Multidisciplinary Approach in
Management of a Large Cystic Lesion in
Anterior Maxilla - A Case Report
Published: May 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5992
Abhinav Diwan, Moushmi Chalakka Rayil Bhagavaldas , Vivek Bagga, Akshay Shetty
1. Professor, Department of Conservative Dentistry & Endodontics, Sri Rajiv Gandhi Dental College & Hospital, Bangalore, India.
2. Post Graduate Student, Department of Conservative Dentistry & Endodontics, Sri Rajiv Gandhi Dental College & Hospital, Bangalore, India.
3. Post Graduate Student Department of Oral & Maxillofacial Surgery, Sri Rajiv Gandhi Dental College & Hospital, Bangalore, India.
4. Professor, Department of Oral & Maxillofacial Surgery, Sri Rajiv Gandhi Dental College & Hospital, Bangalore, India.
Correspondence
Dr. Abhinav Diwan,
Professor, Department of Conservative Dentistry & Endodontics, Sri Rajiv Gandhi Dental College & Hospital, Bangalore-560032, India.
E-mail : drabhinavdiwan@yahoo.co.in
Management of large cystic lesion requires a multidisciplinary approach. In this case report a large radicular cyst is managed by conventional root canal treatment with triple antibiotic paste followed by surgical enucleation. In this case, patient presented with a 4 cm symptomatic swelling of the palate adjacent to teeth 21, 22 and 23. The swelling was soft on palpation and the overlying mucosa was of normal color. Radiographically, a well-defined unilocular radiolucency with corticated margins was seen. A full-thickness flap was reflected and revealed a large cyst-like lesion that had perforated the lingual cortical plate. The lesion was enucleated and submitted for microscopic examination. The biopsy report confirmed the diagnosis as radicular cyst.The patient was recalled after 6 months, and no symptoms or signs were noted. Radiograph showed the healing lesion.
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