Master in Oral Surgery and Implant Dentistry, Valencia University Medical and Dental School, Valencia, Spain.
Department of Stomatology, Valencia University and Medical School, Valencia, Spain.
Clin Adv Periodontics. 2021 Mar;11(1):33-38. doi: 10.1002/cap.10099. Epub 2020 Apr 23.
Traumatic bone cyst is a pseudocyst which is characterized as an asymptomatic unilocular single lesion with an empty cavity without epithelial lining. Its etiology is still debated, it is more frequent among young people and it is often localized in the posterior mandible zone. A case report is described about diagnosis and conservative treatment of a traumatic bone cyst in anterior zone of lower mandible.
The report describes a 22-year-old female with a traumatic bone cyst in anterior mandible as accidental discovery from a routine orthopantomography. A conservative approach was conducted to treat the lesion through a submarginal incision, an osteotomy with ultrasound, a filling of the cavity with advanced platelet-rich fibrin membranes, and repositioning of the cortical bone. The radiological follow-up to 6 months confirmed the healing of the lesion.
The conservative approach through submarginal incision, osteotomy with ultrasound, filling with A-PRF+ membranes and repositioning of cortical bone ensures optimal bone healing and avoids gingival recessions at six months follow-up, showing to be a good alternative for satisfactory defect resolution in similar clinical cases.
创伤性骨囊肿是一种假囊肿，其特征为无症状、单房性、单个病变，有空腔但无上皮衬里。其病因仍存在争议，它在年轻人中更为常见，常发生于下颌后区。本文报告了一例下颌前区创伤性骨囊肿的诊断和保守治疗。
报告描述了一位 22 岁女性，常规全景片偶然发现下颌前区有创伤性骨囊肿。通过边缘下切口、超声骨切开术、用富含血小板纤维蛋白膜填充空腔以及重新定位皮质骨，对病变进行了保守治疗。6 个月的放射学随访证实了病变的愈合。
通过边缘下切口、超声骨切开术、填充 A-PRF+膜和重新定位皮质骨的保守方法可确保最佳的骨愈合，并避免在 6 个月的随访中出现牙龈退缩，在类似的临床病例中，这种方法是一种很好的替代方法，可以满意地解决缺损问题。
