Tratamento conservador de cisto periapical inflamatório de grandes proporções: relato de caso

Abstract

INTRODUCTION: The inflammatory periapical cyst is an odontogenic lesion of inflammatory origin and is more prevalent when compared to other cystic lesions. As for its treatment, several therapeutic modalities are proposed, among which, surgical decompression has been shown to be an important tool for a less invasive treatment of these cysts in a resolute way. OBJECTIVES: To evaluate the effectiveness of surgical decompression as a treatment for an inflammatory periapical cyst. METHODOLOGY: An incisional biopsy was performed, together with the installation of a drainage device, and periodic follow-up through radiographs to assess the regression of the development of the cystic cavity. EXPECTED RESULTS: It is expected that this case report will result in the confirmation of the effectiveness of conservative treatment from surgical decompression, significantly reducing the dimensions of the cystic lesion. Achieving in this way, the conservation of the noble oral and dental tissues, as well as the anatomical framework. CONCLUSION or FINAL CONSIDERATIONS: Cystic decompression presents itself as a great treatment advantage for large cysts, minimizing the bone cavity and cystic volume, thus facilitating the complete excision of the lesion and minimizing postoperative morbidity, as well as improvement in quality of life.