Nonsurgical Treatment of Pathological Cysts of Dental Origin

Dr. Syed Manzoor ul haq Bukhari; Dr. Amrita Dhakal Sharma

doi:10.37841/jidam.2020.v7.i4.002

2

Authors

15

References

2020

Year Published

📝Abstract

Background

Radicular cysts (RC) of dental origin are slow-growing lesions which are asymptomatic in most of the cases. The management of RCs is still existing over a debate. Therefore, we present a study of nonsurgical management of pathological cysts of dental origin.

Aim

To study the success of non-surgical management of patients presenting with pathological cysts of dental origin in terms of healing and recurrence.

Materials and Methods

Prospective study was done in 25 patients presenting with pain and swelling in the Department of conservative and endodontics for a period of 2 years. The cystic cavity was opened and drained using various methods such as decompression, aspiration-irrigation, placement of intracanal Ca (OH)2 and lesion sterilization.

Results

The success rate of nonsurgical treatment was 80 % while 12% of cases presented with recurrence and 8% of cases had delayed healing.

Conclusion

Follow-up and assessment of healing are essential after nonsurgical treatment of the cysts. The surgical approach is used for cases which are refractory to nonsurgical method.

Keywords: Nonsurgical method Ca (OH)2 decompression aspiration-irrigation Cyst

🔖How to Cite

Syed Manzoor ul haq Bukhari, Amrita Dhakal Sharma. Nonsurgical Treatment of Pathological Cysts of Dental Origin. J Indian Dent Assoc Madras. 2020;7(4). DOI: 10.37841/jidam_2020_V7_I4_02

Syed Manzoor ul haq Bukhari et al. (2020). Nonsurgical Treatment of Pathological Cysts of Dental Origin. Journal of Indian Dental Association Madras, 7(4). https://doi.org/10.37841/jidam_2020_V7_I4_02

Syed Manzoor ul haq Bukhari et al. "Nonsurgical Treatment of Pathological Cysts of Dental Origin." Journal of Indian Dental Association Madras, vol. 7, no. 4, 2020. DOI: 10.37841/jidam_2020_V7_I4_02.

Syed Manzoor ul haq Bukhari, Amrita Dhakal Sharma. Nonsurgical Treatment of Pathological Cysts of Dental Origin. J Indian Dent Assoc Madras. 2020;7(4). doi:10.37841/jidam_2020_V7_I4_02

Syed Manzoor ul haq Bukhari, Amrita Dhakal Sharma. "Nonsurgical Treatment of Pathological Cysts of Dental Origin." Journal of Indian Dental Association Madras 7, no. 4 (2020). https://doi.org/10.37841/jidam_2020_V7_I4_02.

📚References

Kramer IR, Pindborg JJ, Shear M. Histologic typing of odontogenic tumors; WHO; 1992.pp.35-6.
Ramachandra P, Maligi P, Raghuveer HP. A cumulative analysis of odontogenic cysts from major dental institutions of Bangalore city: A study of 252 cases. JOMFP. 2011 Jan;15(1):1.
Manjima S, Naik Z, Keluskar V, Bagewadi A. Multiple jaw cysts-unveiling the GorlinGoltz syndrome. Contemporary Clinical Dentistry.2015 Mar;6(1): 102.
Penumatsa NV, Nallanchakrava S, Muppa R, Dandempally A, Panthula P. Conservative approach in the management of radicular cyst in a child: Case report. Case report in Dentristy.2013 Feb.
Karunkarannd JV, Abraham CS, Karthik AK, Jayaprakash N. Succesful nonsurgical management of periapical lesions of endodontic origin: a conservative orthograde approach. Journal of pharmacy &bioallied sciences. 2017 Nov; (1): 246.
Morse DR, Bhambhani SM. A dentists' dilemma: Nonsurgical endodontic therapy or periapical surgery for teeth with apparent pulpal pathosis and an associated periapical radiolucent lesion. Oral surg oral med oral pathol 1990; 70:333-40.
Summer RF, Ostrander FD, Crowley M.C.Clinical endodontics: a manual of scientific endodontics. Philadelphia: WB Saunders, 1956.
Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral surg oral med oral pathol 1972; 34:458-468.
Reit C, Goran-Grondahl H.Management of periapical lesions in endodontically treated teeth. Swed Dent J 1984; 8:1-7.
Shah N. Nonsurgical management of periapical lesions: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology. 1988 Sep; 66(3): 365-371.
Chaudhary S, Tripathi P, Upadhaya Y, Seth P. Successful nonsurgical management of a large radicular cyst: A case report with review of literature. Int J Contemp Dent Med Rev. 2015.
Diwedi S, Dwivedi CD, Chaturvedi TP, Baranwal HC. Management of a large radicular cyst: A non-surgical endodontic approach. Saudi Endodontic Journal. 2014 Sep; 4 (3):145.
Lin LM, Huang GT, Rosenberg PA. Proliferation of epithelia; cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. J endod 2007;33:908-916.
Murphy WK, Kaugars GE, Collett WK, Dodds RN. Healing of periapical radiolucencies after nonsurgical endodontic therapy. Oral surgery, oral medicine, oral pathology.1991 May ;71(5):620-624.
Karunakaran JV, Abraham CS, Karthik AK, Jayaprakash N. Successful nonsurgical management of periapical lesions of endodontic origin: a conservative orthograde approach. Journal of pharmacy & bioallied sciences. 2017 Nov; 9 (1): 246.

