{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T13:42:05Z","timestamp":1788788525819,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,9]],"date-time":"2025-04-09T00:00:00Z","timestamp":1744156800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Radicular cysts in teeth that have undergone root canal therapy (RCT) are uncommon but clinically important, often presenting unique challenges for diagnosis. Although rare, radicular cysts can progress rapidly, leading to symptoms, such as discomfort or swelling shortly after the initial treatment. In this case, a 29\u2010year\u2010old female experienced mild discomfort localized to the maxillary right first premolar, which had received RCT several months prior. The patient had no history of systemic conditions or chronic infections. Upon clinical examination, tenderness was noted in the periapical region; however, conventional radiographs did not reveal detectable lesions. CBCT detected a well\u2010defined cystic lesion at the distal aspect of the buccal root apex. Surgical intervention was performed, which included cystectomy and root\u2010end filling with calcium\u2010enriched mixture cement. Histopathological analysis confirmed the diagnosis of a benign radicular cyst with a fibrous capsule and squamous lining, indicating no malignancy. The postoperative recovery was smooth, and a follow\u2010up 1\u2009year later showed a normal appearance of the periodontal ligament in radiographs, confirming the success of the treatment and retention of the tooth. This case highlights the diagnostic benefits of CBCT in detecting periapical lesions that may not be visible on conventional radiographs. It emphasizes the effectiveness of surgical management in resolving such endodontic lesions while maintaining tooth function.<\/jats:p>","DOI":"10.1002\/ccr3.70409","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:34:16Z","timestamp":1744245256000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Rapidly Progressing Radicular Cyst in an Endodontically Treated Tooth: Diagnostic Challenges, Advanced Imaging, and Surgical Management"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6691-0478","authenticated-orcid":false,"given":"Saeed","family":"Asgary","sequence":"first","affiliation":[{"name":"Iranian Centre for Endodontic Research, Research Institute of Dental Sciences Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9043-6726","authenticated-orcid":false,"given":"Nafise","family":"Shamloo","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Pathology, School of Dentistry Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.60269"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2020.05.025"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2942"},{"key":"e_1_2_13_5_1","first-page":"E585","article-title":"The Post\u2010Endodontic Periapical Lesion: Histologic and Etiopathogenic Aspects","volume":"12","author":"Garc\u00eda C. C.","year":"2007","journal-title":"Medicina Oral, Patolog\u00eda Oral y Cirug\u00eda Bucal"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.2713"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.5890"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2023.104809"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-06489-7.00025-4"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2018.12.014"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joen.2010.03.005"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12938\u2010024\u201001290\u20104"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784\u2010021\u201004310\u2010y"},{"key":"e_1_2_13_14_1","first-page":"140","article-title":"Periradicular Surgery of Human Permanent Teeth With Calcium\u2010Enriched Mixture Cement","volume":"8","author":"Asgary S.","year":"2013","journal-title":"Iranian Endodontic Journal"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70409","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:55:46Z","timestamp":1764255346000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70409"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/ccr3.70409"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70409","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-01-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70409"}}