NONSURGICAL TREATMENT OF PATHOLOGICAL CYSTS OF DENTAL ORIGIN

Abstract

BACKGROUND: Radicular cysts (RC) of dental origin are slow-growing lesions which are asymptomatic in most of the cases. The management of RCs is still existing over a debate. Therefore, we present a study of nonsurgical management of pathological cysts of dental origin. AIM: To study the success of non-surgical management of patients presenting with pathological cysts of dental origin in terms of healing and recurrence. MATERIALS AND METHODS: Prospective study was done in 25 patients presenting with pain and swelling in the Department of conservative and endodontics for a period of 2 years. The cystic cavity was opened and drained using various methods such as decompression, aspiration-irrigation, placement of intracanal Ca (OH)2 and lesion sterilization. RESULTS: The success rate of nonsurgical treatment was 80 % while 12% of cases presented with recurrence and 8% of cases had delayed healing. CONCLUSION: Follow-up and assessment of healing are essential after nonsurgical treatment of the cysts. The surgical approach is used for cases which are refractory to nonsurgical method. KEYWORDS: Nonsurgical method, Ca (OH)2 decompression, aspiration-irrigation, Cyst.