13 September 2021

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Marsupialization of the pericoronaric tissue in an impacted third molar. Case report

Authors: M. Bianchi, M. Cavuoto, E. Parisi, I. Paoli, E. Del Bolgia, R. Conti, A. Gonnelli, P. Tonelli

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The aim of this article is to report a case of marsupialization of pericoronal tissue of a low impacted wisdom tooth. This technique hasbeen chosen as an alternative way of intervention to the surgical removal of impacted third molars, as an attempt to avoid the morbidity related to the extraction.

MATERIALS AND METHODS
This case report is about a 45 years old woman, who came to the attention of the authors, presenting an asymptomatic osteolytic area related to her impacted wisdom tooth. The treatment chosen was marsupialization. The follow-up was as follows: the first ortopantomography and dentascan were taken at T0, than T1 corresponds at 6 months, T2 corresponds at 12 months, T3 corresponds at 18 months.

RESULTS
During the follow-up a progressive deposition of new bone has been observed around the impacted tooth.

CONCLUSIONS
Marsupialization can be considered an alternative way of intervention to the extraction of impacted wisdom teeth. That is, since these two ways of treatment have a similar effectiveness, but the marsupialization has a lower risk of morbidity.

CLINICAL SIGNIFICANCE
The marsupialization of pericoronaric tissue can be a conservative and resolving treatment.