Cyst of Jaw Flashcards
What are the 4 options for management of cyst?
Enucleation
Curettage
Resection
Marsupialisation
What is enucleation?
Removal as cyst in entirety w/o cutting
What is curettage?
Removal of tissue by scraping or scooping
What is resection?
Removal of part of organ - takes pathology and margin in normal tissue
What is marsupilisation?
Creating of a pouch by suturing cyst lining to external surface
What are 5 main types of cysts?
Radicular Dentigerous Odontogenic keratocyst Mucocele Sebaceous
What cysts are potentially manageable in dental practice?
Radicular
Dentigerous
What is a radicular cyst?
Cyst develop around non-vital tooth
Features of radicular cyst on radiograph?
Larger 1cm
Corticated margin
Differential of radicular cyst?
Apical granuloma
Management of radicular cyst?
RCT - if apical granuloma will resolve
XLA causative tooth then enucleate cyst
When could apicetomy be used for radicular cyst?
If anterior tooth
Acceptable orthograde
RCT
Pt accept risks
What are 2 main indications of apicetomy?
- Persistent symptoms/ pathology in non-vital tooth
2. (RE)RCT is unfeasible
What persistent symptoms could indicate apicetomy?
Cyst, swelling, infection, discharge of pus, excessive mobility or pain
Why would (re)rct be unfeasible?
Established cyst Scleroritc canals Unfavourable morphology - curvature, accessory Fractured roots Perforations Unretrivable instruments Post-core can't be removed
What are relative contraindications of apicetomy?
Previous apicetomy Molars - more complicatied Poor OH Active caries Sinus disease Implants High mobility Advanced perio
What are absolute contraindications of apicetomy?
Severe bleeding risk
Endocarditis risk
Unrestorable