Abstract
The removal of an odontogenic jaw cyst usually requires at least elevation of the mucoperiosteal flap for adequate access to the cystic lesion and its complete enucleation. In this report, we present a simple intra-socket flapless cystic removal technique for a radicular cystic lesion related to the mandibular first molar. This technique produces an optimal outcome and gives the patient the most comfortable surgical experience.
Highlights
A large percentage of the work of oral and maxillofacial surgeons involves the management of radicular cysts
A unique pathognomonic featureof these lesions is that cystic fluid can be aspirated from them.[1]
Cystic lesions accompanied by areas of calcification have recently been reported to grow as a foreign body reaction in young patients, including in populations in Saudi Arabiaas reported by Elsayed et al.[6,7]
Summary
A large percentage of the work of oral and maxillofacial surgeons involves the management of radicular cysts. After a thorough clinical examination of the patient and aninitial radiographic examination of the orthopantomogram, we found a well-circumscribed periapical radiolucent lesionthat had well-defined corticated margins. It correlated to the remaining root apices of tooth #36 (Figure 2). We started lesion enucleation occlusally and deepened it by using a bone curette with the aid of a large piece of gauze that was used to push the curette. This technique was repeated oneach side of the bony socket. Connective tissue capsules revealed areas of Hemorrhoea, hemosiderin pigmentation, multinucleated giant cellsthat engulf cholesterol, and inactive odontogenic epithelium (Figure 6)
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