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[Dentigerous cyst in the mixed dentition]
Mariann Tóth1, Barta Adrienn, Suba Zsuzsanna
1Semmelweis Egyetem Fogorvostudományi Kar.
Fogorvosi Szemle
|February 8, 2013
Summary
This case study shows how to manage dentigerous cysts in children. Prompt treatment involving extraction, drainage, and a space-maintainer can help unerupted permanent teeth erupt successfully.
Area of Science:
- Dentistry
- Oral Surgery
- Pediatric Dentistry
Background:
- Dentigerous cysts are developmental odontogenic cysts.
- They arise from the accumulation of fluid between the reduced enamel epithelium and the unerupted tooth crown.
- Management in primary dentition requires careful consideration for developing permanent tooth buds.
Observation:
- A case of dentigerous cyst in a 7-year-old female's primary dentition is presented.
- The cyst involved unerupted permanent teeth that were badly dislocated.
- Treatment involved extracting infected primary teeth and surgically managing the cyst.
Findings:
- Opening the cyst and ensuring continuous drainage facilitated spontaneous eruption of permanent teeth.
- Ossification of the bony defect occurred concurrently with tooth eruption.
- The complete reparatory process took one to two years.
Implications:
- This conservative management approach can successfully preserve developing permanent teeth.
- Early intervention and appropriate treatment can lead to favorable outcomes in pediatric dentigerous cyst cases.
- Utilizing space-maintainers is crucial during the healing and eruption process.
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