A strip free gingival graft and a xenogeneic collagen matrix to increase keratinized tissue after vertical bone augmentation.

PURPOSE: After vertical bone augmentation (VBA) surgery, loss of both keratinized tissue (KT) and vestibule depth (VD) take place. This article evaluated KT gain, patient satisfaction, and aesthetic outcomes after a modified apically repositioned flap (ARF) in combination with a strip-free gingival graft (FGG) harvested from the palate and a xenogeneic collagen matrix (XCM) to correct mucogingival distortion (MGD) after VBA. This technique minimizes patient morbidity by reducing the need for extensive masticatory mucosa grafts. MATERIALS: The study included 12 patients with ≤3 mm KT after vertical augmentation procedures. KT gain and tissue thickness were measured. Patient morbidity and aesthetic outcomes were also evaluated. RESULTS: Twenty-four months after surgery, significant VD gain was observed, obtaining a vertical KT augmentation of 5.38 ± 2.06 mm, although tissue thickness increase was only 0.42 ± 0.42mm. Regarding patient satisfaction, aesthetic results evaluating tissue color and texture were satisfactory; the pain was slight, obtaining a score of 2.10 ± 1.13 out of 10, measured using a Visual Analogue Scale (VAS). CONCLUSION: The present retrospective case series study shows that using an apically repositioned flap combined with a strip FGG and an XCM might offer a valid means of achieving KT gain.

Is it possible to predict neurosensory alterations in impacted lower third molar removal based on preoperative imaging procedures? A prospective cohort study / ¿Es posible predecir alteraciones neurosensoriales en la extracción del tercer molar inferior impactado basándose en procedimientos de imagen preoperatorios? Un estudio de cohorte prospectivo

Background: Surgical extraction of the lower third molar (LTM) may trigger neurosensory injury of the inferioralveolar nerve, making extraction a real challenge. This study set out to assess whether is it possible to predictneurosensory alterations from preoperative imaging.Material and Methods: A total of 99 patients underwent 124 impacted lower third molar (ILTM) surgeries. Priorto surgery, panoramic and CBCT images were evaluated in an attempt to predict a neurosensory disturbance.Preoperative data (ILTM position, panoramic radiograph signs, inferior alveolar nerve (IAN) location and its con-tact with the ILTM roots) and intra/postoperative findings (extraction difficulty and sensitivity alterations) wererecorded. Descriptive and bivariate data analysis was performed. Statistical comparison applied the chi-squaretest, Fisher test, and one-way ANOVA test. Statistical significance was established with a confidence interval (CI)of 95%.Results: In 4.03% of cases, patients experienced neurosensory alterations. Of 124 ILTM positions in panoramicradiographs, 76 cases were considered to exhibit a potential neurosensory risk as they presented two or more typesof superimposed relationships between ILTM and mandibular canal. Of these, alterations were reported in onlythree cases (3.95%). Of the 48 remaining ILTM images presenting only one sign, neurosensory alterations wereobserved in two cases (4.17%). No permanent alterations were recorded in any of the five cases observed.Conclusions: Within the limitations of the present study, prediction of neurosensory alterations prior to ILTMextraction by means of preoperative imaging did not show a significant statistical correlation with post-surgicalincidence. Nevertheless, interruption of the canal´s white line (ICWL) or a diversion of the canal (DC) may predictan increased risk of IAN injury.(AU)

Preservación alveolar con colgajo vs sin colgajo. Revisión bibliográfica / Socket preservation with flap versus flapless. A literature review

Introducción: La extracción dentaria desencadena una serie de cambios di mensionales en la altura y anchura de la cresta alveolar que se traducen en la pérdida de tejidos blandos y duros, afec tando de forma directa a la calidad de vida de los pacientes. Por ello, se han estudiado diferentes técnicas para la pre servación de la cresta alveolar (PCA) tras las extracciones, con el fin de optimizar los resultados funcionales y estéticos de la futura rehabilitación prostodóncica. El objetivo fue evaluar los resultados de la PCA utilizando un enfoque con colgajo en comparación con un enfoque sin colgajo en términos de cambios óseos en anchu ra y altura. Material y Métodos: Se realizó una búsqueda bibliográfica en tres bases de datos The National Library of Medicine (MEDLINE/PubMed), Scielo y Cochrane Library. Se incluyeron ensayos clínicos aleatorizados en humanos que compara ran la PCA con colgajo y sin colgajo, en los que se analizaran pacientes sanos, mayores de edad, sin hábitos nocivos, en los que era necesaria la exodoncia de un diente mandibular o maxilar. Resultados: Se incluyeron 5 ensayos clí nicos de los últimos 15 años en los que se realizó un total de 74 procedimientos quirúrgicos de PCA con colgajo y 77 sin colgajo en 138 pacientes entre 18 y 75 años, cuyo género sólo se describió en 3 estudios. Los cambios óseos en anchu ra al realizar una PCA con colgajo varían entre –4,18 mm y 3 mm, mientras que al realizar una PCA sin colgajo los cambios son entre 1,74 mm y 3,42 mm. Por otro lado, los cambios óseos en altura al realizar una PCA con colgajo varían entre –0,99 mm y 0,8 mm, mientras que al realizar una PCA sin colgajo los cambios son entre 0,3 mm y 1,42 mm (AU)

