Surgical Management of Inflammatory Radicular Cyst in Maxillary Anterior Teeth: A Clinical Case Report

Abstract

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.