ENUCLEATION OF A GIANT RESIDUAL CYST WITH INFERIOR ALVEOLAR INVOLVEMENT: CASE REPORT WITH A 2-YEAR FOLLOW-UP

¹ Department of Chemical Science and Technologies, University of Rome Tor Vergata, Rome, Italy
² Department of Clinical Sciences and Translational Medicine, University of Rome Tor Vergata, Rome, Italy
³ Materials for Sustainable Development, Department of Chemical Science and Technologies, Dentistry, University of Tor Vergata, Rome, Italy

Correspondence to:

Annals of Stomatology 2023 May-August; 3(2): 63-69
https://doi.org/10.69129/stomatol/2023v3iss2_5

Received: 23 July 2023 Accepted: 19 August 2023

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Abstract

Residual cysts are inflammatory cysts related to dental extractions in the maxillae. Most of these lesions involve edentulous areas affected by previous surgical extractions where inflammatory cysts already existed. Residual cyst presents as well-defined radiolucency with clear margins without erosion of neighboring structures. Rhizolysis, defined as the process of resorption of hard tissues of the dental element, appears to be physiologic during permutation, pathologic in permanent elements, and a possible consequence of many dental treatments. This clinical report aims to describe a surgical treatment of a large cyst resulting from a previous extraction using a simple clot as a cavity filler. Based on clinical, radiographic, and histopathological findings, the present case was diagnosed as an infected residual cyst. The lesion was surgically enucleated; preservation of all other teeth and vital structures was achieved, with no postoperative complications and satisfactory healing.

Keywords: cyst, jaw bones, maxilla