Introduction: Tooth extraction triggers a series of dimensional changes in the height and width of the alveolar ridge, which result in the loss of soft and hard tissues, directly affecting patients’ quality of life. Therefore, different techniques for the preservation of the alveolar ridge (PCA) after extractions have been studied in order to optimize the functional and esthetic results of future prosthodontic rehabilitation. The aim was to evaluate the results of PCA using a flap approach compared to a flapless approach in terms of bone changes in width and height. Material and Methods: A literature search was performed in three databases The National Library of Medicine (MEDLINE/ PubMed), Scielo and Cochrane Library. Randomized human clinical trials comparing flap and flapless PCA were included in which healthy patients, over the age of majority, without harmful habits, who needed to have a mandibular or maxillary tooth extraction, were analyzed. Results: A total of 5 clinical trials from the last 15 years were included in which a total of 74 flap and 77 flapless PCA surgical procedures were performed in 138 patients between 18 and 75 years of age and whose gender was only described in 3 studies. Bone changes in width when performing a flapless PCA varied between –4.18 mm and 3 mm, while when performing a flapless PCA the changes were between 1.74 mm and 3.42 mm. On the other hand, bone changes in height when performing a PCA with flap vary between –0.99 mm and 0.8 mm, while when performing a PCA without flap the changes are between 0.3 mm and 1.42 mm (AU)

Mandibular third molar extraction: perceived surgical difficulty in relation to professional training.

BACKGROUND: Establishing the level of surgical difficulty pre-operatively is an essential step in ensuring correct treatment planning. This study set out to determine whether the knowledge and experience acquired by dentists who had received different levels of training influenced, firstly, the perceived levels of difficulty of a variety of cases of mandibular third molar (MTM) extraction and, secondly, the perceived difficulty deriving from a series of factors (patient-related factors, anatomical and radiographic factors, operative factors). METHODS: This cross-sectional, descriptive, observational study took the form of a survey. Using a visual analog scale (VAS), participants evaluated both the perceived difficulty of 30 cases of MTM extraction described by means of digital panoramic radiographs and the perceived difficulty deriving from a series of factors conditioning MTM extraction. The results underwent statistical analysis with SPSS Statistics 28.0 software. Non-parametric tests (Mann Whitney test for independent samples and the Kruskal-Wallis test) were applied. RESULTS: A total of 389 surveys were available for analysis. Dental practioners with no surgical training saw the intervention as presenting greater difficulty. Professionals with postgraduate training in oral surgery considered patient-related factors more important than operative factors, in contrast to dentists who had not received oral surgery training. CONCLUSIONS: Dental training has a signficant influence on the perceived difficulty of MTM extraction and also affects opinions about which factors have greater or lesser influence on surgical difficulty.

Relación entre los anticonceptivos orales y la incidencia de alveolitis. Revisión bibliográfica / Relationship between oral contraceptives and alveolitis incidence. A literature review

Introducción: La alveolitis es una complicación tras una exodoncia dental quecursa con dolor intenso, trismo y mal olor.Esta complicación se relaciona con el hábito tabáquico, la higiene oral, no seguirlas normas post extracción o la edad yel género del paciente. Otras causas potenciales que podrían desencadenar esteproceso son el ciclo menstrual en el casode las pacientes de género femenino o eltratamiento con anticonceptivos orales. Elobjetivo de esta revisión es comparar, según la literatura, la incidencia de alveolitisen mujeres en tratamiento con anticonceptivos orales respecto a las que no lostoman y respecto a los hombres.Métodos: Se realizó una búsqueda bibliográfica en las bases de datos PubMed/Medline, Science Direct, GoogleScholar y Scopus y se incluyeron artículos en inglés y en español relacionadoscon el tema a tratar. Las palabras claveutilizadas fueron: “alveolar osteitis” OR “fibrinolytic alveolitis” OR “localized osteomyelitis” OR “delayed extraction woundhealing” AND “contraceptives” OR “OC”OR “contraceptive pill”. Se incluyeron estudios sobre exodoncias en pacientes entratamiento con anticonceptivos o sin anticonceptivos o varones, según los gruposde control que se han propuesto estudiar,que registrasen casos de alveolitis.Resultados: Se observó una mayor incidencia media de alveolitis post extracciónen las pacientes en tratamiento con anticonceptivos (18,52%), respecto a otraspacientes que no lo estaban (6,78%) yrespecto a la población de género masculino (6,4%)...(AU)

