International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE 4 ( July-August, 2022 ) > List of Articles


Treatment of Radicular Cyst with Marsupialization in Children: Report of Two Rare Cases

Tanzeem Ahmed, Nikhil Kaushal

Keywords : Case report, Conservative management, Marsupialization, Primary teeth, Radicular cyst

Citation Information : Ahmed T, Kaushal N. Treatment of Radicular Cyst with Marsupialization in Children: Report of Two Rare Cases. Int J Clin Pediatr Dent 2022; 15 (4):462-467.

DOI: 10.5005/jp-journals-10005-2416

License: CC BY-NC 4.0

Published Online: 17-12-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To present the treatment of radicular cysts with marsupialization in children and help reduce morbidity. Background: Radicular cyst is a cyst with an odontogenic origin seen more frequently in permanent dentition and seldom in primary dentition. Radicular cysts can develop due to apical infection caused by caries or can also occur as a consequence of pulp therapy in primary teeth. It may adversely affect the normal development and eruption of the permanent succedaneous teeth. Case description: We report two cases of radicular cysts in association with primary teeth with different etiologies and their conservative management with marsupialization and decompression techniques. Conclusion: Marsupialization has shown to be effective in treating radicular cysts in primary teeth. Good bone healing and normal continued development of the succedaneous permanent tooth bud were observed. Clinical significance: Marsupialization helps in preserving vital structures and reduces morbidity. It should be a preferred treatment modality for the management of large-sized radicular cysts.

  1. Uloopi KS, Shivaji RU, Vinay C, et al. Conservative management of large radicular cysts associated with non-vital primary teeth: a case series and literature review. J Indian Soc Pedod Prev Dent 2015;33(1):53–56. DOI: 10.4103/0970-4388.149007
  2. Delbem ACB, Cunha RF, Vieira AEM, et al. Conservative treatment of a radicular cyst in a 5-year-old child: a case report. Int J Paediatr Dent 2003;13(6):447–450. DOI: 10.1046/j.1365-263x.2003.00452.x
  3. Grundy GE, Adkins KF, Savage NW. Cysts associated with deciduous molars following pulp therapy. Aust Dent J 1984;29(4):249–256. DOI: 10.1111/j.1834-7819.1984.tb06067.x
  4. Toomarian L, Moshref M, Mirkarimi M, et al. Radicular cyst associated with a primary first molar: a case report. J Dent (Tehran) 2011;8(4):213–217.
  5. Kubota Y, Imajo I, Itonaga R, et al. Effects of the patient's age and the size of the primary lesion on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts. Br J Oral Maxillofac Surg 2013;51(4):358–362. DOI: 10.1016/j.bjoms.2012.07.017
  6. Savage NW, Adkins KF, Weir AV, et al. An histological study of cystic lesions following pulp therapy in deciduous molars. J Oral Pathol 1986;15(4):209–212. DOI: 10.1111/j.1600-0714.1986.tb00609.x
  7. Mudjono H, Rahajoe PS, Hasan CY. Marsupialization of radicular cysts on adolescent patients to reduce treatment morbidity: a case report. J Dentomaxillofac Sci 2017;2(2): 139–142.
  8. Chiu WK, Sham ASK, Hung JNM. Spontaneous alignment of permanent successors after enucleation of odontogenic cysts associated with primary teeth. Br J Oral Maxillofac Surg 2008;46(1):42–45. DOI: 10.1016/j.bjoms.2007.06.011
  9. Howe GL. Minor Oral Surgery. 3rd ed. London: Butterworth & Co.; 1985.
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