Treatment of Maxillary Inflammatory Odontogenic Cyst with Laser Therapy – Case Report

Abstract

Purpose: Odontogenic cysts occur in the oral and maxillofacial region; most jaw cysts are lined by epithelium derived from odontogenic epithelium associated with tooth development. Odontogenic cysts can be classified as “developmental type” or “inflammatory type”. A correct diagnosis is essential for planning the treatment of conditions that compromise the maxilla-mandibular complex. Given that, a significative number of cystic lesions of the jaws share similar clinical and radiographic features, the diagnosis of odontogenic cysts, usually requires detailed analysis of the clinical, radiological and histopathological findings. All odontogenic cysts, with the exception of inflammatory periapical cyst and lateral radicular cyst, should be treated with surgical intervention. The periapical cystic lesions are usually treated by conservative endodontic treatment (periapical curettage) or surgical treatment (enucleation, marsupialization and decompression). In lateral radicular and inflammatory periapical cysts, surgery is indicated only if the lesions do not regress after removal of odontogenic infection intra-canal the affected tooth. In case of residual cyst, surgery is the only option. Case Report: A 55-year-old female patient, caucasian, attended the Oral-Maxillofacial Surgery consultation at Clitrofa - Centro Médico, Dentário e Cirúrgico, in Trofa - Portugal, to evaluate a dental cyst in the second quadrant diagnosed during the evaluation to place dental implants in the upper jaw. It was decided to carry out surgical treatment of the lesion using LightWalker® from Fotona with application of Er:YAG and Nd:YAG lasers. Conclusion: After a 12-month follow-up period, the patient is pain free and the lesion has no signs of recurrence. Laser therapy may be considered a successful treatment modality for inflammatory odontogenic cyst