Radicular cysts are the most common cystic lesions in the jaws and are usually associated with a necrotic tooth. This case report presents a large radicular cyst involving the right maxillary central and lateral incisors. A 46-year-old male patient reported to our department with a chief complaint of swelling, discoloration, and pus discharge on application of external digital pressure in the upper front tooth region for 2 weeks. Advanced radiography like cone beam computed tomography (CBCT), apicoectomy, and histopathological investigation like biopsy, along with bone graft and collagen membrane, contributed to successful endosurgical management of this case. The treatment of choice for this case was enucleation under local anesthesia. No recurrence was noted during the follow-up period. At 12-month follow-up, CBCT showed complete reformation of the labial cortical plate and significant bone healing. Thus, the use of guided tissue regeneration should be considered as an adjunct in the management of large periapical lesions in medically compromised patients.
Patankar et al. (Thu,) studied this question.