Surgical Management of Inflammatory Radicular Cyst in Maxillary Anterior Teeth: A Clinical Case Report
Ahmed Al-Ashwal, Awadh Maroof Awadh Omar, Hala Ahmed Mohammed Anaam, Omar Ahmed Ismael Al-dossary, Abdulwahab Ismail Al-Kholani
Inflammatory Radicular Cysts (IRCs) are odontogenic cysts resulting from chronic dental infections,
typically due to pulp necrosis secondary to conditions like dental caries or trauma. They develop from
epithelial remnants in periapical tissues stimulated by inflammation or immunological reactions. The
cysts manifest as well-defined radiolucent lesions on radiographs, commonly in the posterior maxilla,
particularly affecting lateral incisors and canines. Clinical symptoms vary from asymptomatic to
mild pain and swelling, often associated with non-responsive teeth on vitality tests. Treatment options
include surgical techniques like enucleation and root-end resection with retrograde filling. This case
report presents the successful surgical management of a large infected radicular cyst associated with
a maxillary anterior tooth, for a 39-year-old male patient reported to the Department of Conservative
Dentistry, EIU Dental College and Republican Hospital, Sana'a, with a chief complaint of swelling
in the upper front region. This case report aims to elucidate pathogenesis, clinical aspects, and
management strategies, emphasizing the role of cone-beam computed tomography in diagnosis and
treatment planning.
