A scientific study at the College of Dentistry documents a successful clinical case of removing a large radicular cyst in the upper jaw

Jaw tumors and associated cysts are rare deformities, but they can have a significant impact on oral and dental health. Although some may not show obvious symptoms in their early stages, they can cause infection or serious complications if left untreated. These cysts can also form near impacted third molars, and due to their potential danger, they must be removed through surgical intervention.

In this context, a research team of students and professors from the Faculty of Dentistry at the International University for Science and Technology completed a clinical case involving a successful surgical procedure to remove a root cyst in the upper jaw of a 50-year-old patient who was suffering from protrusion in the front of his upper jaw. X-rays and clinical examination results revealed a large lesion on the X-ray covering the canine and quadrant areas without significant tissue damage.

Endodontic treatment was performed on the affected teeth (a prerequisite for the success of the surgery), and then the surgery was performed under local anesthesia with a flap extending from the gingiva to the first premolar. After bone removal, the lesion was completely debrided, the treated teeth were cut, the flap was closed and sutured with an external compression bandage and appropriate medication.

The pathological autopsy results revealed the presence of an “old root cyst.” After following up on the patient’s condition for six months, bone density was found in the cyst area, which indicates signs of healing in such cases. In these cases, recurrence and relapse are rare.

This clinical case highlights the importance of accurate diagnosis, appropriate treatment, and surgical intervention in dealing with similar cases. It also shows that combining endodontic treatment and surgery is an effective approach in managing this particular case, emphasizing the need for proper diagnosis, careful treatment planning, and collaboration between different medical specialties to ensure successful outcomes for patients suffering from such cases.

The study was published in the journal Dentistry & Medical Research, affiliated with the well-known Dutch publishing house Wolters Kluwer.