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Conservative Approach in Managing Complex Odontogenic Lesions: A Case Report and Literature Review
R J Vijayashree1, Deepanjali Megarasu2, Jeyaseelan Ramasamy3
1Oral and Maxillofacial Pathology, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research, Chennai, IND.
Cureus
|September 4, 2024
Summary
Radicular cysts, common maxillofacial lesions, can be effectively managed with conservative treatments like decompression. This approach, combined with individualized care, ensures optimal outcomes and prevents recurrence for patients.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Pathology
Background:
- Radicular cysts are prevalent odontogenic cystic lesions.
- Maxillofacial region cysts require careful management.
- Odontogenic cysts present diagnostic and therapeutic challenges.
Observation:
- A case report details the management of a large radicular cyst in the anterior maxillary region of a 32-year-old female.
- The patient presented with a significant cystic lesion requiring intervention.
- The lesion impacted the anterior maxillary area.
Findings:
- Conservative management, including cyst decompression, proved effective in reducing cyst size.
- Surgical enucleation, tooth extractions, root canal treatments, and periapical curettage were performed.
- Prosthetic rehabilitation was necessary for functional and aesthetic restoration.
Implications:
- Conservative approaches like decompression are vital for managing radicular cysts.
- Individualized treatment plans are essential for optimal patient outcomes.
- Multidisciplinary collaboration is key to successful radicular cyst management and long-term oral health.

