Surgical Symphony: Tackling Large Periapical Cysts with Precision

Authors

Paridhi Agrawal, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Manoj Chandak, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Pooja Agrawal, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Nitin Bhola, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Rajnikant Kambala, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Samiha Khan, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Aayushi Pakhale, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Jay Bhopatkar, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Tejas Suryawanshi, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow
Palak Hirani, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, MaharastraFollow

DOI

https://doi.org/10.70174/iajd.v16i1.1401

Abstract

This case report details the comprehensive treatment of a large radicular cyst in a 48-year-old male with a five-year history of swelling and pus discharge in the upper anterior jaw. Clinical and radiographic examinations, including CBCT, revealed a significant periapical lesion involving multiple teeth. The multidimensional treatment began with meticulous endodontic therapy for teeth 12, 11, 21, and 22, followed by Platelet-rich fibrin (PRF) application to enhance healing. Surgical cystic enucleation was performed under local anesthesia, involving flap elevation and cyst removal, confirmed by biopsy as a radicular cyst. Apicoectomy and retrograde filling with mineral trioxide aggregate (MTA) were executed. A nanocrystalline hydroxyapatite (NCHA) bone graft was placed in the cystic cavity to promote bone regeneration. Six-month follow-up radiographs showed significant bone regeneration, validating the success of this tailored, evidence-based approach, and contributing valuable insights into periapical cyst management.

Recommended Citation

Agrawal, Paridhi; Chandak, Manoj; Agrawal, Pooja; Bhola, Nitin; Kambala, Rajnikant; Khan, Samiha; Pakhale, Aayushi; Bhopatkar, Jay; Suryawanshi, Tejas; and Hirani, Palak (2025) "Surgical Symphony: Tackling Large Periapical Cysts with Precision," International Arab Journal of Dentistry: Vol. 16: Iss. 1, Article 15.
DOI: https://doi.org/10.70174/iajd.v16i1.1401
Available at: https://e-journals.usj.edu.lb/iajd/vol16/iss1/15