Large Asymptomatic Maxillary Radicular Cysts Simulating Odontogenic Keratocysts or
Bone Tumor Lesions: Importance of Radiographic Investigation
Luca Vigano 1*, Pudylyk Diana 2, Peroni Giona 2, Antuono Dalila2,
Tregambi Federica2, Di Felice Silvia2 and Cinzia Casu3
1DDS, Department of Oral Radiology, San Paolo Dental Building, University of Milano, Italy
2Dentistry Student, ASST Santi Paolo e Carlo, San Paolo Dental Building, University of Milan, Italy
3DDS, Department of Surgical Science, Oral Biotechnology Laboratory (OBL),
University of Cagliari, Italy
*Corresponding Author:Luca Viganò, DDS, Department of Oral Radiology, San Paolo Dental Building, University of Milano, Italy.
Received: March 21, 2022; Published: April 11, 2022
Background: Radicular cysts are common odontogenic entities, accounting for about 50% of all odontogenic cysts. They are associated with non-vital dental elements in which deep caries or inadequate endodontic treatments allow bacteria to migrate and infect peri-apical areas. Subsequent phlogistic processes trigger embryological epithelial rests potentially present in periodontal ligament, making them proliferate and form a cystic lesion.
Materials and Methods:We reported 2 cases of patients with maxillary radicular cysts associated with non-vital elements. Both patients showed up for routine visit and had no symptoms related to their lesions. Only intra-oral examination and especially radiological investigation could assess the presence of the lesions, allowing further histological investigation to reach a final diagnosis. Treatment included a surgical approach in both patients: cyst was removed and affected teeth or radicular residues were extracted.
Results: A few months later, a post-surgery OPG x-ray was performed and the bone structure appeared completely regenerated as no osteolytic lesions could be detected.
Conclusion: Radicular cysts often affect patients that aren’t aware of their presence, as clinically these entities show no symptoms until very late stages or if infective complications arise. An accurate intra-oral examination and more importantly routinary basic radiographic imaging, e.g., OPG, can identify early maxillary lesions and guide clinicians in their diagnostic approach.
Keywords:Asymptomatic; Maxillary Radicular; Odontogenic; Radiographic
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