Читать книгу Orthodontic Treatment of Impacted Teeth - Adrian Becker - Страница 98

The subject of benign tumours and cysts is fully discussed in Chapter 14. For the aspect of surgical intervention, let it suffice to mention here that surgery is the first line of treatment that is indicated for these conditions. Immediately after the first tentative diagnosis, surgery is advised, if only for reasons of obtaining biopsy material to confirm the innocence of the diagnosis. Orthodontic treatment should also be considered at that time, although its application should be delayed until after healing of the surgical wound. In the case of cysts, orthodontic treatment should begin after the cyst has been eliminated and after a filling‐in of bone has occurred around the involved teeth. The actual repair of the bony defect will itself improve the positions of grossly displaced teeth. This will be evident in follow‐up radiographs and in the anatomical topography of the alveolar bone in the area. However, the surgical wound may take many months to heal completely. In the interim, supportive preliminary tasks (oral hygiene instruction, caries treatment, motivational education, etc.) may be undertaken, in preparation for the proposed orthodontic treatment. It is worthwhile to begin with achieving positive results from a preventive dental health programme aimed both at eliminating marginal gingival inflammation and at reduction of the incidence of caries.