Extensive chronic peri-radicular cyst and its non-surgical management

Abstract

This report presents a case of an extensive chronic peri-radicular cyst in a 50-year-old male patient. The patient presented with swelling and tenderness in the upper anterior region, with a history of trauma to the 11 and 12 teeth approximately 20 years prior. Radiological assessment revealed a significant periapical lesion involving teeth 11 and 12, with extensive labial and palatal bone lysis. Intraoral examination indicated tenderness and second-grade mobility in the affected teeth. The chosen management approach was non-surgical root canal treatment (NSRCT), with root canal treatment. After 21 days of dressing with DAP and three months of calcium hydroxide placement, follow-up imaging showed the regeneration of labial and palatal cortical bone. One-year and two-year follow-ups demonstrated appreciable healing progress.