Ishiyama Misa, Namaki Shunsuke, Yaoita Masako, Kikuiri Takashi
Department of Pediatric Dentistry, Nihon University School of Dentistry, Tokyo, JPN.
Department of Oral and Maxillofacial Surgery, Nihon University School of Dentistry, Tokyo, JPN.
Cureus. 2024 Jul 3;16(7):e63782. doi: 10.7759/cureus.63782. eCollection 2024 Jul.
Radicular cysts are common among odontogenic cysts but are rare in primary teeth. They occur more frequently in the mandibular molar region and rarely in the mandibular anterior region. This is a case of a radicular cyst in the mandibular anterior teeth during the primary dentition stage. In addition, after the fenestration of cystic lesions, gauze is generally changed to prevent the extraction socket from closing. However, in this case, the patient was six years old. Therefore, to alleviate the burden of changing the dressing gauze, we practiced putting on and taking off the obturator before fenestration and using it immediately after surgery under general anesthesia. This made it possible to change the dressing gauze after surgery. We were able to maintain an open wound without the burden of dressing gauze changes. The use of the device was shown to be effective in maintaining open wounds in young patients.
根端囊肿在牙源性囊肿中较为常见,但在乳牙中罕见。它们更常发生在下颌磨牙区,很少发生在下颌前部区域。这是一例乳牙列期下颌前牙区的根端囊肿病例。此外,囊性病变开窗术后,通常会更换纱布以防止拔牙创口闭合。然而,该病例中的患者年仅六岁。因此,为减轻更换敷料纱布的负担,我们在开窗术前练习了闭孔器的佩戴和取下,并在全身麻醉下术后立即使用,从而得以在术后更换敷料纱布。我们能够保持创口开放,而无需承担更换敷料纱布的负担。结果表明,该装置在维持年轻患者创口开放方面有效。