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Marsupialization facilitates movement of the cystic lesion-associated deeply impacted mandibular third molar in spite of its mature roots
Sun, Rui; Cai, Yu; Wu, Yang; Zhao, Ji-Hong.
Afiliação
  • Sun, Rui; Wuhan University. School & Hospital of Stomatology. Wuhan. People's Republic of China
  • Cai, Yu; Wuhan University. School & Hospital of Stomatology. Wuhan. People's Republic of China
  • Wu, Yang; Wuhan University. School & Hospital of Stomatology. Wuhan. People's Republic of China
  • Zhao, Ji-Hong; Wuhan University. School & Hospital of Stomatology. Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology. Wuhan. People's Republic of China
Med. oral patol. oral cir. bucal (Internet) ; 22(5): e625-e629, sept. 2017. ilus, tab
Artigo em Inglês | IBECS | ID: ibc-166658
Biblioteca responsável: ES1.1
Localização: BNCS
ABSTRACT

Background:

The odontogenic cystic lesions happened in the angle and ramus region are frequently associated with impacted mandibular third molars. The treatment plan was difficult to work out for the huge cystic lesions with deeply impacted third molars, since the enucleation with simultaneously removing the deeply impacted teeth may cause serious complications. Therefore, the marsupialization of the cystic lesions followed by enucleation with tooth removal has also been advocated. The aim of this study was to explore the movement of cystic lesion associated deeply impacted mandibular third molars (IMTM) after marsupialization. Material and

Methods:

Between July 2009 and December 2015, patients who had mandibular cystic lesion associated with IMTM and underwent marsupialization followed by enucleation with tooth extraction were included in our retrospective study. The clinical and pathological data was collected. The distance and direction of movement of the IMTM after marsupialization was measured on panoramic radiograph and computed tomography.

Results:

Four male and six female patients whose ages ranged from 14 years to 67 years were enrolled in this study. Among the all impacted molars, there were 3 cases with mature roots. After marsupialization, all the cystic lesions shrunk and all impacted teeth moved toward the bony windows, and the distance of tooth movement were from 8.3mm to 12.1mm. The complications included swelling and pain, while no numbness of the ipsilateral lower lip was happened.

Conclusions:

Marsupialization can promote the movement of impacted teeth with or without mature roots, and may be an optimal treatment approach for the huge posterior mandibular cystic lesions with deeply impacted third molar (AU)
RESUMEN
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Assuntos

Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Extração Dentária / Dente Impactado / Cistos Maxilomandibulares / Cistos Odontogênicos / Dente Serotino Limite: Humanos Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Wuhan University/People's Republic of China

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Texto completo: Disponível Coleções: Bases de dados nacionais / Espanha Base de dados: IBECS Assunto principal: Extração Dentária / Dente Impactado / Cistos Maxilomandibulares / Cistos Odontogênicos / Dente Serotino Limite: Humanos Idioma: Inglês Revista: Med. oral patol. oral cir. bucal (Internet) Ano de publicação: 2017 Tipo de documento: Artigo Instituição/País de afiliação: Wuhan University/People's Republic of China
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