Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Progression of periapical cystic lesion after incomplete endodontic treatment

  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, Yonsei University College of Dentistry) ;
  • Yang, Dong-Kyu (Department of Conservative Dentistry, Oral Science Research Center, Yonsei University College of Dentistry) ;
  • Jeon, Kug-Jin (Department of Oral and Maxillofacial Radiology, Yonsei University College of Dentistry) ;
  • Shin, Su-Jung (Department of Conservative Dentistry, Oral Science Research Center, Yonsei University College of Dentistry)
  • Received : 2015.11.05
  • Accepted : 2016.01.08
  • Published : 2016.05.31
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Abstract

We report a case of large radicular cyst progression related to endodontic origin to emphasize proper intervention and follow-up for endodontic pathosis. A 25 yr old man presented with an endodontically treated molar with radiolucency. He denied any intervention because of a lack of discomfort. Five years later, the patient returned. The previous periapical lesion had drastically enlarged and involved two adjacent teeth. Cystic lesion removal and apicoectomy were performed on the tooth. Histopathological analysis revealed that the lesion was an inflammatory radicular cyst. The patient did not report any discomfort except for moderate swelling 3 days after the surgical procedure. Although the patient had been asymptomatic, close follow-ups are critical to determine if any periapical lesions persist after root canal treatment.

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References

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  1. Factors Associated with Incomplete Endodontic Care vol.47, pp.9, 2021, https://doi.org/10.1016/j.joen.2021.06.012