J Korean Assoc Maxillofac Plast Reconstr Surg.  2011 Jan;33(1):83-88.

Forced Eruption of Severe Angulated and Impacted Permanent Teeth after Marsupialization of Dentigerous Cyst: Case Report

• Nam JH
• Noh KL
• Yoo WG
• Lee BM
• Jeon JH
• Park SH
• Ahn JH
• Kim JH

Abstract

The goal of this treatment is the surgical-orthodontic eruption of impacted permanent teeth associated with a large dentigerous cyst in a preadolescent patient. Although enucleation of the entire cyst and the extraction of impacted teeth are common treatments, missing permanent teeth cause several problems in young patients. In this report, an 11-year-old female visited with the chief complaint of a large radiolucent lesion from the mandibular anterior area to the left mandibular posterior area. The permanent left canine and premolars were displaced toward the mandibular inferior border area. The extraction of infected deciduous teeth and marsupialization were performed. After 4 months, orthodontic buttons for forced eruption were applied to the impacted permanent teeth. The teeth emerged into the oral cavity 3 months after the orthodontic treatment. Although the root form was abnormal, there were no other pathogenic signs. The alveolar bone had a normal trabecular pattern and the teeth appeared to be well maintained at postoperative 24 months.

Keyword

Forced eruption; Marsupialization; Dentigerous cyst

MeSH Terms

Bicuspid
Child
Dentigerous Cyst
Female
Humans
Mouth
Orthodontic Extrusion
Tooth
Tooth, Deciduous
Tooth, Impacted