6533b82dfe1ef96bd1291e53

RESEARCH PRODUCT

Marsupialization of a large dentigerous cyst in the mandible with orthodontic extrusion of three impacted teeth. A case report

Nedal Abu-mostafaArshad Abbasi

subject

medicine.medical_treatmentDentistryCase Report030204 cardiovascular system & hematology03 medical and health sciences0302 clinical medicineOdontogenic cyststomatognathic systemmedicinePremolarOrthodontic ExtrusionGeneral DentistryPermanent teethOrthodonticsbusiness.industryImpacted toothMandible030206 dentistrymedicine.diseaseMarsupialization:CIENCIAS MÉDICAS [UNESCO]Dentigerous cyststomatognathic diseasesmedicine.anatomical_structureUNESCO::CIENCIAS MÉDICASOral Surgerybusiness

description

The dentigerous cyst (DC) is the most common type of developmental odontogenic cyst. It is usually asymptomatic and associated with the crown of an unerupted or impacted tooth. However, after a long duration, it is likely to cause significant bone resorption, cortical expansion, and tooth displacement. This report presents a large infected DC in the mandible of a 12-year-old female patient. The DC was located inferior to badly decayed primary molars and surrounded three impacted permanent teeth: canine, first premolar, which had a dilacerated root, and second premolar. The DC was treated successfully by marsupialization and extrusion of the impacted teeth. In conclusion, the combination of marsupialization with orthodontic extrusion is a conservative, efficient protocol that stimulates bone healing and promotes the eruption of cyst-associated teeth even if they are deeply impacted, crowded, or have a dilacerated root. Key words:Dentigerous cyst, marsupialization, impacted teeth, orthodontic extrusion, dilacerated root.

10.4317/jced.53890http://hdl.handle.net/10550/63379