ORIGINAL ARTICLE   

Gazzetta Medica Italiana - Archivio per le Scienze Mediche 2024 December;183(12):1019-25

DOI: 10.23736/S0393-3660.24.05484-6

Copyright © 2024 EDIZIONI MINERVA MEDICA

lingua: Inglese

Odontogenic cyst treatment with marsupialization in pediatric patients

Bedriye G. GENC ¹ ✉, Atalay ELVER ¹, Kaan ORHAN ²

¹ Department of Oral and Maxillofacial Surgery, Cyprus University of Health and Social Sciences, Morphou, Turkish Republic of Northern Cyprus; ² Department of Dentomaxillofacial Radiology, Faculty of Dentistry, Ankara University, Ankara, Türkiye

BACKGROUND: Odontogenic cysts, particularly radicular cysts, present unique challenges in pediatric patients, underscoring the critical need for a conservative approach tailored to the specificities of this demographic. This article offers a comprehensive case study complemented by an analysis of 101 cases, shedding light on the efficacy of marsupialization as a pivotal strategy in managing odontogenic cysts in young individuals. The research places a strong emphasis on the paramount importance of preservation, reduced invasiveness, and the safeguarding of vital structures in pediatric cases.
METHODS: In the featured case, a 9-year-old male with a radicular cyst affecting permanent tooth germs underwent marsupialization to preserve teeth 34 and 35. Executed under general anesthesia, the procedure incorporated meticulous imaging, clinical assessment, and continuous drainage using a PVC nelaton catheter. The successful outcome of the surgery, leading to proper postoperative healing and tooth eruption, highlights the significance of adopting marsupialization as a tailored and conservative approach for pediatric odontogenic cysts.
RESULTS: The clinical discussion underscores the specific advantages of marsupialization in preserving critical structures, minimizing the necessity for extensive surgery, and its appropriateness for the pediatric age group. The analysis, encompassing a thorough review of 101 case reports involving pediatric patients treated with marsupialization, concentrates on radicular and dentigerous cysts. Key aspects such as age distribution, gender, lesion locations, diagnoses, long-term follow-up, and recurrence rates are explored with a keen focus on the unique considerations of pediatric cases.
CONCLUSIONS: Marsupialization emerges as not only a promising but a pivotal treatment for odontogenic cysts. The amalgamation of a detailed case study and an encompassing review encourages further exploration in clinical practice, stressing the importance of tailoring interventions for the specific needs of pediatric patients. Continued research and long-term studies are imperative to refine outcomes, ultimately advancing patient care and contributing significantly to the enhancement of craniofacial health in the pediatric population. These efforts are crucial for ensuring the well-being and future oral health of young individuals.

KEY WORDS: Minimally invasive surgical procedures; Odontogenic cysts; Pediatric dentistry; Radicular cyst