Tratamento de cisto inflamatório de origem pulpar através da técnica de enucleação : estudo de caso.

Abstract

The periapical cyst has origin in an inflammatory process, which is the most common in the oral cavities. It has origin in pulp necrosis, and it is located on the top of a devitalized tooth. It occurs by a carious or trauma process, and it has slowly growth. Its prevalence is during the third to the sixth life’s decade, and it has predilection to male sex. The anterior maxilla region has presented as the most affected field by the periapical cyst. It has several characteristics on the X-ray exam, such as a radiopaque halo that involves a radiolucent area. It is necessary a well-done anamnesis and a meticulous clinical exam to achieve the diagnosis. However, only the histopathological analysis can define correctly the pathology. The present study is a case report, which has been performed at UNISC Dentistry Clinic. The aim of this work was to present the treatment results for the periapical cyst that has an inflammatory origin by using the enucleating technique. The female patient was being between fifth and sixth decade of her life when she took part this study. She had been forwarded to remove a pathology on hers maxilla, which was suggestive as periapical cyst. After an X-ray exam was identified a round radiolucent image on the top of the 26 tooth. The tooth was clinical defined with a pulpal necrosis. Therefore, the treatment to this pathology was to remove the cyst using the enucleating technique and removing the tooth. After that, it was necessary a long monitoring period for the bone neoformation in the surgery area, which is going to make a prosthetic rehabilitation in the future. The monitoring has done by using X-ray and clinical exams through this process. The results presented by this work shows that the enucleating treatment is effective over the large periapical cysts because there are no relapse risks.