Chen GP, Zhang YZ, Ling DH. Application of apical negative pressure irrigation in the nonsurgical treatment of radicular cysts: A case report. World J Clin Cases 2023; 11(15): 3612-3618 [PMID: 37383907 DOI: 10.12998/wjcc.v11.i15.3612]
Corresponding Author of This Article
Dan-Hua Ling, MM, Doctor, Department of General Dentistry, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 1511 Jianghong Road, Binjiang District, 310052 Hangzhou, Zhejiang Province, China. lingdanhua@zju.edu.cn
Research Domain of This Article
Dentistry, Oral Surgery & Medicine
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 26, 2023; 11(15): 3612-3618 Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3612
Application of apical negative pressure irrigation in the nonsurgical treatment of radicular cysts: A case report
Gong-Pei Chen, Yan-Zhen Zhang, Dan-Hua Ling
Gong-Pei Chen, Yan-Zhen Zhang, Dan-Hua Ling, Department of General Dentistry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310052, Zhejiang Province, China
Author contributions: Chen GP and Ling DH performed the dental treatment; Chen GP, Zhang YZ and Ling DH reviewed the literature, and contributed to the drafting of the manuscript; Zhang YZ and Ling DH contributed to the design of the treatment plan; Chen GP and Ling DH were responsible for the revision of the manuscript for important intellectual content; and All authors issued final approval for the version to be submitted.
Supported bythe Medical Health Science and Technology Project of Zhejiang Provincial Health Commission, No. 2022RC158.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors declare that there are no conflicts of interest regarding the publication of this paper.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dan-Hua Ling, MM, Doctor, Department of General Dentistry, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 1511 Jianghong Road, Binjiang District, 310052 Hangzhou, Zhejiang Province, China. lingdanhua@zju.edu.cn
Received: February 7, 2023 Peer-review started: February 7, 2023 First decision: March 14, 2023 Revised: March 27, 2023 Accepted: April 13, 2023 Article in press: April 13, 2023 Published online: May 26, 2023
Abstract
BACKGROUND
Radicular cysts are one of the most common odontogenic cystic lesions found in the jaw. Nonsurgical treatment of large radicular cysts is a topic of ongoing debate, and there is still no clear consensus on the most effective therapies. The apical negative pressure irrigation system aspirates the cystic fluid and releases the static pressure in the radicular cyst, representing a minimally invasive approach for decompression. In this case, the radicular cyst was in close proximity to the mandibular nerve canal. We used nonsurgical endodontic treatment with a homemade apical negative pressure irrigation system and the prognosis was good.
CASE SUMMARY
A 27-year-old male presented to our Department of General Dentistry with complaints of pain in the mandibular right molar when chewing. The patient had no history of drug allergies or systemic disease. A multidisciplinary management approach was designed and included root canal retreatment with a homemade apical negative pressure irrigation system, deep margin elevation and prosthodontic treatment. According to a 1-year follow-up period, the patient showed a favorable outcome.
CONCLUSION
This report reveals that nonsurgical treatment with an apical negative pressure irrigation system may provide new insights into the treatment of radicular cysts.
Core Tip: We present a case of a radicular cyst treated through root canal retreatment with a homemade apical negative pressure irrigation system, which had excellent therapeutic effects. This is a minimally invasive technique because it is carried out through root canal access without impinging on anatomic structures, bone, or soft tissues. This case report offers new insight into the treatment of patients with radicular cysts.
