Eruption cyst treated with a laser powered hydrokinetic system

Abstract

Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. The majority disappear on their own. If they hurt, bleed or are infected they may require surgical treatment to expose the tooth and drain the content. Here we present a clinical case of a six-year-old child with an eruption cyst on the permanent maxillary central left incisor, which was handled using treatment with an Er,Cr-YSGG laser. It did not require suture, there was no haemorrhage, swelling, infection or postoperative pain. The treatment of eruption cysts with this technique facilitates obtaining the cooperation of pediatric patients and makes behavior management by the pediatric dentist easier.

Lasers in Paediatric Dentistry, a Boon or a Bane: A Systemic Review

“…For location and exposure of the tooth which are unerupted, lasers that are not absorbed into the enamel are ideal. Er: YAG at a setting of 30Hz, 45mJ in contact and non-contact mode is generally used [21]. Gingival remodelling and gingivectomy: Erbium laser at a setting of 55-80mJ and frequency of 20-30Hz without water spray is generally used for gingival remodelling and gingivectomy [22].…”

Hamartomas in the opercula of four unerupted primary molars

“…3 Eruption cysts are usually asymptomatic and are conservatively left to rupture spontaneously when the underlying tooth erupts. 1,4,5 However, surgical intervention should be considered if the EC's cause pain or discomfort, infection or interfere with normal function (i.e. breastfeeding/mastication).…”

Eruption cyst: A literature review and case report

“…Radiographically, it is difficult to distinguish the cystic space of eruption cyst as it is a soft tissue cyst. Dentigerous cyst, in contrast, has a well-defined unilocular radiolucent area which is observed in the form of half-moon on the crown of a non-erupted tooth [5] . Histologically, on the superior aspect, the microscopic characteristic seen are that of surface oral epithelium with presence of variable inflammatory cell infiltrate in the underlying lamina propria.…”

“…It also has its own morphology code of the international classification of diseases for oncology [3,4] . The prevalence rate of this cyst is as low as 0.6% as they have not been extensively researched [5][6][7][8] . One of the reasons for low prevalence may be attributed to the fact that most of the eruption cysts are asymptomatic and resolve unnoticed.…”

“…The colour of the cyst ranges between transparent, bluish, red-bluish, purple or blue black [6,11,16] . Size of the cyst depend on whether it is associated with primary or permanent teeth [5] . Radiographically, it is difficult to distinguish the cystic space of eruption cyst as it is a soft tissue cyst.…”