hyaluronic acid is used for bone regeneration and it has a good potential for osteogenesis and mineralization so it can have synergistic effect when used with hydroxyapatite for bone regeneration after cyst enucleation

Hydroxyapatite is inorganic component of bone tissue used as bone graft, scaffolds, filler and cement for repair and regeneration of bone defect , and it stimulates bone remodeling by generating surface active moieties or cell signaling process

1. The procedure will be performed under complete aseptic condition, and the surgical field will be swabbed with povidone iodine solution before the operation .
2. Surgical procedure will be performed under local anesthesia (Articaine 4% with 1:100,000 adrenaline ) .
3. A full thickness mucoperiosteal flap will be reflected exposing the area of interest containing the lesion .
4. The pathological lesion will be exposed using rose head bur on low-speed handpiece under copious irrigation by normal saline .
5. The whole pathological tissues will be enucleated and sent for histopathological examination.
6. The cavity will be curetted again to remove any remaining tissues and irrigated with 0.9% normal saline .
7. hydroxyapetite with hyaluronic acid will be inserted in the bony cavity to initiate healing .
8. The flap will be repositioned and sutured with interrupted 3-0 Vicryl suture .

It is assessed using CBCT to determine the density of bone after intervention

It is assessed by using visual analogue scale from 1-10