Small Cysts #12 (7) & #22 (10)
The patient is a healthy, 20 year old female. Two cysts are discovered after she experienced strong pain in area of tooth #12 (7). The cyst is not resolved after 4 months of endodontic treatment. She has occasional pain and discomfort during this period.
Root resection was performed on teeth #12 (7) and #22 (10). At this same time, cyst enucleation with histopathological examination confirmed radicular cysts. The bone defect was filled with Bond ApatiteŽ (1 cc). More Bond ApatiteŽ was used in #12 (7) and #22 (10).
Two year post-op follow up showed good remodeling of the bone, and healing was observed.
Dr. Damian Dudek
DMD, PhD, Poland
![Clinical Case](/assets/images/clinical-case-studies/dudek29/Dudek29-1.jpg)
![Case Description | The patient is a healthy, 20 year old female. Two cysts are discovered after she experienced strong pain in area of tooth # 12 (7). The cyst is not resolved after 4 months of endodontic treatment. She has occasional pain and discomfort during this period. Root resection was performed on teeth #12 (7) and #22 (10). At this same time, cyst enucleation with histopathological examination confirmed radicular cysts. The bone defect was filled with Bond ApatiteŽ (1 cc). More Bond ApatiteŽ was used in #12 (7) and #22 (10). Two year post-op follow up showed good remodelling of the bone, and healing was observed.](/assets/images/clinical-case-studies/dudek29/Dudek29-2.jpg)
![Initial CBC | 3D CBCT showing small, visible cysts on #12 (7) and #22 (10).](/assets/images/clinical-case-studies/dudek29/Dudek29-3.jpg)
![Horizontal CBCT | CBCT horizontal- visible changes](/assets/images/clinical-case-studies/dudek29/Dudek29-4.jpg)
![Cyst - # 12(7)](/assets/images/clinical-case-studies/dudek29/Dudek29-5.jpg)
![Cyst in # 12 (7), 4 months after endodontic treatment.](/assets/images/clinical-case-studies/dudek29/Dudek29-6.jpg)
![Opening #12(7) | Opening, trepanation and cyst removal in #12 (7).](/assets/images/clinical-case-studies/dudek29/Dudek29-7.jpg)
![Opening - #22(10)](/assets/images/clinical-case-studies/dudek29/Dudek29-8.jpg)
![Bond ApatiteŽ inside #12 (7) defect.](/assets/images/clinical-case-studies/dudek29/Dudek29-9.jpg)
![Bond ApatiteŽ inside #22 (10) defect, 2 minutes after placement.](/assets/images/clinical-case-studies/dudek29/Dudek29-10.jpg)
![Sutures - # 12(7)](/assets/images/clinical-case-studies/dudek29/Dudek29-11.jpg)
![Sutures - #22(10)](/assets/images/clinical-case-studies/dudek29/Dudek29-12.jpg)
![#12(7) - 7 Days Post-Op | X-ray after 7 days - Tooth #12 (7)](/assets/images/clinical-case-studies/dudek29/Dudek29-13.jpg)
![X-ray after 7 days - Tooth #22 (10)](/assets/images/clinical-case-studies/dudek29/Dudek29-14.jpg)
![X-ray after 2 years - Tooth #12 (7)](/assets/images/clinical-case-studies/dudek29/Dudek29-15.jpg)
![X-ray after 2 years - Tooth #22 (10)](/assets/images/clinical-case-studies/dudek29/Dudek29-16.jpg)
![Mucosa 2 Years Post-Op](/assets/images/clinical-case-studies/dudek29/Dudek29-17.jpg)