Journal of South Asian Association of Pediatric Dentistry

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VOLUME 2 , ISSUE 2 ( July-December, 2019 ) > List of Articles


Conundrum in Management of a Large Periapical Cyst: A Dental Anchor?

Deval Arora, Tarang C Arora, Abhay M Tripathi

Keywords : Inflammatory cysts of jaw, Marsupialization, Radicular cyst

Citation Information : Arora D, Arora TC, Tripathi AM. Conundrum in Management of a Large Periapical Cyst: A Dental Anchor?. J South Asian Assoc Pediatr Dent 2019; 2 (2):61-63.

DOI: 10.5005/jp-journals-10077-3028

License: CC BY-NC 4.0

Published Online: 17-07-2020

Copyright Statement:  Copyright © 2019; The Author(s).


Inflammatory cysts of jaw found at apices of teeth with diseased and necrotic pulp are known as radicular cysts. These cysts originate from proliferating cell rests of Malassez subsequent to necrosis of pulp in a nonvital tooth. Such a condition is commonly asymptomatic but may develop in gradual growth in the altered region. Radiographically, the lesion may be observed as a round or oval well-circumscribed radiolucent expanse including the apex of the affected tooth. Certain authors recommend that radicular cysts must be surgically enucleated to eliminate all remnants of the epithelium. However, surgical enucleation of an extensive cystic lesion can cause damage to other adjoining teeth or anatomic structures. Thus, remedy should be initiated by more conservative procedures of decompression, to curtail the size of the lesion. This case report focuses on fruitful surgical management of a large infected radicular cyst treated only by marsupialization.

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