Tratamento de cistos inflamatórios : estudo de casos.

Abstract

Odontogenic inflammatory cysts are conditions most frequently observed on jaw bones, originated by pulpal necrosis, caused by dental cavity or by dental trauma. It has prevalence for males, occurring mainly in the Maxilla, at the anterior region. Through anamnesis, physical examination and radiographic examination, it is possible to predict the diagnosis of this type of pathology, but only the histopathology laboratory tests can confirm it. This article presents two case studies, showing the treatment and follow-up of large radicular cysts on the anterior maxilla. In both cases the patients were male, between their fourth and fifth decade of life. They attended the Clinic of Dentistry at University of Santa Cruz do Sul (UNISC) with complaints concerning the tooth 22. After a radiographic examination, a large radiolucent image in the region of teeth 21, 22 and 23 appeared. During clinical examination it was possible to observe the presence of necrotic pulp at subject 22, being the possible cause of the intra-osseous lesion. The objective of this research was to provide, as a method of treatment, a multidisciplinary intervention involving endodontics and surgery for both cases. In order to solve the case, an endodontic treatment was carried out on the teeth with pulp necrosis, and then an apical surgery was performed for total removal of the lesion. After the surgical procedure, observations were made by clinical and radiographic examinations to evaluate the regression of the intra-osseous lesion. The results presented in this article show that endodontic treatment followed by apical surgery is effective in the treatment of large radicular cysts. This multidisciplinary interaction provides a more detailed assessment of the case, determining the treatment safer and more comfortable for the patient and the professional.