Management of eruption cyst in primary dentition using ulectomy: clinical case report.

Abstract

Introduction: Tooth eruption is the process by which the tooth migrates from its developmental position to its functional position. However, this process can be altered by conditions such as an eruption cyst, a benign soft tissue lesion, covered by gingival mucosa and inflammatory fluid inside, which can cause pain or discomfort. These lesions usually appear more frequently in primary dentition and during the first years of life. Although many cases tend to resolve spontaneously, when pain is present, a surgical treatment called ulectomy may be indicated, which consists of removing the tissue that covers the crown, allowing the tooth to erupt.Case report: A one-year and three-month-old male patient attended the Centro de Atención Médico Integral del Centro Universitario de los Altos de la Universidad de Guadalajara. Intraoral examination revealed slight inflammation in the gingiva corresponding to the lower right primary first molar. The mother reported pain upon contact and difficulty feeding him. Due to the symptomatic condition, it was decided to perform a ulectomy under local anesthesia, making an elliptical incision at the site to expose the cusp of the dental organ.Conclusions: It is essential to intervene in a timely manner when the dental eruption process is altered at early ages, especially when there is pain. Ulectomy is an effective alternative to promote successful eruption.