2022, Number 4
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Rev Cubana Estomatol 2022; 59 (4)
Enucleation of tooth cyst, associated with retained lateral incisor, and orthodontic traction of retained upper canine
Ascanoa OJA, Ruiz BMA
Language: Spanish
References: 27
Page:
PDF size: 389.23 Kb.
ABSTRACT
Introduction: A drawback of permanent tooth eruption
is tooth retention. A retained tooth has not completed its
eruption and has not reached its normal position in the
jaw. Retained teeth may be within the jaw asymptomatic
or causing tooth migration, persistence of deciduous teeth,
alterations in occlusion and aesthetics, formation of
tooth cyst and tumors.
Objective: Describe the enucleation of dentiger cyst, associated
with the lateral incisor, and orthodontic traction
of retained upper canine.
Case presentation: Female patient, 19 years old, with
persistence of teeth 52 and 53. Tomographically there is
a right upper lateral incisor retained in a horizontal position,
associated with a radiolucent image of dimensions
of 11.2 mm x 20.1 mm and a canine retained in an upright
position. Exodontics were performed at the flap of the
lateral incisor and enucleation of the cyst. Regarding the
canine, the orthodontic button was placed for subsequent
traction. The definitive histopathological diagnosis was
tooth cyst.
Conclusions: Lesions associated with retained teeth may
have several differential diagnoses. The specialist must
know the clinical and radiographic characteristics of each
of them and project the treatment plan according to the
criteria of location, size of the lesion, age, systemic status,
among others. Knowledge of surgical technique and
histopathological diagnosis avoids complications.
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