Author/Authors :
Younes, Ronald Department of Oral Surgery - School of Dentistry - Saint Joseph University, Beirut, Lebanon , Nasseh, Ibrahim Department of Radiology - Lebanese University, Beirut, Lebanon , Lahoud, Pierre Department of Oral Surgery - School of Dentistry - Saint Joseph University, Beirut, Lebanon , Wassef, Elie Department of Periodontology - School of Dentistry - Saint Joseph University, Beirut, Lebanon , Dagher, Maroun Department of Periodontology - School of Dentistry - Saint Joseph University, Beirut, Lebanon
Abstract :
Di/erent techniques for the enucleation of jaw cyst lesion in the oral and maxillofacial regions have been proposed, including the
bone lid technique. The purpose of this case report is to describe the case of a cystic lesion, approached with the bone lid technique
performed using a piezoelectric device, with an 8-month clinical and radiographic follow-up. A 14-year-old male patient was
treated for a suspicious lesion detected on a panoramic radiograph. +e concerned area was surgically accessed, and a radiographically predetermined bony window was drawn, and the beveled bony lid was removed. The underlying lesion was enucleated
and sent for pathology as a routine procedure, and the removed bony lid was repositioned in situ and secured with a collagen tape.
Healing was uneventful with limited swelling and reduced pain. A complete radiographic bone healing at the previously diseased
site was con8rmed with an 8-month cone beam computed tomography (CBCT) scan with no buccal bone resorption nor ridge
collapse. The bone lid technique with a piezoelectric device was noninvasive and atraumatic in this case. Further studies are needed
and could lead to the adaptation of this approach as a possible standard of care.
