Giant radicular cyst of the maxilla: a report of two clinical cases

Kista radikuler raksasa pada rahang atas: laporan dua kasus klinis

Abstract

Surgical treatment of radicular cysts such as enucleation, marsupialisation or decompression in large lesions. This article discus-ses the management of radicular cysts. Firstly, a 38-year-old man complained of an enlargement of the gingiva to the buccal ves-tibule of the 13-17 tooth region that had been felt for 1.5 years, with a size of ±5x3x5 cm, hard consistency, crepitation, no palpa-tion pain. Secondly, a 54-year-old female complained of enlargement of the buccal vestibule of teeth 13-21 that had been felt for 3 months with a size of ±2.5x1.5x1 cm, hard consistency, crepitation, no palpation pain. Panoramic radiographs and CBCT of both cases showed suspected aggressive lesions extending from the alveolar bone of the teeth. Both were treated with cyst enuclea-tion and multiple extractions under general anaesthesia; histopathological examination resulted in radicular cysts. It was concluded that it is very important for dentists to determine the appropriate diagnosis and treatment plan, based on the extent of the cystic lesion as seen from the radiographic examination to obtain information on the extent of bone, tooth and soft tissue affected.