• Waqar -ur-Rehman Qureshi
  • Muhammad Idris
  • Shahbaz Ali Khan


Background: The radicular cyst is very common odontogenic cyst of the jaws, which is usuallyassociated with a tooth with necrotic pulp. The cyst formation requires proliferation of the epithelial restcells of Malassez present in the periodontal ligament. . Proliferation of epithelial rest cells of Malassezis an essential event in the Pathogenesis of radicular cyst. The wall of the cyst contains epithelial cells,macrophages, fibroblasts and other cells. TNF is one of inflammatory mediators, which is produced bymacrophages and monocytes. This study was carried out to investigate the role of tumour necrosisfactor in the pathogenesis of radicular cyst, which is by far the commonest cystic lesion of the jaws.Methods: Explants from 20 radicular cysts were cultured in vitro to grow the epithelial cells.However, the cultures were rapidly contaminated with fibroblasts and it was impossible to grow theepithelial cells separately. Therefore, the proliferative effect of Tumour Necrosis Factor (TNF) wasstudied on mammalian epithelial cells. Results: TNF at low concentration had a proliferative effect onthe epithelial cells, which may play some role in pathogenesis of radicular cyst. Conclusion: TNFstimulated the epithelial cell proliferation in low concentration and inhibit the proliferation in higherconcentrations. These two effects may have some implications in the pathogenesis of radicular cyst.Keywords: Tumour necrosis factor, epithelial rest cells of Malassez, macrophages and radicular cyst


Seward GR, Harris M, McGown DA. Killey’s and Kay’s

outlines of Oral Surgery. Part-I 2nd Ed. Bristol: Wright;


Ten Cate AR. The epithelial cell rests of Malassez and

genesis of the dental cysts. Oral Surg Oral Med Oral Pathol


Shear M. Secretary epithelium in the lining of the dental

cysts. J Dent Assoc S Afr 1960;15:117–22.

Toller PA. Newer concepts of odontogenic cysts. Int J Oral

Surg 1972;1(1):3–16.

van Nuijs T, Jones P. Pseudostratified ciliated epithelium in a

periapical cyst. J Endod 1986;12:352–3.

Pitts D.L, Williams B L, Mortan TH Jr. Investigation of the

role of endotoxins in periapical inflammation. J Endod


Hola M, Reley PA. The relative significance of growth rate

and interdivision time in the size control of cultured

mammalian epithelial cells. J Cell Sci 1987;88:73–80.

Hume WJ, Moore JK, Main DMG. Differences in vitro

growth of epithelium form inflammatory and developmental

odontogenic cysts. Br J Oral Maxillofac Surg 1990;28:85–8.

Jurisic V, Colic S, Jurisic M. The inflammatory radicular

cysts have higher concentration of tumour necrosis factoralpha in comparison to odontogenic keratocyst (odontogenic

tumour). Acta Medica (Hradec Kralove) 2007;50:233–8.

Toller PA. Epithelial discontinuities in cysts of the jaws. Br

Dent J 1966;120:74–8.

Yanagisiwa S. Pathologic study of periapical lesion 1. Periapical

granuloma: Clinical, Histologic and immunohistopathlologic

studies. J Oral Path 1980;9:288–300

Valderhaug JP, Nylen MU. Functional status of epithelial

rests as suggested by their ultrastructures. J Periodontal Res




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