Large radicular cyst with both buccal and palatal cortical bones perforation secondary to vital pulp therapy failure

  • Authors

    • Mahdie Nakhaee Post graduate student, Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    • Hengameh Ashraf Professor, Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    • Sepanta Hosseinpour Dental and MPH student, Students' Research Office, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
    • Fatemeh Mashhadiabbas Associate Professor, Department of Oral and Maxillofacial Pathology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
    2016-09-26
    https://doi.org/10.14419/ijdr.v4i2.6593
  • Radicular Cyst, Bone Resorption, Maxilla, Vital Pulp Therapy

  • Radicular cyst as the most common odontogenic cyst usually arises from residual epithelial cells stimulated by inflammatory factors initiating by pulpal necrosis of a non-vital tooth. Radicular cyst is commonly asymptomatic, slow grower, and rarely invade near bony structures. Many treatment approaches are presented for a radicular cyst like surgical endodontic treatment, tooth extraction, enucleation, and marsupialization. In this case treatment plan compromised with root canal therapy and surgical enucleation of cystic lesion. This case report presents a large radicular cyst in a vital maxillary first molar with only one necrotic root canal secondary to direct pulp capping with mineral trioxide aggregate with buccal and palatal cortical bone perforation.

  • References

    1. [1] ALI, M. & BAUGHMAN, R. A. 2003. Maxillary odontogenic keratocyst: a common and serious clinical misdiagnosis. The Journal of the American Dental Association, 134, 877-883. http://dx.doi.org/10.14219/jada.archive.2003.0286.

      [2] AVELAR, R. L., ANTUNES, A. A., CARVALHO, R. W., BEZERRA, P. G., OLIVEIRA NETO, P. J. & ANDRADE, E. S. 2009. Odontogenic cysts: a clinicopathological study of 507 cases. Journal of oral science, 51, 581-586. http://dx.doi.org/10.2334/josnusd.51.581.

      [3] BODNER, L. 2002. Cystic lesions of the jaws in children. International journal of pediatric otorhinolaryngology, 62, 25-29. http://dx.doi.org/10.1016/S0165-5876(01)00583-3.

      [4] DOMINGOS, R. P., GONCALVES EDUARDO, S. & NETO EDUARDO, S. 2004. Surgical approaches of extensive periapical cyst. Considerations about surgical technique. Salusvita Bauru, 23, 317-28.

      [5] IRHPJ, K. & SHEAR, M. 1992. The WHO histological typing of odontogenic tumours. A commentary on the second edition. Cancer, 70, 2988-94.

      [6] IWAYA, S. I., IKAWA, M. & KUBOTA, M. 2011. Revascularization of an immature permanent tooth with periradicular abscess after luxation. Dental Traumatology, 27, 55-58. http://dx.doi.org/10.1111/j.1600-9657.2010.00963.x.

      [7] KLINGE, R. F. 1999. A microradiographic and electron microscopic study of tertiary dentin in human deciduous teeth. Acta Odontologica Scandinavica, 57, 87-92. http://dx.doi.org/10.1080/000163599428968.

      [8] KOCYIGIT, I. D., ATIL, F., ALP, Y. E., TEKIN, U. & TUZ, H. H. 2012. Piezosurgery versus conventional surgery in radicular cyst enucleation. Journal of Craniofacial Surgery, 23, 1805-1808. http://dx.doi.org/10.1097/SCS.0b013e318271014c.

      [9] KONTOGIANNIS, T., TOSIOS, K., KEREZOUDIS, N., KRITHINAKIS, S., CHRISTOPOULOS, P. & SKLAVOUNOU, A. 2015. Periapical lesions are not always a sequelae of pulpal necrosis: a retrospective study of 1521 biopsies. International endodontic journal, 48, 68-73. http://dx.doi.org/10.1111/iej.12276.

      [10] LEONARDO, M. R., SILVEIRA, F. F., SILVA, L. A. B. D., TANOMARU FILHO, M. & UTRILLA, L. S. 2002. Calcium hydroxide root canal dressing. Histopathological evaluation of periapical repair at different time periods. Brazilian dental journal, 17-22.

      [11] RIBEIRO JR, P. D., GONCALVES, E. S., NETO, E. S. & PACENKO, M. R. 2004. Surgical approaches of extensive periapical cyst. Considerations about surgical technique. Salusvita, 23, 317-28.

      [12] SAGIT, M., GULER, S., TASDEMIR, A. & SOMDAS, M. A. 2011. Large radicular cyst in the maxillary sinus. Journal of Craniofacial Surgery, 22, e64-e65. http://dx.doi.org/10.1097/SCS.0b013e318231e3b1.

      [13] SAILOR, H. & PAJAROLA, G. Oral Surgery for the General Dentist. Journal of Orthodontics.

      [14] TAKAHASHI, Y., YOSHIDA, T. & TAKASHIMA, S. 1992. The regulation of intracellular calcium ion and pH in young and old fibroblast cells (WI-38). Journal of gerontology, 47, B65-B70. http://dx.doi.org/10.1093/geronj/47.3.B65.

      [15] VALOIS, C. R. & COSTA-JúNIOR, E. D. 2005. Periapical cyst repair after nonsurgical endodontic therapy: case report. Brazilian dental journal, 16, 254-258. http://dx.doi.org/10.1590/S0103-64402005000300016.

      [16] WEBER, A. 1993. Imaging of cysts and odontogenic tumors of the jaw. Definition and classification. Radiologic Clinics of North America, 31, 101-120.

      [17] WEBER, A. L., KANEDA, T., SCRIVANI, S. J. & AZIZ, S. 2003. Jaw: cysts, tumors, and nontumorous lesions. Head and neck imaging, 4th edn. Mosby, St. Louis, 930-994.

  • Downloads

    Additional Files

  • How to Cite

    Nakhaee, M., Ashraf, H., Hosseinpour, S., & Mashhadiabbas, F. (2016). Large radicular cyst with both buccal and palatal cortical bones perforation secondary to vital pulp therapy failure. International Journal of Dental Research, 4(2), 47-52. https://doi.org/10.14419/ijdr.v4i2.6593