Question 22 (part 2) · LDEK · Impacted teeth

Choose correct maintenance of a 14-year-old patient, who reported due to impacted tooth 13 with dentigerous cyst of 2cm diameter:

  1. A. extraction of tooth together with cyst enucleation.
  2. B. first performing a biopsy from the lesion and referring it to histopathologic examination.
  3. C. orthodontic consult, in case of usefulness in occlusion, enucleation of the cyst with histopathologic examination, and subsequent 100-day observation with regard to spontaneous eruption.
  4. D. wait-and-see attitude.
  5. E. orthodontic consult, extraction of tooth together with cyst enucleation and performing compensatory extraction on the other side.
Hint

In a teenager the canine still has eruptive potential and great value for occlusion; think of tooth-preserving management.

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