Resumen

TOOTLA, S et al. Radicular cyst: Atypical presentation and therapeutic dilemma. S. Afr. dent. j. [online]. 2017, vol.72, n.8, pp.379-382. ISSN 0375-1562.  http://dx.doi.org/10.17159/2519-0105/2017/v72no8a6.

Radicular cysts most commonly occur in men in the third to fifth decades of life, presenting in the maxillary anterior region. They are of frequent occurrence but are usually asymptomatic and are often a serendipitous discovery when routine radiographs are taken. These cysts may present as multiple lesions affecting a number of teeth. Although the cysts usually heal after endodontic therapy alone, larger lesions may need additional treatment. When surgical enucleation in combination with endodontics is the treatment of choice, there is a possibility of inadvertent injury to adjacent teeth or structures. This case highlights an unusual presentation of symptomatic multilocular radicular cysts in the mandible of a female, subsequent endodontic treatment of the involved teeth and surgical enucleation of the cysts. Management of radicular cysts is case dependent and decisions should be based on medical and dental histories, the size and location of the cysts, and consideration of associated structures.

Palabras clave : radicular cysts; multilocular; endodontic treatment.

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