Abstract
Introduction: Root cysts are asymptomatic lesions that occur in the periapical area of the tooth due to caries, pulp necrosis, or trauma. Various surgical approaches of enucleation and marsupialization can be performed to remove radicular cysts. The combination of enucleation and apicoectomy is an alternative treatment that can be used to remove radicular cysts without extracting the causative tooth. Case Report: A 37 years old female patient came with chief complaints of a lump on the upper front gum. The patient had a history of trauma to her front teeth approximately three years ago. Endodontic treatment was performed before surgery. The patient underwent enucleation of the radicular cyst followed by apicoectomy. Retrograde obturation is performed using Mineral Trioxide Aggregate (MTA), and a bone graft is administered to help regenerate bone defects. The patient was followed up one week and three months after surgery, there were no complaints or recurrence in this case. Conclusion: The combination of enucleation and apicoectomy is an alternative treatment to eliminating periapical abnormalities that can be performed to preserve existing teeth. 1 year follow-up; he was found to be asymptomatic, and periapical healing was observed in the radiograph with bone formation.
References
Avinash S., Agrawal E., Mushtaq I., Bhandari A., Khan F., Thangmawizuali. Apicoectomy : An Elucidation of Hitch. J Dent Specialities. 2019 ; 7 (1) : 28-32.
Balaji, S.M., Laskin DM. Textbook of Oral & Maxillofacial Surgery. 3rd.Elsevier. 2018
Das S, Das A, Panda S, Dipallini S, Mohanty M, Das P. Management of a Radicular Cyst in Anterior Maxilla With Endosurgical Intervention Along With Use of Mineral Trioxide Aggregate (MTA) and Bone Graft: A Case Report. Cureus. 2023 Oct 17;15(10):e47183
Fehlberg, B., Bittencourt, G. Parendodontic surgery—apicoectomy and simultaneous obturation of root canals with mineral trioxide aggregate (MTA): case report. Dental Press Endod. 2019 Jan-Apr;9(1):48-57.
Gholami GA, Najafi B, Mashhadiabbas F, Goetz W, Najafi S: Clinical, histologic and histomorphometric evaluation of socket preservation using a synthetic nanocrystalline hydroxyapatite in comparison with a bovine xenograft: a randomized clinical trial. Clin Oral Implants Res. 2012, 23:1198-204.
Gurcan MN, Boucheron LE, Can A, Madabhushi A, Rajpoot NM, Yener B: Histopathological image analysis: a review. IEEE Rev Biomed Eng. 2009, 2:147-71.
Krastev B, Filipov I. Periapical Surgery. Epidemiology, indications and contraindications. Review. J of IMAB. 2020. AprJun;26(2):3114-3121.
Markova K., Manchorova N., Pecheva, A.. Classification of dental materials for retrograde endodontic filling - an overview. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 20(11). 2021. pp. 01- 05.
Saha,P., Saha, P.P. A case of periapical surgery: apicoectomy and obturation of the Apex. International Journal Dental and Medical Sciences Research. 2023 ;5(4).
Scully C: Oral and Maxillofacial Medicine: The Basis of Diagnosis and Treatment, 3rd Edition . Churchill Livingstone, London, UK; 2013.
Setoaji, I., Anastasia, D. A Combination of Enucleation and Apicoectomy as an Alternative Treatment for Removing Radicular Cysts. International Journal of Medical and Biomedical Studies; 2024; 8(3); 89-92
Shelke S., Tandil Y., Tekam D., Soni N., Sahu N. Management of periapical cyst (radicular cyst) : A non-surgical endodontic approach. International Journal of Applied Dental Sciences.2022; 8 (3) : 17-22.
Sumangali, A., Tiwari, R. V., Kollipara, J., Mirza, M. B., Brar, R. S., & Dhewale, A. M. Various assisted bone regeneration in apicectomy defects systematic review and meta analysis. Journal of Pharmacy and Bioallied Sciences, 13(Suppl 2). 2021. S927-S932.
Tobón SI, Arismendi JA, Marín ML, Mesa AL, Valencia JA: Comparison between a conventional technique and two bone regeneration techniques in periradicular surgery. Int Endod J. 2002, 35:635-41. 10.1046/j.1365-2591.2002.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Rosana Maria Coelho Travassos, William Wale Rodrigues Martins, Lucas Godoy Martins, Gustavo Moreira de Almeida, Adriane Tenório Dourado Chaves, Maria do Socorro Orestes Cardoso, Eliana Santos Lyra da Paz, Josué Alves, Glauco dos Santos Ferreira, Eudoro de Queiroz Marques Filho, Pedro Guimarães Sampaio Trajano Dos Santos, Luciano Barreto Silva