Multilocular Radicular Cyst - A Common Pathology with Uncommon Radiological Appearance

Area of Science:

• Dentistry
• Oral Pathology
• Radiology

Background:

• Radicular cysts are the most frequent inflammatory odontogenic cysts, typically arising from pulpal necrosis and periapical inflammation.
• They are usually asymptomatic and present radiographically as well-defined unilocular radiolucencies.

Observation:

• A rare case of a radicular cyst is presented, located periapically to the first molar in the third quadrant.
• Clinically, the cyst manifested as a painless, bony hard swelling.
• Radiographic examination revealed a multilocular radiolucency, an extremely uncommon presentation.

Findings:

• The case highlights a rare multilocular presentation of an inflammatory radicular cyst.
• This contrasts with the typical unilocular radiolucent appearance.

Implications:

• This case underscores the necessity of considering rare radiographic presentations in the diagnosis of radicular cysts.
• Accurate diagnosis is crucial for appropriate management of odontogenic cysts.