Surgical approach to radicular cyst with repositioning of the inferior alveolar nerve: A case report

Riadin J. Patomo, Adhitya Latief, Benny S. Latief

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

Introduction: Radicular cysts are the most common cystic lesions in the jaw, with a prevalence of approximately 52% to 68% cysts affecting the jaw. These cysts are associated with non-vital teeth. Nonsurgical treatment includes root canal therapy, where the lesion is localized, or surgical treatment such as enucleation of a large lesion. In this case report, we described the surgical approach of a right mandibular radicular cyst with relocation of the inferior alveolar nerve due to surgical enucleation. Case Report: A 61-year-old female patient attended the division of oral and maxillofacial surgery at Jakarta Hospital with the chief complaint of pain, swelling and paresthesia of the right posterior jaw. Intra-oral clinical examination revealed swelling at the buccal mucosal region #44-46. Unilocular periapical radiolucency associated with teeth #44-46 was revealed on a panoramic radiograph. The patient was treated by surgical enucleation under general anesthesia. Conclusion: Enucleation with relocation of the inferior alveolar nerve was performed to remove the radicular cyst. Depending on the size and extent of the lesion, surgical enucleation of a radicular cyst is necessary for optimal treatment and prevention of recurrence.

Original languageEnglish
Title of host publicationClinical Reports in Dentistry
PublisherNova Science Publishers, Inc.
Pages173-179
Number of pages7
ISBN (Electronic)9781536173291
ISBN (Print)9781536173284
Publication statusPublished - 3 Apr 2020

Keywords

  • Enucleation
  • Inferior alveolar nerve
  • Mandible
  • Radicular cyst

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