EN
Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report
Abstract
Radicular cysts are rare phenomenon in primary dentition which may result significant impact on the erupting permanent successors, bone destruction, leading to potential complications like bony fractures and spread of infection, if left untreated. Early diagnosis and minimally invasive management are crucial to preserve developing teeth and ensure favorable outcomes. In the present case report, a seven year old child reported with complaint of pain in the right upper front tooth region, clinically presented with a non-vital primary incisor (51) following a history of trauma one month back. Radiographic examination revealed diffuse periapical radiolucency with marked displacement of the permanent tooth bud 11 and 12 apically. CBCT demonstrated cortical plate perforation, nasal floor and palatal involvement, and erosion of the Nasopalatine canal, indicating aggressive lesion expansion. Fine-needle aspiration cytology and incisional biopsy were performed for definitive diagnosis. At the same time, a minimally invasive window decompression was carried out under local anesthesia, and the cystic cavity was kept patent using a chair side polypropylene needle hub. This approach facilitated gradual reduction in cyst size, prevented fluid accumulation, minimized infection risk, and promoted secondary bone formation, while preserving the permanent successor tooth and reviving its eruption potential.
Keywords
Supporting Institution
GITAM Dental College and Hospital, Visakhapatnam
Ethical Statement
This case report was conducted in accordance with the ethical standards of the institutional ethics committee and the principles outlined in the Declaration of Helsinki. Informed consent was obtained from the child’s parent/guardian for clinical examination, radiographic investigations, treatment procedures, and the publication of clinical information and images for academic and research purposes. All identifying details have been withheld to ensure patient confidentiality. No additional interventions were performed solely for the purpose of this publication.
Thanks
The authors extend their heartfelt thanks to GITAM Dental College and Hospital for providing the clinical facilities, diagnostic support, and an encouraging academic environment that enabled the successful management and documentation of this case. We also express our gratitude to the patient and parent/guardian for their cooperation and consent for publication.
References
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Details
Primary Language
English
Subjects
Oral and Maxillofacial Surgery, Paedodontics
Journal Section
Case Report
Authors
Publication Date
September 30, 2026
Submission Date
December 14, 2025
Acceptance Date
September 8, 2026
Published in Issue
Year 2026 Volume: 29 Number: 3
APA
Pandranki, J., Nayak, B. S., Natra, P. S., & Mallela, M. (2026). Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report. Cumhuriyet Dental Journal, 29(3), 572-577. https://doi.org/10.7126/cumudj.1840798
AMA
1.Pandranki J, Nayak BS, Natra PS, Mallela M. Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report. Cumhuriyet Dent J. 2026;29(3):572-577. doi:10.7126/cumudj.1840798
Chicago
Pandranki, Jayalakshmi, Bindu Sravani Nayak, Poornima Sowjanya Natra, and Mahitha Mallela. 2026. “Polypropylene Hub Assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report”. Cumhuriyet Dental Journal 29 (3): 572-77. https://doi.org/10.7126/cumudj.1840798.
EndNote
Pandranki J, Nayak BS, Natra PS, Mallela M (September 1, 2026) Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report. Cumhuriyet Dental Journal 29 3 572–577.
IEEE
[1]J. Pandranki, B. S. Nayak, P. S. Natra, and M. Mallela, “Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report”, Cumhuriyet Dent J, vol. 29, no. 3, pp. 572–577, Sept. 2026, doi: 10.7126/cumudj.1840798.
ISNAD
Pandranki, Jayalakshmi - Nayak, Bindu Sravani - Natra, Poornima Sowjanya - Mallela, Mahitha. “Polypropylene Hub Assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report”. Cumhuriyet Dental Journal 29/3 (September 1, 2026): 572-577. https://doi.org/10.7126/cumudj.1840798.
JAMA
1.Pandranki J, Nayak BS, Natra PS, Mallela M. Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report. Cumhuriyet Dent J. 2026;29:572–577.
MLA
Pandranki, Jayalakshmi, et al. “Polypropylene Hub Assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report”. Cumhuriyet Dental Journal, vol. 29, no. 3, Sept. 2026, pp. 572-7, doi:10.7126/cumudj.1840798.
Vancouver
1.Jayalakshmi Pandranki, Bindu Sravani Nayak, Poornima Sowjanya Natra, Mahitha Mallela. Polypropylene Hub assisted Decompression of a Radicular Cyst in a Pediatric Patient: A Comprehensive Case Report. Cumhuriyet Dent J. 2026 Sep. 1;29(3):572-7. doi:10.7126/cumudj.1840798