Radicular cyst .

It is an odontogenic inflammatory cyst associated with the apex of  a tooth with nonvital pulp.
It originates from  epithelial cells  of Malassez  locating in the periodontal ligament of a nonvital tooth. The epithelial cells under stimulation by the inflammatory products proliferate resulting in cystic degeneration.

It is the most common cyst that develops in the jaws (55% to 70% of al cystic lesions).  It’s greater dimension usually does not exceed 1.5-2 cm, but there are cases where it may reach up to 5 cm.
It has a similar radiographic appearance to the periapical granuloma, but is larger in size.

Radiographically appears as  a well-defined radiolucency and most often is surrounded by a  sclerotic border.
Large radicular cysts may cause expansion, thinning and possibly perforation  of the cortical plates of the jaws.
The apical portion of the tooth enters the radiolucency and loss of the lamina dura is observed.
In large radicular cysts displacement and resorption of the roots of the adjacent teeth may be apparent.

Case 1

Different cases of radicular cyst.

Case 2

A case of radicular cyst: before and after the extraction of the associated tooth.

Case 3

A case of Radicular cyst in the anterior maxillary region. Expansion, thinning and destruction of buccal and palatal cortical plates are observed.

Case 4

Radicular cyst at the site of 21.

Case 5

Radicular cyst arising from the right upper first molar. Perforation of the palatal cortex. Remodeling and perforation of the floor of the sinus and mucosal thickening.

Case 6

A large radicular cyst, extending from the right canine to the left 2nd premolar. Expansion and perforation of the cortical plates, as well as perforation of the nasal floor, is observed.