Endo-surgical management of radicular cyst in anterior maxilla approaching the nasal floor- A case report

Radicular cyst is the most common odontogenic cystic lesion of inflammatory origin.It is also known as periapical cyst, apical periodontal cyst, root end cyst, or dental cyst.This condition is usually asymptomatic but can result in a slow-growth tumefaction in the affected region.In the management of these lesions the endodontic treatment only is not sufficient and it should be associated with surgical management.This case report highlights the endo-surgical management of long-standing trauma that led to a radicular cyst with respect to two maxillary anterior teeth in a young adult.The clinical and radiographic examination led to a provisional diagnosis of a radicular cyst, which was confirmed by biopsy.Non-surgical root canal treatment was performed with Gutta-Percha as the apical barrier and surgical enucleation of the cyst was performed thereafter.Follow-up of one year was done, which revealed the successful management of the case.