root canal medication using calcium hydroxide material accompanied by periodic observation and observation of radiographs at 6-month intervals after treatment is an appropriate treatment to help cure radicular cysts [3]. The choice of surgical treatment of radicular cysts is enucleation and curettage.…”

“…The treatment of choice for radicular cysts is influenced by several factors such as the size of the lesion, the history of the disease, the clinical characteristics of the lesion, and the systemic condition of the patient [6]. The treatment of radicular cysts due to root canal infection can be done by using conventional approach namely orthograde root canal therapy, with 85% success rate [3]. The goal was to remove necrotic pulp tissue products, sterilize the pulp chamber, prevent bacterial recontamination and hermetic obturation [5].…”

Hubungan Jenis Kelamin dengan Angka Kejadian Kasus Lesi Periapikal

“…Sehingga, banyak pasien yang mulai mencari perawatan giginya terlebih jika pasien itu pernah mengalami pembengkakkan pada rongga mulutnya dan sudah menganggu fungsi mastikasi. (13,14) Lesi periapikal dapat diklasifikasikan sebagai abses, granuloma atau kista periapikal. Namun, secara umum dapat diterima bahwa lesi-lesi periapikal tidak dapat didiagnosis secara jelas sebagai granuloma atau kista hanya berdasarkan pada bukti radiografi saja.…”