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Progression of periapical cystic lesion after incomplete endodontic treatment

Restorative Dentistry & Endodontics 2016³â 41±Ç 2È£ p.137 ~ 142
ÇãÁ¾±â, ¾çµ¿±Ô, Àü±¹Áø, ½Å¼öÁ¤,
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ÇãÁ¾±â ( Huh Jong-Ki ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
¾çµ¿±Ô ( Yang Dong-Kyu ) - Yonsei University College of Dentistry Department of Conservative Dentistry
Àü±¹Áø ( Jeon Kug-Jin ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Radiology
½Å¼öÁ¤ ( Shin Su-Jung ) - Yonsei University College of Dentistry Department of Conservative Dentistry

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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Incomplete endodontic treatment; Radicular cyst; Surgical intervention

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