SURGICAL MANAGEMENT OF GIANT RADICULAR CYST OF MAXILLARY CENTRAL AND LATERAL INCISOR FOLLOWED BY APICOECTOMY- A CASE REPORT

Radicular cysts are inflammatory odontogenic cysts of tooth bearing areas of the jaws. Most of these lesions involve the apex of offending tooth and appear as well-defined radiolucencies. Owing to its clinical characteristics similar to other more commonly occurring lesions in the oral cavity, differential diagnosis should include dentigerous cyst, ameloblastoma, odontogenic keratocyst, periapical cementoma and Pindborgtumour. Majority of these lesions engross the whole apex and appear as precise radiolucencies. The cystic lesion lined with the epithelium, which filled with fluid therefore, they are generally referred to as a true cyst. Based on clinical, radiographical and histopathological findings, the present case was diagnosed as an infected radicular cyst. The clinical characteristics of this cyst could be considered as an interesting and unusual due to its giant nature. The lesion was surgically enucleated without any postoperative complications and satisfactory healing, was achieved. Various mode of treatment available for radicular cyst management including surgical and non-surgical procedures, the present case report discuss the surgical management of radicular cyst of maxillary central and lateral incisors.