Unusually large radicular cyst presenting in the maxillary sinus

Kumar, Nilesh; Dadhich, Anuj

doi:10.1136/bcr-2020-236582

Cited by 12 publications

(8 citation statements)

References 3 publications

(3 reference statements)

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“…However, they did not use any membrane. On the other hand, there are reports of clinical cases in which no biomaterials were used for bone regeneration after the enucleation of the radicular cyst[ 4 , 7 , 22 , 23 ]. For instance, Elhakim et al [ 4 ] made the complete enucleation of a periapical cyst without sacrificing the vitality of the adjacent teeth, and used no bone filler material or membrane: They argued that the bone graft material might have compromised the integrity of the neurovascular bundles of vital teeth and limited their repair potential.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical management of radicular cyst using guided tissue regeneration technique: A case report

Gómez Mireles,

Martínez Carrillo,

Alcalá Barbosa

et al. 2024

World J Clin Cases

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BACKGROUND Radicular cyst is a lesion of odontogenic origin that arises from epithelial remains due to periapical periodontitis caused by inflammatory reactions generated at the apex of affected teeth with infected or necrotic pulps. The therapeutic management of radicular cysts is controversial. There is only one case report of enucleation of a radicular cyst managed with microsurgery and apicoectomy, but without the use of the guided tissue regeneration (GTR) technique in the same surgical procedure. The present clinical case describes the management of a radicular cyst with microsurgical approach, performance of an apicoectomy of the tooth associated with the entity, application of GTR technique, use of a resorbable membrane of type I bovine collagen, and bovine xenograft. CASE SUMMARY A 68-year-old patient presented with a radicular cyst from an upper lateral incisor. The microsurgical management used was aimed at enucleating the chemical membrane, performing apicoectomy of the tooth along with careful and precise retrograde filling, and implementing GTR technique using a resorbable collagen membrane and bovine xenograft. The diagnosis of radicular cyst was confirmed using histopathological analysis. The patient underwent follow-up evaluations at 10 and 30 d postoperatively. At 4 months postoperative evaluation, she remained asymptomatic, and radiographs showed significant periapical healing with adequate bone formation. CONCLUSION These results suggest that microsurgical management using the GTR technique with collagen membrane and xenograft, contributes to bone regeneration.

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Section: Discussionmentioning

confidence: 99%

Microsurgical management of radicular cyst using guided tissue regeneration technique: A case report

Gómez Mireles,

Martínez Carrillo,

Alcalá Barbosa

et al. 2024

World J Clin Cases

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“…It has been proposed that the aspiration and decompression of cysts during sinus lift surgery would be sufficient to reduce the size of the lesion and helps to decrease the internal pressure of the sinus, which also decreases the risk of perforation of the sinus membrane [ 39 ]. However, when there is an unclear diagnosis, enucleation should be considered [ 40 ]. Therefore, it is recommended to enucleate sinus cysts concurrently with sinus grafting to overcome such risks while taking into consideration that different management procedures are required to deal with the possibly increased size of sinus membrane perforation.…”

Section: Discussionmentioning

confidence: 99%

A Combination of Platelet-Rich Fibrin and Collagen Membranes for Sinus Membrane Repair: A Case Report (Repair of Sinus Membrane Perforation)

Koleilat¹,

Mansour

Alkassimi

et al. 2023

Dentistry Journal

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Maxillary sinus lift surgery is applied to compensate for the reduced vertical height in the posterior maxilla to facilitate placing a dental implant of a suitable length. Pathological conditions may be accidentally discovered, which necessitate careful assessment and management to prevent the infection of the maxillofacial complex and eventually bone grafting and dental implant failure. This case report describes an approach for the management of Schneiderian membrane perforation associated with the removal of an antral pseudocyst for successful dental implant therapy. A 70-year-old healthy Caucasian male presented for implant therapy to replace a non-restorable maxillary molar. Initial examination revealed the need for a sinus lift procedure to prepare the site for implant placement. A 3D CBCT evaluation before surgery revealed an incidental finding of a pathological lesion at the surgical site. The histological analysis of a biopsy specimen retrieved during implant site preparation showed findings consistent with antral pseudocyst. The resulting perforation of the sinus membrane was treated, and an adequate period of healing was given. A thickened sinus membrane was detected upon surgical exposure for implant placement. The novel technique illustrated could result in a fibrotic repaired sinus membrane and help shorten the time required for dental implant treatment.

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“…While MRI is not the first-line imaging modality but periapical cysts appear as a non-enhancing lesion at the tooth's apex. (19,(27)(28)(29) The lateral inflammatory cyst appears as well-defined radiolucency associated with the lateral surface of a badly restored or grossly carious tooth. A corticated margin is continuous with the lamina dura of the root of the affected tooth, and the lamina dura will not be intact.…”

Section: Radicular Cysts Radiographic Appearancementioning

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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Unusually large radicular cyst presenting in the maxillary sinus

Cited by 12 publications

References 3 publications

Microsurgical management of radicular cyst using guided tissue regeneration technique: A case report

Microsurgical management of radicular cyst using guided tissue regeneration technique: A case report

A Combination of Platelet-Rich Fibrin and Collagen Membranes for Sinus Membrane Repair: A Case Report (Repair of Sinus Membrane Perforation)

Inflammatory Odontogenic Cysts

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