Describe the management of eruption cysts in children and when observation versus surgical intervention is indicated.

Study for the Pediatric Dentistry II Exam. Utilize flashcards and multiple choice questions with hints and explanations. Prepare thoroughly for your exam!

Eruption cysts are benign, soft tissue swellings over an erupting tooth. Because they are tied to the normal eruption process, most disappear on their own as the tooth breaks through the gingiva, so observation is the usual approach.

Intervene only when there are compelling reasons: if the cyst becomes painful or tender, if there is infection, or if it blocks the tooth from erupting. In those cases, decompression through drainage or marsupialization can relieve the obstruction and allow eruption to proceed. If the tooth is unlikely to erupt due to the obstruction or other problems, extraction of the affected tooth may be considered. Antibiotics aren’t a cure for the cyst itself and are reserved for treating infection if present, not as primary management. Biopsy isn’t routinely required.