Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with a history of chronic, asymptomatic swelling or intermittent discomfort in the [tooth number] region. History of deep carious lesion, prior trauma, or failed endodontic treatment noted. No acute signs of infection, fever, or lymphadenopathy reported.
Clinical Examination Findings
Intraoral examination reveals a well-defined, non-tender, fluctuant or firm swelling in the periapical region of [tooth number]. Tooth is non-vital to EPT and cold testing. Radiographic evaluation shows a well-circumscribed, unilocular radiolucency associated with the apex of a non-vital tooth. Cortical plate expansion or thinning may be present.
Treatment Protocol
Recommended treatment plan: 1. Surgical enucleation of the cystic lesion with curettage. 2. Extraction of the involved tooth or endodontic therapy if the tooth is restorable. 3. Histopathological examination of the excised tissue to confirm diagnosis. 4. Post-operative follow-up to monitor bone healing.