Pathological fracture of the mandible caused by radicular cyst: A case report and literature review.

Abstract:

RATIONALE:Pathological fracture of the mandible caused by radicular cyst is rare. This report describes a unique case of a mandibular pathological fracture caused by radicular cyst, arising from an endodontically treated molar. PATIENT CONCERN:A 49-year-old female was referred to our department with persistent pain in left mandibular angle, accompanying with restricted mouth opening and malocclusion. DIAGNOSE:An orthopantomograph (OPG) showed a unilocular lesion with a relatively well-defined border, and the lesion was associated with a fracture in the inferior border of the mandible. INTERVENTION:This patient was treated through curettage of the cyst combined with open reduction and internal fixation of the fracture. OUTCOMES:At the 1-year follow-up visit, the patient did not have any complaints, and the radiographs indicated the consolidation of the fracture without recurrence of cyst. LESSONS:This case report highlights the routine follow-up of endodontically treated teeth in order to check for apical healing and detect the cystic change at early stages.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Xiao X,Dai JW,Li Z,Zhang W

doi

10.1097/MD.0000000000013529

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

e13529

issue

50

eissn

0025-7974

issn

1536-5964

pii

00005792-201812140-00049

journal_volume

97

pub_type

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