SIMILARITIES AND DIFFERENCES BETWEEN FOLLICULAR CYSTS AND RADICULAR-INFLAMMATORY CYSTS
Jeton NEZIRI, Bunjamin XHAFERI, Gajur SHABANI, Ruhide AZEMI NEZIRI, Muhamed TAHIRI
Abstract
Odontogenic cysts are common jaw cysts of different etiologies and treatments. In our project we presented two case reports. The first is a radicular cyst with inflammatory etiology and a follicular cyst from developmental etiology. Our first patient was presented with a unilocular radiolucency cystic formation in a non-vital tooth (35), in the mandibular premolar region, which was suggestive of a radicular cyst. The second patient was presented with a radiolucent lesion associated with an unerupted mandibular third molar (48) that was diagnosed as a follicular cyst. These two lesions both showed buccal cortical expansion but none of them had signs of acute inflammation or any neurological symptoms. Enucleation surgical procedure was performed under local anesthesia in both cases, with mucoperiosteal flap elevation and also osteotomy. Excision of the cyst was made by Partsch II surgical method, which included enucleation, curettage and also irrigation of the bony cavity. Postoperatively were administered antibiotic therapy and antistreptolysin prophylaxis. After one week was made follow-up which revealed uneventful healing in both our cases, with no signs of any complication or recurrence. These cases emphasize the role of proper diagnosis on the basis of clinical and also radiographic examination. Even these cysts are radiographically similar, radicular and follicular cysts differ in etiology, pathogenesis and dental findings. The surgical method that we used - Partsch II was successful for both lesions. Also it is very important treatment in the early stages for better outcomes and to avoid recurrence of the cystic formations.
Pages: 199 - 205