PDF(Pubmed)
Abstract：
The most prevalent kind of odontogenic cysts is radicular cysts, which usually develop from the epithelial remnants in the periodontal ligament as a result of inflammation that follows pulp necrosis. We report a case of a 49-year-old male patient who complained of painless swelling in the maxillary anterior region, which turned out to be a radicular cyst. Upon clinical examination, a soft, nontender swelling that fluctuated was found. A periapical lesion was found upon radiographic assessment. A radicular cyst was tentatively diagnosed based on clinical and radiological features. The treatment plan included enucleation, restoration of the defect with bone graft, and endodontic therapy with antibiotics. Endodontic therapy was administered after the cystic lesion was surgically removed. The diagnosis of a radicular cyst was validated by histopathological analysis. The significance of a multidisciplinary approach for the successful management of radicular cysts is emphasized in this case report, which also underscores the need for a comprehensive clinical and radiographic evaluation for accurate diagnosis. Prompt identification and suitable intervention are essential to avert possible complications and guarantee successful treatment results.
摘要：
最常见的牙源性囊肿是根性囊肿，通常由于牙髓坏死后的炎症而从牙周膜中的上皮残留物发展而来。我们报告了一例49岁的男性患者，主诉上颌前区无痛性肿胀，结果是根性囊肿.经临床检查,一个柔软的，发现了波动的非招标性肿胀。影像学检查发现根尖周病变。根据临床和放射学特征初步诊断为根性囊肿。治疗计划包括摘除,骨移植修复缺损，和抗生素牙髓治疗。在手术切除囊性病变后进行牙髓治疗。通过组织病理学分析验证了根性囊肿的诊断。本病例报告强调了多学科方法对成功治疗神经根囊肿的重要性，这也强调了需要全面的临床和影像学评估才能准确诊断。及时识别和适当的干预对于避免可能的并发症和确保成功的治疗结果至关重要。
