Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3612
Peer-review started: February 7, 2023
First decision: March 14, 2023
Revised: March 27, 2023
Accepted: April 13, 2023
Article in press: April 13, 2023
Published online: May 26, 2023
Processing time: 107 Days and 1.2 Hours
Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw. Nonsurgical treatment of large radicular cysts is a topic of ongoing debate, and there is still no clear consensus on the most effective therapies. The apical negative pressure irrigation system aspirates the cystic fluid and releases the static pressure in the radicular cyst, representing a minimally invasive approach for decompression. In this case, the radicular cyst was in close proximity to the mandibular nerve canal. We used nonsurgical endodontic treatment with a homemade apical negative pressure irrigation system and the prognosis was good.
A 27-year-old male presented to our Department of General Dentistry with complaints of pain in the mandibular right molar when chewing. The patient had no history of drug allergies or systemic disease. A multidisciplinary management approach was designed and included root canal retreatment with a homemade apical negative pressure irrigation system, deep margin elevation and prosthodontic treatment. According to a 1-year follow-up period, the patient showed a favorable outcome.
This report reveals that nonsurgical treatment with an apical negative pressure irrigation system may provide new insights into the treatment of radicular cysts.
Core Tip: We present a case of a radicular cyst treated through root canal retreatment with a homemade apical negative pressure irrigation system, which had excellent therapeutic effects. This is a minimally invasive technique because it is carried out through root canal access without impinging on anatomic structures, bone, or soft tissues. This case report offers new insight into the treatment of patients with radicular cysts.