Application of apical negative pressure irrigation in the nonsurgical treatment of radicular cysts:A case report  

作　　者：Gong-Pei Chen Yan-Zhen Zhang Dan-Hua Ling 

机构地区：[1]Department of General Dentistry,The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310052,Zhejiang Province,China

出　　处：《World Journal of Clinical Cases》2023年第15期3612-3618,共7页世界临床病例杂志

基　　金：Supported by the Medical Health Science and Technology Project of Zhejiang Provincial Health Commission,No.2022RC158.

摘　　要：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.

关 键 词：Apical negative pressure irrigation Radicular cyst Nonsurgical root canal treatment Case report 

分 类 号：R781.05[医药卫生—口腔医学]