Journal of AdvancedMedical and Dental Sciences Research

Background: Radicular cysts are the most common cystic lesions which affect the jaw. The natural history begins with a non-vital tooth which remains in situ, long enough to develop chronic periapical pathosis. Thus surgical endodontic treatment is indicated in limited number of cases of persistent periradicular pathosis. Selection between alternative treatments should be based on assessment of individual case. Aim of the study: To compare surgical and non-surgical intervention for the management of radicular cyst. Materials and methods: The present study was conducted in the Department of Dentistry of the Index Medical College, Hospital & Research Centre. The ethical clearance for the study was approved from the ethical committee of the hospital. For the study, we selected a total of 40 cases with progressively increasing huge swelling between the age groups of 18-40 years. The cases were divided equally and grouped into non-surgical and surgical intervention groups, Surgical group (n=20) and Non-surgical Group (n=20). After 6 months, the patients were recalled for the clinical and radiographic evaluation. Results: In the present study, we compared surgical and non-surgical management of radicular cyst. A total of 40 patients were selected for the study. We observed that satisfaction level was more seen in patients with surgical management at 1 month and 6 months. It was seen that at baseline, severe pain was most common followed by very severe pain and mild pain. Zero patients had no pain and slight pain. At one month follow-up, no patient had severe pain and very severe pain in both the grops. Conclusion: Within the limitations of the present study, it can be concluded that for the treatment of radicular cyst, endodontic surgery has significantly more favorable results as compared to non-surgical management. Keywords: radicular cyst, periapical cyst, surgical management, non-surgical management