Surgical Treatment of a Large Residual Cyst Followed by Implant Rehabilitation: A Case Report

Abstract

A cyst is defined as a pathological cavity, which may be fluid-filled, with well-defined boundaries lined by an epithelium. Although it is usually asymptomatic, it can cause pain through secondary infectious processes or when an increase in volume of the fluid causes local nerve compression. The diagnosis is made through correlation of clinical and imaging findings and confirmed by histopathology. Depending on its features, the treatment methods range from endodontic treatment of the involved teeth to its surgical enucleation. Marsupialisation is a surgical technique indicated for large cystic lesions or cystic lesions close to noble structures. It involves connecting the cystic wall and the oral cavity; this causes decompression and regression of the cyst allowing enucleation. This study aims presents the satisfactory outcomes of a residual inflammatory cyst treated by the conservative technique of marsupialisation with subsequent enucleation, followed by rehabilitation with implants at the regeneration site.