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Radicular cyst associated with endodontically treated deciduous tooth: a case report.

S S Bhat1, M Vidhya, S Sargod

  • 1Department of Pedodontics, Yenepoya Dental College, Kodialbail, Mangalore, Karnataka.

Journal of the Indian Society of Pedodontics and Preventive Dentistry
|February 10, 2004
PubMed
Summary

A radicular cyst from an endodontically treated baby tooth displaced a permanent tooth, causing jaw expansion. Surgical removal and histopathology confirmed the cyst, noting unusual material within its lining.

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Area of Science:

  • Dentistry
  • Oral Pathology
  • Pediatric Dentistry

Background:

  • Radicular cysts can arise from non-vital teeth, including deciduous ones.
  • Endodontic treatment in primary teeth aims to preserve space and function.
  • Cystic lesions in the jaws can impact developing permanent dentition.

Observation:

  • A case report details a radicular cyst associated with an endodontically treated deciduous second molar.
  • The cyst caused significant displacement of the permanent successor tooth.
  • Buccal expansion of the jaw was also noted in the affected area.

Findings:

  • Surgical excision of the cystic sac and the involved deciduous molar was performed under general anesthesia.
  • Histopathological examination confirmed the lesion as a radicular cyst.

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  • Unusual amorphous, eosinophilic, atubular material was observed within the cystic epithelium.

    • Implications:

    • This case highlights a rare complication of endodontically treated deciduous teeth.
    • Radicular cysts can lead to significant developmental disturbances in permanent teeth.
    • Early diagnosis and management are crucial for preserving the developing dentition.