Abstract

BEHIND THE ROOT: TWO CASES OF RADICULAR CYST

*Dr. Kanchan M Birajdar, Dr. Rohan Chaudhari, Dr. Birangane R S., Dr. Pratik Parkarwar, Dr. Rahul Bopte

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Abstract

Background: Radicular cysts are the most common inflammatory odontogenic cysts, often arising in response to pulpal necrosis secondary to dental trauma or infection. They commonly affect the anterior maxilla and may present asymptomatically or with pain and swelling. Case Report: Case I: A 33-year-old female with pain and swelling in the anterior maxilla. Radiographic findings revealed a welldefined radiolucency associated with 21 and 22, root resorption, and cortical plate loss. CBCT findings and clinical signs indicated secondary infection. The patient underwent enucleation and completion of root canal therapy. Histopathology confirmed an inflammatory odontogenic cyst. Case II: An 18-year-old female with a gradually enlarging swelling involving 11–14, accompanied by pain. Imaging showed a large unilocular radiolucency with root resorption and cortical destruction. FNAC yielded straw-coloured fluid with blood. Histopathology confirmed an infected radicular cyst. Treatment involved root canal therapy and surgical enucleation. Conclusion: These cases emphasize the importance of timely diagnosis and intervention in managing radicular cysts. Advanced imaging and histopathology play a key role in diagnosis, while a multidisciplinary approach ensures successful outcomes.

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