Radicular cyst. An unusually largepresentation in the mandible
DOI:
https://doi.org/10.60094/RID.20220102-15Keywords:
Mandible, odontogenic cyst, cone beam computed tomographyAbstract
The radicular cyst (RC) constitutes the most f requent cystic lesion in the jaws, it has a higher occurrence between the third and sixth decades of life, predominance in the male sex. Clinically, it is usually asymptomatic and small (0.5-1.5 cm in diameter), it rarely presents as an extensive lesion. A case of CR in a 54-year-old male patient is describe, referred for presenting an increase in volume in the right mandibular region, symptomatic, with two years of evolution, without previous treatment. Upon evaluation by means of CBCT a hypodense image was observed, defined and corticalized borders, located in the lower right molar area, in association with the apex of tooth 44, with previous endodontic treatment, which conditioned the thinning and fenestration of the vestibular cortex. The image was 22.64 mm high, 38.89 mm long and 18.50 mm wide. The clinical differential diagnosis was odontogenic keratocyst and ameloblastoma. The histopathological study of the specimen obtained by incisional biopsy determined that it was RC. Excision of the lesion, curettage and place platelet-rich fibrin concentrate was performed. Post-operative controls were established at 7, 14, and 21 days. Prosthetic rehabilitation is ongoing.
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Krishnamurthy V, Haridas S, Garud M, Vahanwala S, Nayak CD, Pagare SS. Radicular cyst masquerading as a multilocular radiolucency. Quintessence Int. 2013;44(1):71-3. https://doi.org/10.3290/j.qi.a28740
Deshmukh J, Shrivastava R, Bharath KP, et al. Giant radicular cyst of the maxilla. BMJ Case Rep. 2014. https://doi.org/10.1136/bcr-2014-203678
Nilesh K, Dadhich A, Chandrappa PR. Unusually large radicular cysts of maxilla: steps In diagnosis & review of management. J Bio Innov. 2015; 4(1):1-11.
de Souza Batista VE, de Souza Batista FR, Silva MM. Treatment of a large radicular cyst. J Craniofac Sur. 2015;26(5): e454-5. https://doi.org/10.1097/SCS.0000000000001635
Solano N, Villarroel M, Peraza A, Ríos E, Chirinos Y. Intraosseous lesions of the jaws: Excisional or incisional biopsy? Algorithm for decision making. SAODS. 2020;3(7):3-6.
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