Comparative Evaluation for Surgical and Non-Surgical Management of Radicular Cyst- An Original Research

Abstract

Background: The most prevalent cystic conditions which damage the jaw are radicular cysts. Natural history starts with a non-vital tooth that eventually develops chronic periapical pathosis. Surgical endodontic intervention is thus suggested for chronic periradicular pathosis in a small number of cases. The preference between alternative therapies should be based on a case-by-case evaluation.

Aim of the study: To compare surgical and non-surgical management of radicular cyst.

Materials and methods: The present study was conducted in the various private and associated hospital of Atal Bihari Vajpayee Government Medical College, Vidisha. A total of 40 cases of gradually rising enormous swelling between the age of 18 to 40 years were selected for the present study. The cases were categorized into non-surgical (n=20) and surgical (n=20) intervention. The patients were recalled for follow-up by clinical and radiographic examination after 6 months.

Results: In the present study, we compared surgical and non-surgical management of radicular cyst. A total of 40 patients were selected for the study. We observed that satisfaction level was more seen in patients with surgical management at 1 month and 6 months. It was seen that at baseline, severe pain was most common followed by very severe pain and mild pain. Zero patients had no pain and slight pain. At one month follow-up, no patient had severe pain and very severe pain in both the groups.

Conclusion:  Within the limitations of the present study, it can be concluded that for the treatment of radicular cyst, endodontic surgery has significantly more favorable results as compared to non-surgical management.