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Journal : Cakradonya Dental Journal

Apex Resection and Retrograde Filling After Enucleation of Radicular Cyst : A Case Report Teuku Ahmad Arbi; Abdul Latif
Cakradonya Dental Journal Vol 5, No 2 (2013): Desember 2013
Publisher : FKG Unsyiah

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Abstract

Radicular cyst is a cyst at the apex of a non-vital tooth and is a sequel of pulp inflammation. The associated tooth is usually asymptomatic. Acute infectious episodes may cause pain. The lesion appears as a sharply circumscribed radiolucent lesion around the apex of the associated tooth. Several treatment options exist for such cysts. Many small cysts resolve with endodontic therapy (‘root canal treatment’) of the involved tooth. Those lesions should be monitored to ensure such resolution. Cysts that fail to resolve with such therapy should be surgically removed. This is often accompanied by an ‘apex resection’ of the tooth involved. This entails cutting off the end of the tooth and sealing, preventing the leakage of root canal filling. We present a case of Indonesian female, 24 years old with radicular cyst at second left maxillary incisor. The teeth was already performed root canal treatment, but the cyst did not decreased in size and the teeth was mobile. We decided to perform enucleation and apex resection of involved teeth. A mucoperiosteal flap over the cyst is raised a window is opened in the bone to give adequate access. The cyst is carefully separated from its bony wall. The entire cyst is removed intact. The apex was cutting off 3 mm and MTA was place at the orifice of the root. The edge of bony cavity are smoothened off, free bleeding is controlled and cavity is irrigated to remove debris. Mucoperiosteal flap is replaced back and sutured in place. Three weeks after surgery, the patient has no complain on operation area, the tooth was not mobile and no pain. Radiographic evaluation shows that the operation area is healing successfully.
Apex Resection and Retrograde Filling After Enucleation of Radicular Cyst : A Case Report Teuku Ahmad Arbi; Abdul Latif
Cakradonya Dental Journal Vol 5, No 2 (2013): Desember 2013
Publisher : FKG Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Radicular cyst is a cyst at the apex of a non-vital tooth and is a sequel of pulp inflammation. The associated tooth is usually asymptomatic. Acute infectious episodes may cause pain. The lesion appears as a sharply circumscribed radiolucent lesion around the apex of the associated tooth. Several treatment options exist for such cysts. Many small cysts resolve with endodontic therapy (root canal treatment) of the involved tooth. Those lesions should be monitored to ensure such resolution. Cysts that fail to resolve with such therapy should be surgically removed. This is often accompanied by an apex resection of the tooth involved. This entails cutting off the end of the tooth and sealing, preventing the leakage of root canal filling. We present a case of Indonesian female, 24 years old with radicular cyst at second left maxillary incisor. The teeth was already performed root canal treatment, but the cyst did not decreased in size and the teeth was mobile. We decided to perform enucleation and apex resection of involved teeth. A mucoperiosteal flap over the cyst is raised a window is opened in the