Unveiling the Hidden Challenge: Navigating the Diagnosis and Strategic Intervention for Tooth Eruption Cyst

Tooth eruption cysts is a benign lesions associated with the eruption of teeth, predominantly affect children aged 6-9 years, with a predilection for the upper incisors. These cysts are often asymptomatic but can manifest as swollen gingiva in some cases. Recognizing and addressing such cysts is crucial for proper diagnosis and effective treatment planning.

A 7-year-old girl presented with a chief complaint of swollen gingiva associated with the upper incisor. Clinical examination revealed bluish discoloration of the gingiva overlying the superior aspect of tooth 51. The affected tooth exhibited mobility of grade 1, while tooth 11 showed no signs of eruption. Further evaluation confirmed the presence of a tooth eruption cyst associated with the unerupted tooth 11.

The initial approach involved close observation of the tooth eruption cyst. If the swelling worsened or if tooth 51 was lost without signs of tooth 11 eruption, the proposed treatment plan included an incision procedure. This intervention aimed to drain the cyst and expose the unerupted tooth 11, facilitating its proper emergence into the oral cavity.

Regular monitoring revealed no significant worsening of the swelling over the observation period. The patient's parents were informed of the benign nature of the tooth eruption cyst and the potential treatment options. Emphasizing the importance of timely intervention in case of worsening symptoms or tooth loss ensured the parents were aware of the proactive approach to manage the condition. This case underscores the significance of accurate diagnosis and communication with parents to alleviate concerns and ensure optimal dental care for pediatric patients.

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