Surgical Removal of a Radicular Cyst on a Fused Tooth in a Patient with Down's Syndrome: 14-years Follow-up
Vanessa Travassos Dias1, Erika Regina Stocco Di Francesco2, Élio Hitoshi Shinohara3, Luiz Carlos Magno Filho4
and Irineu Gregnanin Pedron4*
1Undergraduate Student, Universidade Brasil, São Paulo, Brazil.
2DDS, Private practice, São Paulo, Brazil
3Professor, Department of Oral and Maxillofacial Surgery, Hospital Regional de Osasco, Osasco, Brazil.
4Professor, Department of Periodontology, Implantology, Stomatology and Therapeutics, Universidade Brasil, São Paulo, Brazil.
*Corresponding Author: Irineu Gregnanin Pedron, Professor, Bottoxindent Institute and Department of Periodontology, Implantology, Stomatology and Therapeutics, Universidade Brasil, São Paulo, Brazil, Tel: +55 11 2944-4067
Received: February 10, 2022 Published: February 18, 2022
Abstract
Down's Syndrome - also known as trisomy 21 - is one of the genetic anomalies most frequently observed in dental clinic. Patients with Down's Syndrome present several systemic and stomatological alterations. These systemic alterations may influence the dental treatment, requiring some special care. Facing precarious oral hygiene, due to motor coordination restriction, lack of motivation and even lack of professional guidance, a high incidence of caries and periodontal diseases is observed. Subsequently, pulp necrosis and the development of periapical alterations can be observed. The purpose of this article is to present the case of a patient with Down's Syndrome, who presented a fused tooth and radicular cyst. Endodontic treatment was performed and after 12 months, without signs of regression of the cystic lesion, surgical removal of the radicular cyst was performed. The patient has been followed clinically and radiographically for 14 years with no signs of recurrence of the lesion.
Keywords: Down Syndrome; Radicular Cyst; Endodontics; Oral Surgery; Special Care in Dentistry.
Citation: Dias VT, Di Francesco ERS, Shinohara EH, Filho LCM, Pedron IG. “Surgical Removal of a Radicular Cyst on a Fused Tooth in a Patient with Down's Syndrome: 14-years Follow-up”. SVOA Dentistry 3:2 (2022) Pages 70-74.
