Interdisciplinary Management of an Extensive Radicular Cyst in the Anterior Mandible Using Cone Beam Computed Tomography, Biopsy, and Guided Bone Regeneration: A Case Report

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Published Feb 24, 2026
DOI: https://doi.org/10.18103/mra.v14i2.7222

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Main Article Content

Ahmad Soolari, DMD, MS, Adjunct Professor
West Virgina University, Department of Periodontics, School of Dentistry

Abstract

Large periapical lesions in the anterior mandible present significant diagnostic and therapeutic challenges due to their proximity to vital structures and the potential for extensive alveolar bone loss. This case report describes the management of a 58-year-old African American female with a large radicular cyst associated with tooth #26. Utilizing Cone Beam Computed Tomography and histopathological biopsy, a definitive diagnosis was established while ruling out more aggressive neoplastic entities. The treatment involved the extraction of the non-vital tooth #26 and tooth #30, while successfully preserving the vitality of the adjacent tooth #27 through periodontal regenerative therapy and Guided Bone Regeneration. A 6-month follow-up revealed significant bone fill and stabilization of the anterior segment. This case underscores the "team approach" between referring and treating clinicians in prioritizing biological preservation over aggressive extraction and dental implant placement.

Keywords: Radicular Cyst, Cone Beam Computed Tomography, Biopsy, Guided Bone Regeneration, Tooth Preservation, Interdisciplinary Dentistry.

Article Details

How to Cite
SOOLARI, Ahmad. Interdisciplinary Management of an Extensive Radicular Cyst in the Anterior Mandible Using Cone Beam Computed Tomography, Biopsy, and Guided Bone Regeneration: A Case Report. Medical Research Archives, [S.l.], v. 14, n. 2, feb. 2026. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/7222>. Date accessed: 02 mar. 2026. doi: https://doi.org/10.18103/mra.v14i2.7222.
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Issue
Vol 14 No 2 (2026): Vol.14, Issue 2, February 2026
Section
Case Reports

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