Five-year clinical follow-up of a patient with radicular cyst in the maxillary anterior region

Abstract

Radicular cysts arise from proliferation of epithelium remnants around apices of nonvital teeth as a result of an inflammatory response to the necrotic pulp and chronic infection and are the most common cystic lesion of the jaws. If these lesions are not treated successfully the extractions of the associated nonvital teeth have to be performed, and the tooth loss in patients can cause aesthetic, functional, and psychological problems, particularly if the anterior region is involved. Multidisciplinary treatment proposed to encourage long.-term success and aesthetic result in such cases. This case report describes the multidisciplinary management to a 37-year-old male patient with a particularly large maxillary radicular cyst associated with the roots of five maxillary anterior teeth. The patient's esthetic and functional expectations were achieved after the endodontic, surgical, and prosthetic treatments. After 5-year follow-up, excellent bone healing, steady levels of bone, and healthy periodontal tissues around the abutment teeth were observed.