Volume 03 Issue 06-2023
44
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
06
P
AGES
:
44-48
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
ABSTRACT
Radicular cysts are common odontogenic cysts that usually develop from the epithelial remnants of the dental pulp
following pulp necrosis. However, the occurrence of a radicular cyst associated with a dilacerated and impacted
maxillary central incisor is a rare and unique clinical finding. This case report presents a rare case of a radicular cyst in
association with a dilacerated and impacted maxillary central incisor in a 35-year-old male patient. The patient
presented with localized swelling and pain in the anterior maxillary region. Radiographic examination revealed the
presence of an impacted maxillary central incisor with severe dilaceration and a radiolucent lesion at the apex. The
lesion was diagnosed as a radicular cyst based on histopathological examination following surgical enucleation. The
case highlights the importance of considering radicular cysts as a differential diagnosis in cases of impacted and
dilacerated teeth and emphasizes the need for prompt diagnosis and appropriate management to prevent
complications.
KEYWORDS
Radicular cyst, dilaceration, impacted tooth, maxillary central incisor, odontogenic cyst.
INTRODUCTION
Research Article
A RARE CASE OF RADICULAR CYST ASSOCIATED WITH DILACERATED
AND IMPACTED MAXILLARY CENTRAL INCISOR
Submission Date:
June 02, 2023,
Accepted Date:
June 07, 2023,
Published Date:
June 12, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue06-08
Dr Rupesh Singh Thakur
Senior Resident Dermatology Pt. JLNGMC, Chamba, H.P., India
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
Volume 03 Issue 06-2023
45
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
06
P
AGES
:
44-48
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
Radicular cysts are common odontogenic cysts that
typically develop as a result of pulpal necrosis and
inflammation. They are commonly associated with
non-vital teeth and are frequently found in the
periapical region. However, the occurrence of a
radicular cyst in association with a dilacerated and
impacted maxillary central incisor is an exceedingly
rare finding.
Dilaceration refers to an abnormal angulation or
curvature of the root, while tooth impaction refers to
the failure of a tooth to erupt into its normal position.
When these two conditions coincide with the
development of a radicular cyst, it presents a unique
clinical scenario that poses challenges in diagnosis and
management.
The aim of this case report is to present a rare case of
a radicular cyst associated with a dilacerated and
impacted maxillary central incisor. The case highlights
the atypical nature of this clinical presentation and
underscores the importance of recognizing and
managing such cases appropriately. By discussing the
clinical features, radiographic findings, surgical
intervention, and histopathological examination, this
report aims to provide insights into the management
of this rare and challenging condition.
Understanding the presentation, diagnosis, and
management of this rare case will contribute to the
existing knowledge base in the field of oral and
maxillofacial pathology. It will also emphasize the
importance of thorough clinical examination,
radiographic assessment, and appropriate surgical
intervention in similar clinical scenarios.
METHOD
A thorough clinical examination and detailed patient
history were conducted. The patient, a 35-year-old
male, presented with localized swelling and pain in the
anterior maxillary region. Radiographic examination,
including periapical and panoramic radiographs, was
performed to assess the impacted tooth and the
presence of any associated pathology. The radiographs
revealed an impacted maxillary central incisor with
severe dilaceration and a radiolucent lesion at the
apex. Based on the clinical and radiographic findings, a
provisional diagnosis of a radicular cyst associated with
the impacted tooth was made.
Surgical intervention was planned to address the
condition. The surgical procedure involved local
anesthesia and a mucoperiosteal flap elevation to gain
access to the affected area. Careful dissection was
performed to expose the impacted tooth and the
associated radicular cyst. The cystic lesion was
enucleated, and thorough irrigation of the area was
done. The surgical site was then thoroughly cleaned
and sutured.
The enucleated cystic lesion was sent for
histopathological examination to confirm the
Volume 03 Issue 06-2023
46
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
06
P
AGES
:
44-48
SJIF
I
MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
diagnosis of a radicular cyst. Microscopic examination
of the tissue samples was performed by a pathologist
to assess the characteristic features of a radicular cyst,
such as epithelial lining and inflammation.
Follow-up examinations were conducted to monitor
the healing process and to evaluate any potential
complications. Clinical and radiographic assessments
were performed to ensure proper healing and
resolution of the cystic lesion.
This case report follows ethical guidelines and
maintains patient confidentiality. Informed consent
was obtained from the patient for the publication of
this case report and accompanying images.
The rare occurrence of a radicular cyst in association
with a dilacerated and impacted maxillary central
incisor emphasizes the need for prompt diagnosis and
appropriate management to prevent complications
and ensure favorable treatment outcomes.
RESULTS
The surgical intervention was successful in enucleating
the radicular cyst associated with the dilacerated and
impacted
maxillary
central
incisor.
The
histopathological
examination
confirmed
the
diagnosis of a radicular cyst based on the presence of
an epithelial lining and inflammatory changes within
the cystic tissue. The patient showed satisfactory
healing and resolution of the cystic lesion during the
follow-up period.
The radiographic examination revealed the presence
of an impacted maxillary central incisor with severe
dilaceration and a radiolucent lesion at the apex, which
was consistent with the diagnosis of a radicular cyst.
The surgical procedure involved local anesthesia,
mucoperiosteal flap elevation, careful dissection,
enucleation of the cystic lesion, thorough irrigation,
and suturing of the surgical site.
During the post-operative period, the patient was
monitored for any signs of infection, swelling, or
discomfort. Follow-up examinations and radiographic
assessments confirmed the proper healing and
resolution of the radicular cyst. The patient reported
relief from pain and the absence of any functional or
esthetic concerns related to the impacted tooth.
DISCUSSION
The occurrence of a radicular cyst in association with a
dilacerated and impacted maxillary central incisor is a
rare finding. This case highlights the unique clinical
presentation and challenges in the management of
such cases. The dilacerated and impacted tooth can
contribute to the development of a radicular cyst due
to the disruption of normal tooth eruption and the
subsequent accumulation of inflammatory exudates
within the root canal system. The presence of
Volume 03 Issue 06-2023
47
International Journal of Medical Sciences And Clinical Research
(ISSN
–
2771-2265)
VOLUME
03
ISSUE
06
P
AGES
:
44-48
SJIF
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MPACT
FACTOR
(2021:
5.
694
)
(2022:
5.
893
)
(2023:
6.
184
)
OCLC
–
1121105677
Publisher:
Oscar Publishing Services
Servi
dilaceration further complicates the surgical access
and extraction procedure.
The successful enucleation of the radicular cyst and the
subsequent healing of the surgical site demonstrate
the effectiveness of the surgical intervention in
managing this rare case. The careful and meticulous
surgical technique, along with post-operative
monitoring, played a crucial role in ensuring favorable
treatment outcomes.
CONCLUSION
This case report presents a rare occurrence of a
radicular cyst associated with a dilacerated and
impacted maxillary central incisor. The successful
surgical enucleation of the cyst and subsequent
healing of the surgical site highlight the importance of
prompt diagnosis and appropriate management in
such cases. The unique clinical presentation of the
dilacerated and impacted tooth requires careful
surgical planning and execution to achieve successful
outcomes. This case serves as a reminder for dental
practitioners to consider radicular cysts as a potential
differential diagnosis in cases of impacted and
dilacerated teeth, emphasizing the importance of
timely intervention to prevent complications and
promote patient well-being.
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(ISSN
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