Management of a Challenging Case of Upper Jaw Radicular Cyst

Jaw tumors and cysts are uncommon jaw or mouth abnormalities. Dental cysts, known as radicular cysts, typically occur in the gums, tooth roots, molars, wisdom teeth, jawbone, or sinuses. These cysts can lead to infection and symptoms may arise at a later stage. They can also develop near impacted wisdom teeth, dental roots, or soft tissues in the mouth due to injury. Surgery is typically required to alleviate pain and prevent complications. This case report details the successful surgical removal of a radicular cyst in a Syrian patient’s upper jaw. The patient presented with a persistent swelling in the front of his upper jaw that did not respond to drug therapy. An X-ray revealed a significant lesion involving the canine and quadriceps area. Following endodontic treatment, surgery was performed to excise the lesion, trim the affected teeth, and suture the surgical site. Pathological analysis confirmed the cyst was an older radicular cyst. This case underscores the significance of accurate diagnosis, appropriate treatment, and surgical intervention for managing similar cases. The patient had a persistent upper jaw swelling despite previous treatment. X-rays and examinations confirmed an abnormality. Endodontic treatment and surgery successfully removed the abnormality. Laboratory testing confirmed it as an older radicular cyst. This study highlights the importance of accurate diagnosis, collaboration, and thorough planning for successful outcomes in similar cases.