Have you ever heard about it?
On this week’s blog, we are going to talk about the eruption cysts. These are common in children who are in the eruptive process of deciduous teeth. Also those who are going through the full phase of the replacement of their baby teeth by the definitive ones.
This kind of cyst develops in soft tissues that have been separated from the dental crown. Therefore, it’s the one that takes part in the dental follicle. It covers the crown of the tooth and the alveolar bone.
These cysts have their origin in an increase of the collagen fiber deposition in the gingival connective tissue. This makes that the gum covering the erupting tooth becomes harder and, therefore, less permeable. As a result, many times, there is a mechanical obstacle that hinders the appearance of the new tooth.
Clinically, it can be identified at a glance. The main characteristic is a well-delimited inflammation of the gum area that covers the soon-to-be erupted tooth, both definitive and deciduous. The areas where the development is most frequent are those that correspond to the location of the upper and lower incisors. Also the area of the first definitive molars. They can be seen usually in children under 10 years of age. When the area of the cyst has been traumatized due to successive bites or slight impacts, it acquires a bluish violet coloration. This is not important and it’s known as an eruptive hematoma. In many occasions, these continuous traumas eject the content of the cyst vesicle, provoking also an abundant bleeding. This also has no clinical relevance. On the contrary, this rupture will facilitate the eruption of the tooth in question.
What happens in these cases?
If the cyst broke spontaneously, as a result of the injuries, the treatment of it would surely be unnecessary. In this case, surveillance and supervision by a dental practitioner would be recommended. Also preventive measures such as abundant washing with water, cold food and caution when brushing. This could prevent lacerations of the open mucosa.
If, on the other hand, this persisted, it would possibly cause discomfort and a delay of the logical and expected eruptive process. It would be necessary to go to a dental service to carry out a small cut in order to facilitate the eruption of the tooth. Also to evacuate the cyst content. Normally, if the child has a first cyst, it is expected that another may occur during the eruption phases of the milk teeth or their replacement.
For this reason, from SJD Dentistas we want to keep you informed of this common situation in children. We also want to make sure that, if you are in this situation, you have doubts or don’t know what to do with the little ones of the house, you come to our clinics to be evaluated and properly oriented.