Successful Conservative Surgical Approache of Large Paediatric Radicular Cysts Using Marsupialization Technique: A rare two case reports

Document Type : Original Article

Authors

1 Assisstant Prof. in Oral and Maxillofacial Surgery Department

2 Lecturer in Oral & Maxillofacial Surgery Department

3 Lecturer in Oral Pathology Department.

4 Assisstant Prof. in Oral & Maxillofacial Surgery Department Faculty of Dentistry, University of Tripoli, Libya.

Abstract

Children exhibit many pathological lesions involving the jaw bones. Radicular cysts are common inflammatory odontogenic cysts that arise from epithelial cell rests of Malassez due to periapical infection, originating from pulpal necrosis of a non-vital tooth. Radicular cysts are relatively rare in the primary dentition because of the distinct biological cycle of primary teeth. It comprise about 52% to 68% of all the cysts which affect the human jaw. Radicular cysts are usually asymptomatic, unless secondary infected, and discovered during routine dental radiographic examination. The lesion is seen radiographically as a circumscribed, well-defined radiolucent area bound by a thin radiopaque line. The treatment of the cysts can be either non-surgical management or surgical management being either marsupialization or enucleation. However, the treatment option should be kept as conservative as possible. 

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