Abstract
This paper discusses the treatment of impacted permanent incisors and unerupted ectopic canine associated with a dentigerous cyst in mixed dentition that was successfully managed by the combined approach of decompression followed by enucleation, primary closure, autotransplantation and endodontic therapy which enabled the utilization of teeth which were hitherto nonfunctional, transferred to an optimal functional and esthetic position. Decompression is a less invasive technique which reduces the cystic pressure, avoids a more stressful surgical procedure and necessity for general anesthesia. It gives more pleasing results as the body’s own mechanism heals the defect gradually. Autotransplantation of teeth induces bone formation around the root with the help of viable periodontal ligament on their root surface. In this case, bone lost by cyst was regenerated and lamina dura was appreciable in the follow up radiographs and transplanted teeth are functioning well.
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Notes
Federation Dentaire Internationale (FDI), it is also known as ISO 3950 notation. This system uses a two-digit numbering system in which the first number represents a tooth's quadrant and the second number represents the number of the tooth from the midline of the face. For permanent teeth, the upper right teeth begin with the number, "1". The upper left teeth begin with the number, "2". The lower left teeth begin with the number, "3". The lower right teeth begin with the number, "4". For primary teeth, the sequence of numbers goes 5, 6, 7, and 8 for the teeth in the upper right, upper left, lower left, and lower right respectively.
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Rajanikanth, B.R., Kavitha Prasad & Vineeth, K. Autotransplantation of Teeth Associated with Dentigerous Cyst: A Case Report. J. Maxillofac. Oral Surg. 14, 816–820 (2015). https://doi.org/10.1007/s12663-014-0699-4
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DOI: https://doi.org/10.1007/s12663-014-0699-4