Decompression of odontogenic cyst involving the unerupted permanent teeth through removable space maintainer : case report

Han, Ji-hye; Mah, Yon-joo

doi:2023.61.3.180

J Korean Dent Assoc > Volume 61(3); 2023 > Article

CASE REPORT

The Journal of The Korean Dental Association 2023;61(3):180-190.
DOI: https://doi.org/10.22974/jkda.2023.61.3.002 Published online February 28, 2023.

가철성 공간유지장치를 이용한 미맹출 영구치를 포함한 치성낭종의 감압술 : 증례보고

한지혜

, 마연주

아주대학교 치과병원 소아치과

Decompression of odontogenic cyst involving the unerupted permanent teeth through removable space maintainer : case report

Ji-hye Han

, Yon-joo Mah

Department of Pediatric Dentistry, Dental Hospital, Ajou University, Suwon, Republic of Korea

Correspondence: Yon-joo Mah, Tel: +82-31-219-5869, Fax: +82-31-219-5868,
Email: magic-lily@hanmail.net

Received: 19 October 2022 • Revised: 31 October 2022 • Accepted: 9 December 2022

Abstract

Treatment of odontogenic cyst in pediatric patients should be considered to preserve adjacent anatomical structures, especially developing permanent teeth. Decompression can prevent damage to surrounding permanent teeth and induce spontaneous eruption of permanent teeth. Removable space maintainer with rubber tube for decompression is used to maintain the patency of the cyst and space for the eruption. These are four case reports of odontogenic cyst involving maxillary canine and mandibular premolars. Due to preserving permanent teeth, all cases were treated with decompression. This case report shows that mandibular premolar spontaneously erupted into the proper position. While maxillary canine may need additional treatment intervention, such as orthodontic traction or surgical extraction.

Key Words: Decompression; Removable space maintainer; Odontogenic cyst; Dentigerous cyst; Spontaneous eruption