Treatment of a Large Maxillary Cyst with Marsupialisation, Decompression, Surgical Endodontic Therapy and Enucleation

Abstract

Treatment of a large maxillary cyst with decompression during 3 months, followed by surgical endodontic therapy of the affected teeth and cystectomy is reported. Although small cystic lesions frequently heal simply with non-surgical endodontic therapy, larger lesions may need additional treatment. If surgical enucleation of a large cystic lesion is elected, other teeth or structures may be damaged unnecessarily. Therefore, a case can be made for first attempting the more conservative treatment of decompression in order to diminish the size of the lesion, followed by apicoectomy and cystectomy.