Noninvasive treatment choice for an aged down syndrome patient presenting a residual periapical cyst

• Published in: The journal of contemporary dental practice Vol. 15; no. 2; pp. 254 - 257
• Main Authors: Sperandio, Felipe Fornias, Carli, Marina Lara de, Guimaräes, Eduardo Pereira, Pereira, Alessandro Antônio Costa, Hanemann, Joäo Adolfo Costa
• Format: Journal Article
• Language: English
• Published: India 01.03.2014
• Subjects: Dental Care for Disabled; Dentistry; Down Syndrome - complications; Drainage - instrumentation; Female; Follow-Up Studies; Humans; Maxillary Diseases - surgery; Middle Aged; Minimally Invasive Surgical Procedures - methods; Radicular Cyst - surgery; Sodium Chloride - therapeutic use; Therapeutic Irrigation - methods
• ISSN: 1526-3711; 1526-3711
• DOI: 10.5005/jp-journals-10024-1524

This is the first report to illustrate the marsupialization as an effective treatment for a Down Syndrome (DS) patient presenting a residual periapical cyst. These cysts occur within the alveolar ridge, usually at the local site of a previously extracted tooth that did not received proper curettage; usually the surgical excision of a cyst and also the vigorous curettage of a socket is very simple, if not for the fact that mentally disabled patients require rapid and non-stressful procedures. The 54-year-old DS patient represented herein received a minimally invasive marsupialization under local anesthesia. Due to the large extent of the lesion, the acrylic resin drain was maintained for 30 days. Through the following period, a daily irrigation of the cystic cavity with saline solution was carried out to prevent a secondary infection within the cystic cavity. A follow-up of 16 months showed no signs of recurrence. Marsupialization of residual periapical cyst is completely effective and safe, even for a DS patient that is considered to be at an advanced age. Marsupialization poses as a minimally invasive choice for mentally disabled patients, even when presenting advanced ages; treatment success was stated by the easy clinical conduct, uneventful postoperative situation and the lack of recurrence along 16 months of follow-up.