Follow-Up Of Permanent Teeth Eruption With Benign Odontogenic Cyst
FDI 2018 World Dental Congress, Buenos Aires, Arjantin, 5 - 08 Eylül 2018, cilt.68, sa.2, ss.85-123, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Cilt numarası: 68
- Doi Numarası: 10.1111/idj.12441
- Basıldığı Şehir: Buenos Aires
- Basıldığı Ülke: Arjantin
- Sayfa Sayıları: ss.85-123
- İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet
Özet
Introduction: Dentigerous cysts are benign odontogenic cysts that are considered to be developmental origin with any unerupted permanent tooth. In this case, the cysts of three patients aged between 6–10 years with different radiographic features were assembled for insight into the effectiveness of minimally invasive treatment techniques.
Case Description: The patients were referred to clinics with a complaint of painless facial swelling. Radiographically, the cysts represented a unilocular radiolucent area that is related to the unerupted teeth. The cyst‐to‐ crown relationship showed several radiographic variations due to the dental crowded with the impacted area. The marsupialization approach performed with the extraction of the related deciduous molars and permitted decompression of the cyst. The bone formation was observed to improve spontaneous eruption of impacted teeth step‐by‐step during several months (9–20 months) of follow‐up.
Discussion: Treatment methods of a dentigerous cyst are excision and marsupialization. Marsupialization is a more amenable intervention than excision because there is a risk of recurrence in the excision method. The excision method includes the enucleation of the cyst with the removal of the involved teeth, but the marsupialization provides the preservation for the cyst‐associated teeth. The marsupialization also promotes the spontaneous eruption according to the bone formation around the margins the of the cyst. However, the only disadvantage of this technique is that requirement of the multiple visits for regular draining of the cavity.
Conclusion: The marsupialization as a minimally invasive approach might be the best treatment option for the benign odontogenic cyst in children.