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Management of infected radicular cyst associated with immature maxillary permanent lateral incisor: a conservative surgical approach
  1. Dipika Yadav1,
  2. Rajeev Kumar Singh2,
  3. Aravindhan Arumugam1 and
  4. Jyoti Solanki1
  1. 1Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India
  2. 2Professor & Head, Paediatric and Preventive Dentistry, Faculty of Dental Sciences, King George’s Medical University, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Dipika Yadav; dipika.ydv94{at}


Radicular cysts are the most common cystic lesions which affect the jaw. Traumatic dental injuries cause injury to the periodontal ligament and dental pulp often leads to pulpal necrosis. The necrosed pulp eventually becomes the nidus of infection and irritates the periapical epithelial cell remnants, which in turn develops into a cyst eventually. This case report presents the successful conservative surgical management of a large infected radicular cyst which was associated with traumatised, necrotic, permanent maxillary lateral incisor with open apex by Partsch II surgical procedure followed by a combination of retrograde and orthograde root canal obturation. This report will guide the clinicians in the arena of surgical endodontics in a conservative approach.

  • Dentistry and oral medicine
  • Pathology

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  • Contributors DY has written the case report, diagnosed the disease and performed the surgical treatment along with follow-up. JS assisted the diagnosis and surgery. AA reviewed the literature and assisted in writing the case report. RKS supervised and guided the process.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.