A Comparative Study of Surgical and Non-Surgical Interventions for the Management of Radicular Cysts

Abstract

Background: Periapical cysts are slow-growing cysts that are often asymptomatic until they become secondary infections. Periapical cysts are seen in the periapical region. The choice of therapy may be influenced by a number of criteria, including the extent of the lesion, its connection to important structures, its point of origin, clinical features, the patient's level of cooperation, and the patient's overall health. As a result of this, the current research was carried out to evaluate the effectiveness of surgical and non-surgical intervention in the treatment of radicular cysts.Materials and Methods: The investigation included a total of 28 instances, 20 of which were men and 8 of which were females. All of the patients exhibited gradually growing swelling in the anterior area. Clinical examination and radiographs of all of the patients produced conclusive evidence of the presence of a radicular cyst. Both the non-surgical intervention group and the surgical intervention group received an equal share of the overall group. For the purpose of analysis, a t-test on independent samples and a Chi-square test were carried out.Results: The non-surgical group had a mean radiographic lesion of 1.78 + 0.1 and 0.44 + 0.11 at the first and sixth months, respectively, whereas the surgical group had a mean lesion of 1.22 + 0.11 and 0.21 + 0.12. The p values for the two groups, which showed a statistically significant difference, were P = 0.01 and P = 0.00, respectively. After one month, 11 patients in the surgical group were extremely pleased, and after six months, patients in both groups were very satisfied. However, the degree of satisfaction did not demonstrate a significant amount of relevance. The number of patients in the surgery group who had severe pain was somewhat higher than in the non-surgical group; however, after the first month, pain was much less severe in the surgical group as compared to the non-surgical group.Conclusion: Combination procedures, such as the root canal, apicoectomy and decompression or marsupialization , have superior results in treating radicular cysts with non-vital pulp than using each one of these procedures alone.