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Marsupialization of a Large Radicular Cyst with Extensive Maxillary Tooth Displacement: Eight-Year Follow-Up

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Radicular cysts arising from primary teeth are uncommon and, when present as large lesions, may adversely affect the underlying permanent teeth. The purpose of this paper is to describe the management of a very large atypical radicular cyst involving the primary dentition of a nine-year-old boy and causing extensive tooth displacement with transposition of the permanent maxillary left canine between the bicuspids. The root apex of the canine was close to the median level of the lateral border of the nasal cavity and showed incomplete root formation and signs of dilacerations in its apical third. Marsupialization was successfully performed, followed by long-term orthodontic treatment. This interdisciplinary management facilitated the lesion resolution for repositioning of the canine into functional occlusion. (J Dent Child 2019;86(1):64-8)
Received October 23, 2018; Last Revision January 10, 2019; Accepted January 11, 2019.
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Keywords: DILACERATION; MARSUPIALIZATION; PEDIATRIC; RADICULAR CYST; TRANSPOSITION

Document Type: Case Report

Affiliations: 1: professor, Department of Orthodontics, School of Life Sciences, Pontif í cia Universidade Católica do Paraná, Curitiba, Brazil, and is postdoctoral fellow, Center for Advanced Dental Education, Saint Louis University, St. Louis, Mo., USA. 2: PhD candidate, Department of Orthodontics, School of Life Sciences, Pontifícia Universidade Católica do Paraná 3: Associate professor, Department of Oral Pathology, School of Life Sciences, Pontifícia Universidade Católica do Paraná 4: Professor, Faculty of Medicine, and head of Orthodontics, Department of Oral Health Sciences, Katholieke Universiteit Leuven, Leuven, Belgium 5: Master's degree candidate, Department of Stomatology, School of Life Sciences, Pontifícia Universidade Católica do Paraná 6: Professor, Department of Stomatology, School of Life Sciences, Pontifícia Universidade Católica do Paraná, Email: [email protected]

Publication date: January 1, 2019

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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