Radicular Cyst: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate a radicular cyst:

Main symptoms

  • Often asymptomatic – radiographic incidental finding.
  • Avital tooth (” dead tooth”)
  • If necessary, percussion dolence (sensitivity to tapping).
  • If necessary, tooth loosening
  • Pain usually only with infected cyst
  • “Parchment crackling” on palpation of a thin layer of bone over the cyst lumen.
  • Large cysts:
    • Displacement or displacement of adjacent teeth possible.
    • Indolent (painless) distension of the bone.

Secondary symptoms

  • Dentogenic sinusitis (tooth-related sinusitis) when spreading to the maxillary sinus (maxillary sinus).
  • Pain due to pressure on adjacent nerves possible