Ulectomy as a treatment for permanent tooth retention due to gingival fibrosis. Case report.
DOI:
https://doi.org/10.47990/s73mj457Keywords:
Ulectomy, gingival fibrosis, surgical buttonhole, dental eruptionAbstract
Tooth eruption is considered as the axial movement of a tooth from its original position in the bone to its functional occlusal position in the oral cavity. In this way, tooth eruption could be considered part of childhood development and growth. When there is a delay in tooth eruption, there are various factors that could cause it, among them is gingival fibrosis, which can be corrected through a procedure called Ulectomy consists of the excision or removal of the tissue that interrupts the eruption process of a tooth.
Below, we present a case of an 8-year-old boy, who comes to the clinic presenting with gingival fibrosis at the level of teeth 1.1 and 2.1, whose treatment was surgical in order to expose the crowns of the teeth. In conclusion, having knowledge about the chronology of tooth eruption is of great importance, since in this way we could shorten the delay time. The precise and accurate diagnosis of the impaction of dental units due to gingival fibrosis is essential to be able to implement effective treatments such as Ulectomy, with which we manage to help our patients by generating quality of life, from a physiological occlusion, improvement in phonation and feeding, and functional aesthetics, returning security and self-esteem in themselves.
References
1. Alzate-García Flor de Luna, Serrano-Vargas Luisa, Cortes-López Liliam, Torres Ethman Ariel, Rodríguez Martha Juliana. Cronología y secuencia de erupción en el primer periodo transicional. CES odontol. [Internet]. 2016 June [cited 2025 Feb 20] ; 29( 1 ): 57-69. Available from: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120971X2016000100007&lng=en.
2. . Suri L, Gagari E, Vastardis H. Delayed tooth eruption: pathogenesis, diagnosis, and treatment. A literature review. Am J Orthod Dentofacial Orthop. 2004 Oct;126(4):432-45. doi: 10.1016/j.ajodo.2003.10.031. PMID: 15470346.
3. Sanches GI, Bento LI, Emerenciano NG, Gonçalves FM, Oliveira MA, Oliveira NC, Danelon M. Utilização da técnica de ulectomia em Odontopediatria no auxílio da erupção dentária: relato de caso . Arch Health Invest [Internet]. 31º de maio de 2021 [citado 20º de fevereiro de 2025];10(5):829-33. Disponível em: https://www.archhealthinvestigation.com.br/ArcHI/article/view/5089
4. Wake M, Hesketh K, Lucas J. Teething and tooth eruption in infants: A cohort study. Pediatrics. 2000 Dec;106(6):1374-9. doi: 10.1542/peds.106.6.1374. PMID: 11099591.
5. Rocafuerte M, Velásquez F. Quiste de erupción dental. Reporte de Caso. Odontol Pediatr 2021;20 (1); 16 - 24.
6. Kuczek A, Beikler T, Herbst H, Flemmig TF. Eruption cyst formation associated with cyclosporin A. J Clin Periodontol. 2003 May;30(5):462-6. doi: 10.1034/j.1600-051x.2003.02028.x. PMID: 12716340.
7. Masson Palacios MJ, Celi Moreno A, Parise JM, Monstesinos Guevara C. Ulectomía, tratamiento de un quiste de erupción: Reporte de caso. Odontol. Act. [Internet]. 5 de septiembre de 2022 [citado 20 de febrero de 2025];7(3):85-90. Disponible en: https://oactiva.ucacue.edu.ec/index.php/oactiva/article/view/698
8. BOJ J. Odontopediatría. Ripano, editor. 2011
9. Souza JJ. ULECTOMIA COMO ALTERNATIVA CIRÚRGICA NO RETARDO NA ERUPÇÃO DENTÁRIA: RELATO DE CASO. sempesq [Internet]. 10º de agosto de 2020 [citado 20º de fevereiro de 2025];(6). Disponível em: https://eventos.set.edu.br/al_sempesq/article/view/11052
10. Rodrigues AB, Danelon M, Bento LI, Favretto CO. Ulectomia no tratamento de impactação dentária por fibrosamento gengival em paciente infantil: relato de caso. Arch Health Invest [Internet]. 18º de julho de 2021 [citado 20º de fevereiro de 2025];10(9):1300-3. Disponível em: https://www.archhealthinvestigation.com.br/ArcHI/article/view/5130
11. Silva Francisco Wanderley Garcia de Paula e, Queiroz Alexandra Mussolino de, Stuani Adriana Sasso, Nelson-Filho Paulo, Díaz-Serrano Kranya Victoria. Ojal quirúrgico (ulectomia) ¿cuando y como realizarlo?: Reporte de 3 casos clínicos. Acta odontol. venez [Internet]. 2008 Dic [citado 2025 Feb 21] ; 46( 3 ): 326-328. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0001-63652008000300017&lng=es
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