PMC6046173_01
Orthopantomogram (OPG) showing a radiolucent lesion at the mandibular left side (second premolar region).
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The root of the adjacent premolar was included in the lesion but did not reveal any root resorption (Figures 1 and 2).
(a) Occlusal radiograph to further investigate the well-defined radiolucent lesion. (b) Periapical radiograph to further investigate the well-defined radiolucent lesion.
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The root of the adjacent premolar was included in the lesion but did not reveal any root resorption (Figures 1 and 2).
Older orthopantomogram (OPG) showing the absence of any radiolucent lesion at the mandibular left side (second premolar region).
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Going back to the old orthopantomogram (OPG) of the patient collected by the Pediatrics Department, it was noted that no lesion was visible at that time (Figure 3).
Marsupialization of the cystic lesion after extraction of the deciduous second molar, revealing retraction to visualize the surgical site at first (a), then anesthetizing the site (b), followed by extraction of the primary second molar and drainage (c), and finally opening of the surgical site after marsupialization (d).
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The acrylic resin obturator to maintain the surgical opening during healing.
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After the surgery, the patient was instructed to wear the acrylic resin obturator that was previously fabricated to maintain the surgical opening during healing and assure success of the surgery (Figure 5).
Orthopantomogram (OPG) showing the absence of any radiolucent lesion and the successful eruption of the mandibular left second premolar.
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Intraoral photo postmarsupialization with the mandibular left second premolar completely erupted on the arch.
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