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VOLUME 15 , ISSUE 2 ( March-April, 2014 ) > List of Articles


Noninvasive Treatment Choice for an Aged Down Syndrome Patient Presenting a Residual Periapical Cyst

Felipe Fornias Sperandio, Marina Lara de Carli, Eduardo Pereira Guimarães, Alessandro Antônio Costa Pereira, João Adolfo Costa Hanemann

Citation Information : Sperandio FF, de Carli ML, Guimarães EP, Pereira AA, Hanemann JA. Noninvasive Treatment Choice for an Aged Down Syndrome Patient Presenting a Residual Periapical Cyst. J Contemp Dent Pract 2014; 15 (2):254-257.

DOI: 10.5005/jp-journals-10024-1524

License: CC BY-NC 3.0

Published Online: 01-09-2010

Copyright Statement:  Copyright © 2014; The Author(s).



This is the first report to illustrate the marsupialization as an effective treatment for a Down Syndrome (DS) patient presenting a residual periapical cyst.


These cysts occur within the alveolar ridge, usually at the local site of a previously extracted tooth that did not received proper curettage; usually the surgical excision of a cyst and also the vigorous curettage of a socket is very simple, if not for the fact that mentally disabled patients require rapid and non-stressful procedures.

Case description

The 54-year-old DS patient represented herein received a minimally invasive marsupialization under local anesthesia. Due to the large extent of the lesion, the acrylic resin drain was maintained for 30 days. Through the following period, a daily irrigation of the cystic cavity with saline solution was carried out to prevent a secondary infection within the cystic cavity. A follow-up of 16 months showed no signs of recurrence.


Marsupialization of residual periapical cyst is completely effective and safe, even for a DS patient that is considered to be at an advanced age.

Clinical significance

Marsupialization poses as a minimally invasive choice for mentally disabled patients, even when presenting advanced ages; treatment success was stated by the easy clinical conduct, uneventful postoperative situation and the lack of recurrence along 16 months of follow-up.

How to cite this article

Sperandio FF, de Carli ML, Guimarães EP, Pereira AAC, Hanemann JAC. Noninvasive Treatment Choice for an Aged Down Syndrome Patient Presenting a Residual Periapical Cyst. J Contemp Dent Pract 2014;15(2): 254-257.

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