Marsupialization Followed by Curettage of an Extensive Periapical Cyst in the Incisive and Maxillary Bone in a Dog

Hanne E. Kortegaard; Alexander M. Reiter; Loic Legendre; Thomas Eriksen; Lene E. Buelund; Cecilia Gorrel

doi:10.1177/0898756418813645

Marsupialization Followed by Curettage of an Extensive Periapical Cyst in the Incisive and Maxillary Bone in a Dog

Hanne E. Kortegaard, Alexander M. Reiter, Loic Legendre, Thomas Eriksen, Lene E. Buelund, Cecilia Gorrel

Abstract

A 7-year-old male intact border terrier (8.5 kg) was presented with a large, painless mass apical to the right maxillary incisors. Diagnostic imaging and histopathology confirmed the diagnosis of periapical cyst due to a nonvital maxillary incisor. Extensive cysts are often multilocular and therefore difficult to debride without risk of iatrogenic damage. Complete resection can cause damage to adjacent structures and may compromise function. Due to the large size of the cyst, it was decided to perform staged treatment with extraction of the nonvital tooth and marsupialization. Following marsupialization, gradual bone regrowth caused size reduction. The stoma from the marsupialization was kept open for 8.5 months before the cyst was curetted and the wound closed. Complete obliteration of the cyst cavity was seen at short- and long-term follow-up examinations (7 and 24 months after curettage, respectively).

Original language	English
Journal	Journal of Veterinary Dentistry
Volume	35
Issue number	4
Pages (from-to)	268-274
ISSN	0898-7564
DOIs	https://doi.org/10.1177/0898756418813645
Publication status	Published - 1 Jan 2018

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@article{23f9947ae71a4e0ca38a5c8636a0720d,

title = "Marsupialization Followed by Curettage of an Extensive Periapical Cyst in the Incisive and Maxillary Bone in a Dog",

abstract = "A 7-year-old male intact border terrier (8.5 kg) was presented with a large, painless mass apical to the right maxillary incisors. Diagnostic imaging and histopathology confirmed the diagnosis of periapical cyst due to a nonvital maxillary incisor. Extensive cysts are often multilocular and therefore difficult to debride without risk of iatrogenic damage. Complete resection can cause damage to adjacent structures and may compromise function. Due to the large size of the cyst, it was decided to perform staged treatment with extraction of the nonvital tooth and marsupialization. Following marsupialization, gradual bone regrowth caused size reduction. The stoma from the marsupialization was kept open for 8.5 months before the cyst was curetted and the wound closed. Complete obliteration of the cyst cavity was seen at short- and long-term follow-up examinations (7 and 24 months after curettage, respectively).",

author = "Kortegaard, {Hanne E.} and Reiter, {Alexander M.} and Loic Legendre and Thomas Eriksen and Buelund, {Lene E.} and Cecilia Gorrel",

year = "2018",

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doi = "10.1177/0898756418813645",

language = "English",

volume = "35",

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journal = "Journal of Veterinary Dentistry",

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publisher = "SAGE Publications",

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TY - JOUR

T1 - Marsupialization Followed by Curettage of an Extensive Periapical Cyst in the Incisive and Maxillary Bone in a Dog

AU - Kortegaard, Hanne E.

AU - Reiter, Alexander M.

AU - Legendre, Loic

AU - Eriksen, Thomas

AU - Buelund, Lene E.

AU - Gorrel, Cecilia

PY - 2018/1/1

Y1 - 2018/1/1

N2 - A 7-year-old male intact border terrier (8.5 kg) was presented with a large, painless mass apical to the right maxillary incisors. Diagnostic imaging and histopathology confirmed the diagnosis of periapical cyst due to a nonvital maxillary incisor. Extensive cysts are often multilocular and therefore difficult to debride without risk of iatrogenic damage. Complete resection can cause damage to adjacent structures and may compromise function. Due to the large size of the cyst, it was decided to perform staged treatment with extraction of the nonvital tooth and marsupialization. Following marsupialization, gradual bone regrowth caused size reduction. The stoma from the marsupialization was kept open for 8.5 months before the cyst was curetted and the wound closed. Complete obliteration of the cyst cavity was seen at short- and long-term follow-up examinations (7 and 24 months after curettage, respectively).

AB - A 7-year-old male intact border terrier (8.5 kg) was presented with a large, painless mass apical to the right maxillary incisors. Diagnostic imaging and histopathology confirmed the diagnosis of periapical cyst due to a nonvital maxillary incisor. Extensive cysts are often multilocular and therefore difficult to debride without risk of iatrogenic damage. Complete resection can cause damage to adjacent structures and may compromise function. Due to the large size of the cyst, it was decided to perform staged treatment with extraction of the nonvital tooth and marsupialization. Following marsupialization, gradual bone regrowth caused size reduction. The stoma from the marsupialization was kept open for 8.5 months before the cyst was curetted and the wound closed. Complete obliteration of the cyst cavity was seen at short- and long-term follow-up examinations (7 and 24 months after curettage, respectively).

U2 - 10.1177/0898756418813645

DO - 10.1177/0898756418813645

M3 - Journal article

SN - 0898-7564

VL - 35

SP - 268

EP - 274

JO - Journal of Veterinary Dentistry

JF - Journal of Veterinary Dentistry

IS - 4

ER -

Marsupialization Followed by Curettage of an Extensive Periapical Cyst in the Incisive and Maxillary Bone in a Dog

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