Surgical treatment of radicular cyst in maxilla - a case report

Radicular cysts are most common odontogenic cysts. Many of them are usually asymptomatic and can be detected incidentally on routine radiography before symptoms appear. Cysts can vary in size, and over the years can grow and disrupt bone continuity. Causes of jaw cysts are different, numerous and depend on the type of cyst. Lately, CBCT-cone beam computed tomography is the most common diagnostic method for detecting them. The possibilities for their treatment and the choice of surgical method depend on the size of the cyst and its location. The aim of this case report is to present the clinical symptoms and treatment of a radicular cyst in a 69 years-old male patient. The main complaint of the patient was swelling on the right upper tooth region. The radiographic examination and CBCT revealed the presence of a well-defined radiolucency surrounded by a corticated border between right lateral incisive and canine in maxilla. Patient sometimes had pain swelling but It has been recurring in recent years and the condition was improving with the administration of antibiotic therapy. Surgical treatment with tooth extraction of canine with cystectomy and apicoectomy of lateral incisive were the methods of choice. This case report discusses a diagnosis and successful surgical therapy for a radicular cyst.