Decompression and Enucleation of a Mandibular Radicular Cyst, Followed by Bone Regeneration and Implant-Supported Dental Restoration

Overview

Journal Case Rep Dent

Publisher Wiley

Specialty Dentistry

Date 2019 Feb 8

PMID 30729045

Citations 7

Authors

M AboulHosn

Z Noujeim

N Nader

A Berberi

Affiliations

Soon will be listed here.

Abstract

Odontogenic cysts are usually treated by enucleation (cystectomy). Limited cysts (less than 5 cm) are usually managed by primary excision (total cystectomy), whereas larger ones (exceeding 5 cm) are often decompressed or marsupialized. Because it consists only of opening a much smaller surgical window, decompression is regarded as a more conservative method of treatment: this method associates the creation of an opening (window) into the cystic cavity with the suturing of a decompressing device (plastic tube or stent) at the periphery of the cyst. Apart from releasing intraluminal pressure in the pathological cavity, this procedure helps the lesion to progressively decrease in volume "with a gradual increase in bone apposition" and preserves pulp vitality and periodontal integrity of the adjacent teeth. We are reporting a case of a mandibular radicular cyst that was treated by decompression, followed by enucleation, bone reconstruction, and restoration with two osseointegrated dental implants. The cystic cavity progressively decreased in volume and increased in bone density.

Citing Articles

The outcomes between cystic decompression and marsupialisation methods in odontogenic cysts and cyst-like tumours: A retrospective comparative study.

Rungsaeng K, Pittayapat P, Panya S, Kamolratanakul P J Oral Maxillofac Pathol. 2025; 28(4):612-618.

PMID: 39949677 PMC: 11819622. DOI: 10.4103/jomfp.jomfp_136_24.

Integrated Management of a Large Radicular Cyst: A Case Report on Efficacy of Decompression and Conservative Approaches.

Chamani A, Moushekhian S, Zarei M, Shakiba R, Davarian M Clin Case Rep. 2025; 13(1):e70070.

PMID: 39764268 PMC: 11702455. DOI: 10.1002/ccr3.70070.

Decompression of a Dentigerous Cyst Treatment in Mixed Dentition: A Case Report with 5 Years Follow-Up.

Berberi A, Aad G, Nassar M, Maalouf G, Nader N Case Rep Dent. 2023; 2023:8628326.

PMID: 38045018 PMC: 10692702. DOI: 10.1155/2023/8628326.

Minimally Invasive Two-Staged Surgery in the Treatment of Large Cystic Lesions of the Jaw.

Irimia A, Moraru L, Ciubotaru D, Caruntu C, Farcasiu A, Caruntu A Healthcare (Basel). 2021; 9(11).

PMID: 34828577 PMC: 8621310. DOI: 10.3390/healthcare9111531.

[Three-dimentional radiographic features of 67 maxillary radicular cysts].

Meng Y, Zhang L, Zhao Y, Liu D, Zhang Z, Gao Y Beijing Da Xue Xue Bao Yi Xue Ban. 2021; 53(2):396-401.

PMID: 33879917 PMC: 8072440.

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