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Cyst Formation After Subepithelial Connective Tissue Grafting: Management And Review
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   Official Journal of The Academy of Osseointegration

 
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Volume 43 , Issue 2
March/April 2023

Pages 256–263


Cyst Formation After Subepithelial Connective Tissue Grafting: Management And Review

Zachary P. Evans DMD, PhD/Theodore D Ravenel, DMD/Brad W. Neville, DDS


DOI: 10.11607/prd.5300

Lesion formation after soft tissue gingival grafting is a rare but challenging clinical scenario to manage. This report presents a unique case of cyst formation after connective tissue grafting. All previously reported cases are confined to the mandibular labial lateral-canine space, and the present case is the first found in the maxilla. These cysts manifest clinically 9 months to one and a half years after grafting and may communicate with the surface, as evidenced by sinus tract or cystic discharge. Because of the unique nature of these lesions with respect to clinical history, appearance, symptoms, and location, the differential diagnosis should be limited. The authors’ treatment recommendation is complete surgical excision which should eliminate the risk of recurrence. This report presents a novel case and reviews the literature to discuss etiology and provide treatment recommendations.


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