Periodontal soft tissue transplantation combined with microscopic apical surgery for postoperative root surface exposure of maxillary anterior teeth apical cysts: A case report

doi:10.3877/cma.j.issn.1674-1366.2025.04.007

Chinese Journal of Stomatological Research(Electronic Edition) ›› 2025, Vol. 19 ›› Issue (04): 272-278. doi: 10.3877/cma.j.issn.1674-1366.2025.04.007

• Case Analysis • Previous Articles

Periodontal soft tissue transplantation combined with microscopic apical surgery for postoperative root surface exposure of maxillary anterior teeth apical cysts: A case report

Xueqin Jing¹, Siyi Lü¹, Hanguo Wang², Beimin Tian¹, Faming Chen¹, Hui Miao¹^,^†()

¹State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of Periodontology, School of Stomatology, The Fourth Military Medical University, Xi′an 710032, China
²State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Key Laboratory of Stomatology, Department of Operative Dentistry and Endodontics, School of Stomatology, The Fourth Military Medical University, Xi′an 710032, China

Received:2025-04-30 Online:2025-08-01 Published:2025-08-22
Contact: Hui Miao
Supported by:
Special Project B of the National Clinical Research Center for Oral Diseases in 2022(LC202208); Clinical Research Project of the Air Force Military Medical University(2022LC2240)

Abstract

Abstract:

This article reports a case of multidisciplinary combined treatment for root exposure after cyst surgery, aiming to provide clinical experience for such cases. The case mainly presented with problems such as root exposure on the labial side and tooth discoloration after anterior tooth cyst surgery. A personalized multidisciplinary combined treatment plan was developed for the teeth and periodontium. After treatment, the infection in the apical area was controlled. The exposed root surface was covered by soft tissue, and the anterior teeth aesthetics were significantly improved after internal bleaching, achieving good and satisfactory results for the patient. Clinically, for cases with large soft and hard tissue defects after extensive jaw surgery, the issue of soft tissue defect repair needs to be considered on the basis of controlling inflammation as much as possible.

Key words: Tissue transplantation, Microscopic apical surgery, Root surface exposure, Cysts, Multidisciplinary combined treatment

Xueqin Jing, Siyi Lü, Hanguo Wang, Beimin Tian, Faming Chen, Hui Miao. Periodontal soft tissue transplantation combined with microscopic apical surgery for postoperative root surface exposure of maxillary anterior teeth apical cysts: A case report[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2025, 19(04): 272-278.

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