2019, Number 2
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Rev Odotopediatr Latinoam 2019; 9 (2)
Cystic lesion on an upper premolar related to pulpotomized primary molar
Ibrahim MN, Makzoumé JE, Abboud RR, Daou MH
Language: Spanish
References: 17
Page: 151-159
PDF size: 1094.64 Kb.
ABSTRACT
Pulpotomy is a frequent endodontic treatment performed in children. Even though it is a safe procedure, side effects have been reported.
Case Report: A 10-year-old boy came for a dental checkup. X-ray findings showed a radiolucent lesion above the maxillary second deciduous left molar, related to the permanent tooth. Extraction of the first and second deciduous molars was realized under local anesthesia. The cystic lesion was removed surgically, and histo-pathological analysis showed an inflammatory dentigerous cyst. A marsupialization cavity was created to allow eruption of the premolars. After a one-year follow-up, the bone had completely regenerated, and premolars had completely erupted.
Conclusion: This case report highlights the need for regular supervision of pulp treated teeth, even if they are asymptomatic, as well as eruption phase of permanent and deciduous teeth. Marsupialization of the dentigerous cyst provided effective treatment and allowed preservation of the involved premolar.
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