TREATMENT OF LARGE RADICULAR CYST OF THE MANDIBLE: A CASE

REPORT
Introduction: Radicular cysts are (one?) the most common cystic lesions of the jaw, comprising
more than 50% of all odontogenic cysts. It occurs most commonly in the third to fifth decades of
life. Males are more frequently affected than females. Radicular cysts are symptomless and
discovered when radiograph are taken, usually when a patient complains of slowly enlarging
swellings. Case report: A 55-year old male came to Department of Oral and Maxillofacial
Surgery, Ciptomangunkusumo Hospital Jakarta, Indonesia, with chief complain of painless
swelling at left mandible. Intra oral inspection showed that there was 35 and 36 gangren radix.
From panoramic radiograph we found large radiolucent lesion with well defined border in 34 37 region. Based on clinical and radiographic examination, the patient was diagnosed with large
radicular cyst of the mandible. Treatment of choice was enucleation and reconstruction plate to
prevent pathologic fracture. Comment: The principle treatment for radicular cyst is enucleation.
In large lesions, the bone width lessen due to cystic expansion. To prevent pathological fracture
reconstruction plate has to be placed after cyst enucleation to support the thinning bone.
Keywords : radicular cyst, enucleation, reconstruction plate