bone to give adequate access. The cyst is carefully separated from its bony wall. The entire cyst is removed intact. The apex was cutting off 3 mm and MTA was place at the orifice of the root. The edge of bony cavity are smoothened off, free bleeding is controlled and cavity is irrigated to remove debris. Mucoperiosteal flap is replaced back and sutured in place. Three weeks after surgery, the patient has no complain on operation area, the tooth was not mobile and no pain. Radiographic evaluation shows that the operation area is healing successfully.
Co-Authors Abd. Rauf Abdul Aziz Sulaiman Abdul Hakim Abdul Rahmanb Adcharina Pratiwi Ade Destri Deviana Ahksan ahmad arifin Ahmad Fadhel Syakir Hidayat Ahmad Roziq Aji Somantri Akfika Rizky Sabilla Akhirudin Akhmad Baihaqi Alfu Laila Ana Fitriyatul Bilgies Andi Mardiana Andi Muhammad Riefky Annisya San Shabira anshari, muhammad luthfi Aprilia Puji Astuti Arifhan Ady Dj Arinny Astary Gobel Arlistria Muthmainnah Arsyad Asep Suherno Aswin Nasution Aura Puspaningrum Aznal Huyo Azwar Annas Azzahra, Naoera Aliya Bagio Bahtiyar Yusuf BASTIAN BASTIAN, BASTIAN Bella Fevi Aristia Christopher Nathanael Novian Cici Sulista Cici Sulista Damayanti, Elok Dede Santi Dedeh Rosmaniar Sofia Dedi Sumanto Desma Natalia Hutauruk DEWI RAHMAWATI Didit Darmawan Dwi Gunadi Edi Tri Astuti Eka Putri Nurhidayah Elsa Mahardika Elsa Saqila Al Fathikha Erna Apriani Eva Yuniarti Utami Ewalde Yovita Bria Fadhilah Ramadhan Fadilah Kadir Fahmi Rizal Faisal Mubarak Faizin, Rusdi Farhan Sukarno Putra Farihen Faris Maulana Akbar fathonah Fina Nikmatul Wasi’ah Firka Manggo Fitrianti S. Panambang Hadija Inangge  Hafidah Aribah Hamzah Hana Gardenia Mahbubah HAPRABU, ERIEK SATYA Harrits Fadhillah Ahmad Hasanuddin Helmy Purwanto Heni Amilia Putri Herlina Ahmad Hery Chariansyah Hery Widijanto Iglesias Enmart Jeremia Ikhya’ Hisyamuddin Indra Permana Ismail Makuta Iwan Aflanie Jamaluddin Jamaluddin Jumailah La Ode Abdul Musawir Laily Nurmalia Lili Hasliana Luqman Haqiqi Amirullah Lutfi Lutfiatus Zuhro M.Kamil Ramma Oensyar Maharajab Dinul Maila Aflahul Karimah Mamluatul Hasanah Mashuri Mashuri Mayla Aflahul Karimah Moch. Nurcholis Mohamad Akbar F. Ibrahim Mohammad Fajrul Falah Afandi Muh. Aris Arifin Muh. Ikhwan Iskandar Muhamad Novreysa Muhammad Aqshel Revinzky Muhammad Hariri Sunnah Muhammad Ihsan Muhammad Jalil Muhammad Kaffin Hasbi Muhammad Nafi’ Muhammad Zaini Abdul Ghoni Muharajabdinul, Muharajabdinul Mushfirah Arif Nada, Nadariah Nadia Paputungan Nia Insyiani Niken Rahmita Ni’matul Fauziah Nonce Pakaya Nonce Pakaya Nopi Nurpitasari Nur Cholid Nur Ikhwan Rajabi Nurfazria Baid Nurfi Etika Ningrum Nurhikmah Nuril Mufidah Nursyam Anwar Nurul Lail Rosyidatul Muammaroh Nurul Lathifah Oktafia Damayanti Perdana, Muhammad Aditya Qhisthina Atikah R.R. Hesty Setyodyah Lestari Rahman, Muhammad Iqbal Rahman, Rifqi Aulia Reno Rifky Pakaya Rima Ayu Lestari Rina Azzahra Fili Riska Fii Ahsani Riya Andriyani Ahmad Rizki Fatonah Rofiqy Nurus Sanusi Rosalia Irawaty Roshifah Jauhari Runi Yulia Ruslan Bauna Rustam Yulianto Sahabudin Sahnip Samiel, Edi Silviana Simbolon Slamet Mulyani Sri Handayani Suci Ramadhan Suriati Lamatenggo Syaipul Pahru Syamsuddin Syamsuddin Syamsuni Tasni, Nurfaida Teuku Ahmad ARBI Tiara Putri Hartanto Titin Kholisna Tontowi Ashari Tsabitah, Sahlaa Vany Rolliyta Ansir Wisran Hadipura Zakirasli, Arriq Zulfa Zakiatul Hidayah