The Radicular Cyst in a Child: Case Report

Keywords: Enucleation, Periapical cyst, Radicular cyst


The most commonly occurring odontogenic cysts of the jaws are radicular cysts.

Causes of jaw cysts are different, numerous and depend on the type of cyst. The basic precondition for the occurrence of a cystic lesion is the previous presence of epithelial tissue at the site of future development of the cystic formation.

Radicular cysts are one of the most common odontogenic cysts and arise from epithelial so-called Malassez - these residues in the periodontal tissue, as a consequence of inflammation of the pulp. They can occur at any age, and are equally prevalent in both sexes. The aim of this paper is to present the clinical symptoms and treatment of a radicular cyst in a 12-year-old child.

The treatment of radicular cysts in most cases is surgical. The possibilities for such treatment and the choice of surgical method depend on the size of the cyst, its location, and the pathological formation.


The present article reported a case of a 12-year-old male with the chief complaint of  pain on the right lower back tooth region. The radiographic examination revealed the presence of a well-defined radiolucency surrounded by a corticated border between   mandibular central incisive.  The case was managed by complete enucleation under local  anesthesia without extraction of any teeth.

We chose enucleation (cystectomy) as a surgical procedure as the method of choice, because postoperative complications are the rarest, and the best healing is also provided. Аfter one month of surgery treatment, complete wound healing was recorded at the clinical control at the Department for oral surgery.

Author Biographies

Bexhet Roci, University St. Cyril and Methodius, Skopje, Republic of North Macedonia

Department of Oral Surgery, Faculty of Dental Medicine 

Oliver Dimitrovski, Faculty of Dental Medicine University St. Cyril and Methodius, Skopje, Republic of North Macedonia

Department of Oral Surgery, PhD, Professor

Vesna Ambarkova, University St. Cyril and Methodius, Skopje, Republic of North Macedonia

Department of Paediatric and Preventive Dentistry, Faculty of Dental Medicine, PhD


Sivapathasundharam B, Biswas PG, Preethi S. The World Health Organization classification of odontogenic and maxillofacial bone tumors: An appraisal [published correction appears in J Oral Maxillofac Pathol. 2019 Sep-Dec;23(3):483]. J Oral Maxillofac Pathol. 2019; 23(2): 178-186. Available from:

Hupp JR, Ellis E, Tucker MR (2008). Contemporary oral and maxillofacial surgery (5th ed.). St. Louis, Mo.: Mosby Elsevier. pp. 450-456. ISBN 9780323049030.

Khare A, Dayma, A. Management of Radicular Cyst. A Clinical Case Report, J Orofac Res. 2019; 8(2):29-31.

Sevekar S, Subhadra HN, Das V. Radicular cyst associated with primary molar: Surgical intervention and space management. Indian J Dent Res. 2018 Nov-Dec; 29(6): 836-839. Available from:

Demiriz L, Misir AF, Gorur DI. Dentigerous cyst in a young child. Eur J Dent. 2015; 9(4): 599-602. Available from:

Saccucci M, Ierardo G, Di Carlo G, Polimeni A, Sfasciotti GL. Marsupialization of radicular cyst in a 9-year-old child: report of a case and review of the literature. J Biol Regul Homeost Agents. 2013 Apr-Jun;27(2):603-6.

Kesharwani P, Hussain SA, Sharma N, Karpathak S, Bhanot R, Kothari S, Tiwari RV. Massive radicular cyst involving multiple teeth in pediatric mandible- A case report. J Family Med Prim Care 2020; 9: 1253-6. Available from:

Tkaczuk AT, Bhatti M, Caccamese JF, Ord RA, Pereira KD. Cystic Lesions of the Jaw in Children: A 15-Year Experience. JAMA Otolaryngol Head Neck Surg. 2015; 141(9): 834-839. Available from:

Barrett AW, Sneddon KJ, Tighe JV, Gulati A, Newman L, Collyer J, Norris PM, Coombes DM, Shelley MJ, Bisase BS, Liebmann RD. Dentigerous Cyst and Ameloblastoma of the Jaws. Int J Surg Pathol. 2017 Apr;25(2):141-147. Available from:

Chouchene F, Ameur WB, Hamdi H, et al. Conservative Approach of a Dentigerous Cyst. Case Rep Dent. 2021; 2021: 5514923. Available from:

Prein J, Remagen W, Spiessl B, Uehlinger E. (1986) Radicular Cyst. In: Atlas of Tumors of the Facial Skeleton. Springer, Berlin, Heidelberg. Available from:

Case Reports