A modified stent for decompression of cysts ‘I’I 114: l~SI\‘~:KSI’I‘Y I1OSI’I’I’AI,
ANI)
01.’ l’I-.\loH
‘I’ES.\S
s\‘s’I’l~:\r
1s5’1’1’1’1-‘I’E
(‘.\S(‘I’X
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11.
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.\SI)EKSOS
If’iq. 1. Cystic r:~diolucmcy
of lrft
mnndibls
and almence of coronoid
process.
After evaluation and agreement OIL a treatment regimen, (if the patient does not have a prosthesis) impressions arc made and poured in tlcntal stone. The resultant casts arc rcscrwtl for later use 1)~ the prosthotlontist. Thrreaftcr, the surgical portion of the treatment is begun. The lesion is es~~~sctl,a portion of the lining is suh,jcctcd to histopathologic examination, the c)-st is evacuated, and a saliva ejector, * is inserted into the cystic cavity. Approsiextend into the oral cavity. The surmately 2.0 cm. of the saliva e,jcctor shonld gical site is closetl with sutures. Olie wtuw shoul~l pass through the ejector for fixation until cpithclization OWIJYS. The .Jolmso~~ Cp .Joh~~son singleuse saliva ejector incorporates a metal strip which permits necessary contouring and ratliographic evaluation. IIfter an appropriate period of l,imc has elapsed for healing, the patient should rcturlr to the ~)rosthoclontist for insertion of a previously fabricated U’rouglit wire and acrylic temporary partial tlcnturr niadc from the casts. 1411 acrylic I)ascplatc may be used for edcntulous patients. 7’1~0 prosthesis is placed, the previously placed sut,urc is rcmowd, and a new imt)rcssion is made with the prosthesis am1 cjcctor in place. The ejector UJ~ ~~rosthesis will he incorporatctl in the impression (Fig. 2). Casts are poured with care to ensure that the angulation anal length of the e,jector arc recorded. Another tjector is placed into the surgical site in orclcr to maintain patency during fahrieation of the stcnt. “Single-use
Saliva
Ejector,
Johnson
& Johnson
Dental
Division,
New Brunswick,
N. J.
Fig. 4. Cystic cavity
6 months after
insertion
of stent. Note shortening
of stent
6. Pour impression. Bc sure to provide a seat for the tube at the correct angulation and length. 7. Lute the temporary partial denture ant1 tube together with self-polpnerizing acrylic. Pcrforatc that portion of the tube which will be within the cystic cavity. S. Finish ant1 polish. !). Instruct the patient with regild to insertion, remoral, and irrigation. SUMMARY
Presented is a simple method for tlecomprcssion of a cyst with the use of a modified stent. The patient is instructed in mcthocls of removal, insertion, and irrigation by means of a blunt Ko. 16 gauge ncetllc. Periodic follow-up ratliograljhic csaminations permit rctluctiol~ in tube length as the defect “fills in” i Figs. 4 and 1). REFERENCE
I. li~~ugc~r, G. 0.: a11(1Contiguous
Textbook of Oral Surgeq-Cysts of Bone and Soft Tissues of Oral Cavity Structures, ed. 4, St. Lous, 1974, The C. V. Mosl~y Company, pp. 241-24-4.
Ecprint rqu”“ts to: Ih. \‘. Matalon M. I). Anderson Hospital, ‘I‘cwu Medical Center I louston, Texas 77030
CP-718
ANI)
01.’ l’I-.\loH
‘I’ES.\S
s\‘s’I’l~:\r
1s5’1’1’1’1-‘I’E
(‘.\S(‘I’X
(‘l~:x’l’lm,
11.
I).
.\SI)EKSOS
If’iq. 1. Cystic r:~diolucmcy
of lrft
mnndibls
and almence of coronoid
process.
After evaluation and agreement OIL a treatment regimen, (if the patient does not have a prosthesis) impressions arc made and poured in tlcntal stone. The resultant casts arc rcscrwtl for later use 1)~ the prosthotlontist. Thrreaftcr, the surgical portion of the treatment is begun. The lesion is es~~~sctl,a portion of the lining is suh,jcctcd to histopathologic examination, the c)-st is evacuated, and a saliva ejector, * is inserted into the cystic cavity. Approsiextend into the oral cavity. The surmately 2.0 cm. of the saliva e,jcctor shonld gical site is closetl with sutures. Olie wtuw shoul~l pass through the ejector for fixation until cpithclization OWIJYS. The .Jolmso~~ Cp .Joh~~son singleuse saliva ejector incorporates a metal strip which permits necessary contouring and ratliographic evaluation. IIfter an appropriate period of l,imc has elapsed for healing, the patient should rcturlr to the ~)rosthoclontist for insertion of a previously fabricated U’rouglit wire and acrylic temporary partial tlcnturr niadc from the casts. 1411 acrylic I)ascplatc may be used for edcntulous patients. 7’1~0 prosthesis is placed, the previously placed sut,urc is rcmowd, and a new imt)rcssion is made with the prosthesis am1 cjcctor in place. The ejector UJ~ ~~rosthesis will he incorporatctl in the impression (Fig. 2). Casts are poured with care to ensure that the angulation anal length of the e,jector arc recorded. Another tjector is placed into the surgical site in orclcr to maintain patency during fahrieation of the stcnt. “Single-use
Saliva
Ejector,
Johnson
& Johnson
Dental
Division,
New Brunswick,
N. J.
Fig. 4. Cystic cavity
6 months after
insertion
of stent. Note shortening
of stent
6. Pour impression. Bc sure to provide a seat for the tube at the correct angulation and length. 7. Lute the temporary partial denture ant1 tube together with self-polpnerizing acrylic. Pcrforatc that portion of the tube which will be within the cystic cavity. S. Finish ant1 polish. !). Instruct the patient with regild to insertion, remoral, and irrigation. SUMMARY
Presented is a simple method for tlecomprcssion of a cyst with the use of a modified stent. The patient is instructed in mcthocls of removal, insertion, and irrigation by means of a blunt Ko. 16 gauge ncetllc. Periodic follow-up ratliograljhic csaminations permit rctluctiol~ in tube length as the defect “fills in” i Figs. 4 and 1). REFERENCE
I. li~~ugc~r, G. 0.: a11(1Contiguous
Textbook of Oral Surgeq-Cysts of Bone and Soft Tissues of Oral Cavity Structures, ed. 4, St. Lous, 1974, The C. V. Mosl~y Company, pp. 241-24-4.
Ecprint rqu”“ts to: Ih. \‘. Matalon M. I). Anderson Hospital, ‘I‘cwu Medical Center I louston, Texas 77030
CP-718
