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Replantation of a maxillary second molar after removal of a third molar with a dentigerous cyst: Case report and 12-month follow-up

机译:去除第三颗臼齿并伴有牙囊肿后再植上颌第二颗臼齿:病例报告和12个月的随访

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摘要

The aim of this study was to describe the replantation of a maxillary second right molar, which had been removedfor surgical reasons in order to remove a dentigerous cyst associated with the adjacent third molar, and the case's12-month follow-up.A 51-year-old man presented swelling in the right maxillary area. Radiographic examination showed a large radiolucencyin close proximity to the third molar, suggesting a follicular cyst. The third molar was extracted andthe cyst underwent curettage. The second molar had to be extracted to enable complete removal of the cyst and toachieve primary closure of the wound, which would have been impossible without repositioning the molar. Withthis objective, extraoral endodontic treatment was performed, the root-end was resected and prepared with ultrasonicretrotips, and root-end filling was accomplished with MTA before the molar was replanted. At the 12-monthfollow-up, the tooth showed no clinical signs or symptoms, probing depth was no greater than 3 mm and radiographicexamination showed no evidence of root resorption or periapical lesion.
机译:这项研究的目的是描述由于手术原因而切除的上颌第二右磨牙的再植,以去除与相邻的第三磨牙相关的齿状囊肿,并对该病例进行12个月的随访。A51岁的一名男子在右上颌区域出现肿胀。影像学检查显示在靠近第三磨牙处有较大的放射线透明度,提示滤泡性囊肿。取出第三颗磨牙,并刮除囊肿。必须拔除第二颗臼齿以使囊肿完全去除并实现伤口的初次闭合,而如果不重新放置臼齿则是不可能的。出于这个目的,进行了口腔外牙髓治疗,切除了根端,并用超声逆行针尖进行了准备,在磨牙再植之前,用MTA完成了根端的充填。随访12个月时,牙齿未显示任何临床体征或症状,探查深度不大于3 mm,X线检查未显示牙根吸收或根尖周病变的迹象。

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