SURGICAL TREATMENT OF AN UNUSUALLY LARGE MANDIBULAR RESIDUAL CYST: A CASE REPORT

Aleksandra Mateva; Bruno Nikolovski; Aleksandar Stamatoski; Filip Koneski; Gjorgi Ivanovski; Daniela Bajdevska Dukovska; Aleksandar Iliev

Aleksandra Mateva University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Bruno Nikolovski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Aleksandar Stamatoski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Filip Koneski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Gjorgi Ivanovski University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Daniela Bajdevska Dukovska Institute of Pathology, Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia
Aleksandar Iliev University Clinic for Maxillofacial Surgery, Faculty of Dental Medicine, Ss. Cyril and Methodius University in Skopje, North Macedonia

Abstract

Residual cysts are common after the extraction of a third impacted molar. Many of them are usually asymptomatic and can be detected incidentally on routine radiography before symptoms appear. Lately, 3D CBCT is the most common diagnostic method for detecting them. We present a case of a residual cyst that exists 20 years after extraction of the right lower third molar. Cysts can vary in size, and over the years can grow and disrupt bone continuity. In this case, a 53-year-old patient has painless swelling that manifests extra-orally in the buccal and masseteric regions. It has been recurring in recent years but the condition was improving with the administration of antibiotic therapy. Surgical treatment is the method of choice. Diagnosis and management of the patient are discussed.

Keywords: odontogenic cyst, residual cyst, operative extraction, third lower molar.

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