Radicular cyst removal under GA

Dr Nazrul Islam

A patient aged 28 years came with the complaint of a large facial swelling with pain. His X-ray revealed a large radiolucent area around an old root canal treated tooth with distal root displacement of both lower canines and incisors. Aspiration of the lesion showed cystic fluid and a clinical diagnosis of a radicular cyst of the jaw was made.

Radicular cysts are usually slow growing and asymptomatic, unless infected or has clinical signs like swelling and teeth displacement. Radiological appearance shows well defined rediolucent area with clear margin and adjacent teeth maybe displaced but don’t have root resorption. Clinical aspiration may show cystic fluid which will show cholesterol crystal when dried on a gauge. Treatment options include marsupialization of the cyst or enucleation of the cyst along with its lining.

In the above mentioned case, surgical inoculation of the cyst was done under GA with bone guttering. Follow up X-ray after 6 month showed good bony healing and no sign of the recurrence at the affected area.