Kuźniarski Amadeusz, Kiryk Jan, Kiryk Sylwia, Kijak Edward, Dubowik Magdalena Aleksandra, Matys Jacek, Dobrzyński Maciej
Dental Prosthetic Department, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
Dental Surgery Department, Wroclaw Medical University, Krakowska 26, 50-425 Wroclaw, Poland.
J Clin Med. 2025 Jan 12;14(2):452. doi: 10.3390/jcm14020452.
Inflammation in the periapical area of primary teeth can affect the development and eruption of permanent teeth. In an asymptomatic course, they are detected accidentally during routine examinations. In such cases, they often reach significant dimensions and cause irreversible changes. This report presents the case of a 9-year-old boy with a radicular cyst in the mandible, resulting in the displacement of both premolar tooth buds. To address the inflammation, facilitate the proper eruption of the impacted teeth, and prevent adjacent teeth from shifting, the primary molars were extracted. Marsupialization was performed under general anesthesia, followed by the fabrication and placement of an obturator. Two months after treatment, the displaced tooth buds began aligning along the natural eruption pathway. By the 8-month follow-up, the premolars had successfully erupted into their proper positions in the oral cavity. Marsupialization combined with the use of an obturator is an effective first-line treatment for radicular cysts in pediatric patients, offering a conservative approach that promotes natural tooth eruption while preserving the surrounding dentition.
乳牙根尖区的炎症会影响恒牙的发育和萌出。在无症状的情况下，它们是在常规检查中偶然发现的。在这种情况下，它们往往会发展到相当大的程度并导致不可逆转的变化。本报告介绍了一名9岁男孩的病例，其下颌骨有一个根囊肿，导致两颗前磨牙牙胚移位。为了消除炎症，促进阻生牙的正常萌出，并防止相邻牙齿移位，拔除了乳牙。在全身麻醉下进行袋形术，随后制作并放置了一个阻塞器。治疗两个月后，移位的牙胚开始沿着自然萌出路径排列。到8个月随访时，前磨牙已成功萌出到口腔中的正确位置。袋形术结合使用阻塞器是小儿患者根囊肿的一种有效的一线治疗方法，提供了一种保守的方法，既能促进牙齿自然萌出，又能保留周围的牙列。
