Orthognatic therapy for the resolution of a presumed mandibular follicular cyst. Clinical case

The case of a presumed mandibular follicular cyst associated with the retention of 4.5 in a 12 year-old patient is described. Objective examination revealed the absence of 4.5 in the dental arch. Orthopantomography revealed a monofocal area of radiotransparency with a sharp outline by 4.5 tooth. The lesion was treated only by fixed multiband orthodontic therapy to reopen the space in the dental arch. This treatment permitted the total remission of the cystic lesion without any surgical action, as confirmed by the following radiographical exams.