Paradental cyst mimicking a periodontal pocket: case report of a conservative treatment approach.
A 7-year-old boy presented with a periodontal problem related to an erupting lower molar. The tooth showed a 15 mm deep periodontal pocket on the buccal aspect. A microbiological DNA test excluded a periodontal origin. The treatment consisted of local antimicrobial therapy and cleaning and filling of the pocket with Atridox. 2 years after therapy the pocket completely disappeared. Finding periodontal pockets on freshly erupted teeth with acute symptoms should suggest the diagnosis of a cyst. This could prevent surgical endodontal or periodontal therapy. This problem can be managed effectively with minimal therapy and local antibiotics.
Pelka
M
M
University of Erlangen-Nuremberg, Dental Clinic 1-Operative Dentistry and Periodontology, Erlangen, Germany. pelka@dent.uni-erlangen.de
van Waes
H
H
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008334:Mandible; D008963:Molar / Q000502:physiology; D010509:Periodontal Cyst / Q000188:drug therapy* / Q000473:pathology*; D010514:Periodontal Pocket / Q000175:diagnosis*; D014078:Tooth Eruption
D000900:Anti-Bacterial Agents; D004318:Doxycycline