Apical cystectomy
A clinical case of apical cystectomy performed at time of tooth extraction. (A) Pretreatment panoramic radiograph showing large radiolucent lesion at the apices of teeth No. 18 and 20. (B) Incision designed to ensure that the incisions are located over intact bone after cystectomy. (C) Appearance of the lesion after the buccal flap is elevated. Note that the lesion has eroded the bone. (D) Curette used to elevate the lesion from the bony walls. (E) Cyst being removed. (F) Note the inferior alveolar neurovascular bundle passing along the inferior aspect of the bony cavity. (G) Surgical specimen. (H) When opened, the specimen appeared to be cystic. The patient should be monitored with periodic radiographs to ensure bone fill and no recurrence of the lesion.