[1] Kramer IR, Pindborg JJ, Shear M. Histologic typing of odontogenic tumors; WHO; 1992.pp.35-6.

[2] Ramachandra P, Maligi P, Raghuveer HP. A cumulative analysis of odontogenic cysts from major dental institutions of Bangalore city: A study of 252 cases. JOMFP. 2011 Jan;15(1):1.

[3] Manjima S, Naik Z, Keluskar V, Bagewadi A. Multiple jaw cysts-unveiling the GorlinGoltz syndrome. Contemporary Clinical Dentistry.2015 Mar;6(1): 102.

[4] Penumatsa NV, Nallanchakrava S, Muppa R, Dandempally A, Panthula P. Conservative approach in the management of radicular cyst in a child: Case report. Case report in Dentristy.2013 Feb.

[5] Karunkarannd JV, Abraham CS, Karthik AK, Jayaprakash N. Succesful nonsurgical management of periapical lesions of endodontic origin: a conservative orthograde approach. Journal of pharmacy &bioallied sciences. 2017 Nov; (1): 246.

[6] Morse DR, Bhambhani SM. A dentists' dilemma: Nonsurgical endodontic therapy or periapical surgery for teeth with apparent pulpal pathosis and an associated periapical radiolucent lesion. Oral surg oral med oral pathol 1990; 70:333-40.

[7] Summer RF, Ostrander FD, Crowley M.C.Clinical endodontics: a manual of scientific endodontics. Philadelphia: WB Saunders, 1956.

[8] Bhaskar SN. Nonsurgical resolution of radicular cysts. Oral surg oral med oral pathol 1972; 34:458-468.

[9] Reit C, Goran-Grondahl H.Management of periapical lesions in endodontically treated teeth. Swed Dent J 1984; 8:1-7.

[10] Shah N. Nonsurgical management of periapical lesions: a prospective study. Oral Surgery, Oral Medicine, Oral Pathology. 1988 Sep; 66(3): 365-371.

[11] Chaudhary S, Tripathi P, Upadhaya Y, Seth P. Successful nonsurgical management of a large radicular cyst: A case report with review of literature. Int J Contemp Dent Med Rev. 2015.

[12] Diwedi S, Dwivedi CD, Chaturvedi TP, Baranwal HC. Management of a large radicular cyst: A non-surgical endodontic approach. Saudi Endodontic Journal. 2014 Sep; 4 (3):145.

[13] Lin LM, Huang GT, Rosenberg PA. Proliferation of epithelia; cell rests, formation of apical cysts, and regression of apical cysts after periapical wound healing. J endod 2007;33:908-916.

[14] Murphy WK, Kaugars GE, Collett WK, Dodds RN. Healing of periapical radiolucencies after nonsurgical endodontic therapy. Oral surgery, oral medicine, oral pathology.1991 May ;71(5):620-624.

[15] Karunakaran JV, Abraham CS, Karthik AK, Jayaprakash N. Successful nonsurgical management of periapical lesions of endodontic origin: a conservative orthograde approach. Journal of pharmacy & bioallied sciences. 2017 Nov; 9 (1): 246.