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Int J Oral Maxillofac Surg. 2010 May;39(5):514-6. doi: 10.1016/j.ijom.2009.11.005. Epub 2009 Dec 11.

Paradental cyst mimicking a periodontal pocket: case report of a conservative treatment approach.

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University of Erlangen-Nuremberg, Dental Clinic 1-Operative Dentistry and Periodontology, Erlangen, Germany.


A 7-year-old boy presented with a periodontal problem related to an erupting lower molar. The tooth showed a 15 mm deep periodontal pocket on the buccal aspect. A microbiological DNA test excluded a periodontal origin. The treatment consisted of local antimicrobial therapy and cleaning and filling of the pocket with Atridox. 2 years after therapy the pocket completely disappeared. Finding periodontal pockets on freshly erupted teeth with acute symptoms should suggest the diagnosis of a cyst. This could prevent surgical endodontal or periodontal therapy. This problem can be managed effectively with minimal therapy and local antibiotics.

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