Nirwansyah Kalista Ramlie*, Deni Herdiyanto**
Jaw cysts are common benign disease of the maxillofacial region, and odontogenic cysts represent the majority of cases. The most common types of cystic lesions include radicular cysts, dentigerous cysts (follicular cysts), and keratocystic odontogenic tumors (keratocysts), collectively accounting for more than 80% of odontogenic cysts. Radicular cysts are more commonly diagnosed in maxilla, occurring nearly ten times more frequently than in the mandible. The free iliac crest bone graft is still considered as a simple and effective method for oro-facial reconstructions, widely used in maxillofacial surgery and dental implantology. The objective of this case report is to demonstrate the management of a radicular cyst enucleation, followed by a bone graft from the iliac crest. A 52-year-old man was referred to the oral and maxillofacial surgery department at the RSUD dr. H. Jusuf SK (Tarakan, Indonesia) with chief complaints of swelling in the oral cavity, causing changes in facial shape, and pain while chewing food. Panoramic radiographs revealed a well-defined unilocular cystic lesion in the maxilla extending from teeth 15 to 23, crossing the midline of the maxilla. On the basis of the clinical and radiographic findings, the differential diagnosis were radicular cyst, ameloblastoma and keratocystic odontogenic tumor (KOT) were made. Follow-up after one month after enucleation surgery showed a reduction in pain and swelling. The determination of an accurate diagnosis and appropriate management of a radicular cyst can significantly improve the patient’s quality of life.
Keywords: Enucleation, Iliac Crest Bone Graft, Radicular Cyst