Conservative surgical-orthodontic treatment of a young patient with a dentigerous cyst
INTRODUCTION: The dentigerous cyst is a developmental odontogenic cyst, whose therapeutic approach depends on the size of the lesion. This paper describes the treatment performed on a 14-year-old male patient who presented with a large dentigerous cyst on the permanent mandibular left second molar. CASE REPORT: The permanent mandibular left first molar was extracted, and the lesion was decompressed and marsupialized by excision of the overlying mucosa, opening a window into the cystic cavity and suturing an acrylic resin drain to the oral mucosa. The specimen removed during surgery confirmed the diagnosis of a dentigerous cyst. Within ninety days of surgery, there was a significant reduction in lesion size. Orthodontic treatment was then started, and included traction of the impacted tooth and opening of adequate space with a fixed appliance, providing favorable tooth alignment and leveling. CONCLUSION: Marsupialization and orthodontic traction should be considered when planning the treatment of a dentigerous cyst, mainly in young patients with large lesions, to avoid damage to the surrounding structures.
Main Authors: | Carli,Marina Lara De, Pedreira,Fernanda Rafaelly De Oliveira, Guimarães,Eduardo Pereira, Dias,Nayara Nery De Oliveira, Pereira,Alessandro Antônio Costa, Hanemann,João Adolfo Costa |
---|---|
Format: | Digital revista |
Language: | English |
Published: |
Universidade Estadual Paulista Júlio de Mesquita Filho
2013
|
Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772013000500012 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Conservative treatment of the dentigerous cyst: report of two cases
by: Carrera,Manoela, et al.
Published: (2013) -
Maxillary dentigerous cyst showing squamous odontogenic tumor-like proliferation: surgical approach and literature review
by: Barbeiro,Camila de Oliveira, et al.
Published: (2021) -
A contribution to the diagnosis of the small dentigerous cyst or the paradental cyst
by: DAMANTE,José Humberto, et al.
Published: (2001) -
Bilateral mandibular dentigerous cysts: a case report
by: MORAIS,Hécio Henrique Araújo de, et al.
Published: (2014) -
Dentigerous cyst in the maxillary posterior region associated with an impacted deciduous molar
by: LACERDA,Érica Passos de Medeiros, et al.
Published: (2018)