Restoring Function and Esthetics of Permanent Anterior Teeth in a Pediatric Patient with a Radicular Cyst: A Rare Case Report

Radicular cysts are the most common odontogenic cysts, arising from inflammatory stimuli such as trauma or pulp necrosis. They are rare in pediatric patients, particularly in the anterior maxillary region, and can pose significant challenges in both functional and esthetic rehabilitation. A 13-year-old female patient, previously healthy, presented with a history of trauma to the maxillary central incisors. Cone-beam computed tomography revealed a well-defined periapical radiolucency suggestive of a radicular cyst. The patient underwent root canal therapy, followed by surgical enucleation of the cyst, apicoectomy, and retrograde filling. A bone graft was placed to facilitate osseous regeneration. The injection molding technique with composite resin was used to restore the fractured anterior teeth, ensuring a natural appearance. A multidisciplinary approach was employed to manage a pediatric patient’s radicular cyst, utilizing endodontic, surgical, and restorative techniques, resulting in successful treatment and improved quality of life.