Introduction: Alveolitis is a complicationafter dental extraction which courses withintense pain, trismus, and halitosis. This complication is associated with smoking,oral hygiene, not following post-extraction rules or the age and gender of the patient. However, other potential causes could trigger this process, such as the menstrual cycle in the case of female patients or the fact that they are under treatment with oral contraceptives. The objective of this review was to compare the incidence of alveolitis among patients treated with oral contraceptives with those who do not take them. Methods: A bibliographic search was carried out in the databases PubMed/Medline, Science Direct, Google Scholar and Scopus and articles in English and Spanish related to the topic were included.Keywords used were: “alveolar osteitis ”OR “fibrinolytic alveolitis” OR “localized osteomyelitis” OR “delayed extraction wound healing” AND “contraceptives”OR “OC” OR “contraceptive pill”. Studies on exodontia in patients treated with contraceptives with registered cases of alveolitis were included.Results: A higher mean incidence of alveolitis was observed in patients treated with contraceptives (18.52%),with respect to other patients who were not (6.78%) and with respect to male population (6.4%)...(AU)

Autogenous particulated dentin for alveolar ridge preservation. A systematic review.

PURPOSE: This review aimed to investigate the clinical outcomes of autogenous particulated dentin (APD) used for alveolar ridge preservation (ARP), evaluating volume gain, histologic/histomorphometric data, and associated complications. MATERIAL AND METHODS: The review followed PRISMA guidelines and was registered in the International Prospective Register of Systematic Reviews (PROSPERO). An automated search was made in four databases (Medline/Pubmed, Scopus, Web of Science, and Cochrane Library) supplemented by a manual search for relevant clinical articles published before March 10th, 2022. The review included human studies of at least four patients in which extraction and subsequent ARP were performed in a single surgery. Both comparative studies and studies that assessed ARP with APD exclusively were admitted. The quality of evidence was assessed with the Cochrane bias assessment tool, the Newcastle-Ottawa Quality Assessment Scale, and the Joanna Briggs Institute Critical Appraisal tool. RESULTS: Eleven studies fulfilled the inclusion criteria and were included for descriptive analysis, with a total of 215 patients, and 337 alveoli preserved by APD, spontaneous healing (blood clot), or other bone substitutes, obtaining comparatively less vertical and horizontal resorption when APD was used. CONCLUSIONS: After dental extraction, autogenous dentin was effective in terms of volume maintenance, showing promising results in histologic/histomorphometric analysis, and a low complication rate. Nevertheless, few comparative studies with comparable parameters have been published and so more research providing long-term data is needed to confirm these findings.

Influence of Serum Vitamin D Levels on Survival Rate and Marginal Bone Loss in Dental Implants: A Systematic Review.

This systematic literature review set out to investigate the relationship between serum vitamin D levels and dental implants in terms of survival rates, marginal bone loss, and associated complications. The review was conducted according to PRISMA guidelines, performing an electronic search in four databases (Pubmed, Web of Science, Cochrane, and Scopus), complemented by a manual search up to April 2022. Four articles were selected for analysis. The Newcastle-Ottawa Quality Assessment Scale tool was used to assess the quality of evidence of cohort studies, and the Cochrane bias assessment tool was used to assess the quality of evidence of randomized clinical trials. The study included 1089 patients restored with 1984 dental implants, with follow-up periods ranging from 20-240 months. Cases presenting lower serum vitamin D levels obtained slightly worse results in terms of marginal bone loss. Longer follow-up periods are needed in order to determine whether serum vitamin D levels affect implant survival rates and osseointegration over time.

Long term follow-up of a full- arch rehabilitation with an implant-supported overdenture on four zirconia implants and a zirconia bar. A case report.

This clinical report describes a mandibular full-arch rehabilitation by means of an implant-supported overdenture on four zirconia implants. A female patient with an edentulous mandibular arch attended our dental clinic seeking a metal-free mandibular restoration. After oral and radiographic evaluation, four one-piece zirconia implants with conical abutments were placed in the intermentonian region. After a 3-month osseointegration period, an acrylic overdenture with plastic matrices was manufactured, supported by a zirconia bar cemented to the conical abutments of the zirconia implants. Radiographic and clinical follow-up after 12 years observed adequate implant evolution, without any signs of peri-implant disease. Maintenance events were principally the periodic replacement of the plastic matrices and prophylaxis. Key words:Zirconia implants, overdenture, full-arch rehabilitation, dental implants, case report.

Regeneración ósea guiada con dentina autógena tras la exodoncia de un premolar retenido en posición invertida: evaluación a 4 meses de un caso clínico / Guided bone regeneration with autogenous dentin after extraction of an impacted bicuspidin inverse position: 4-month evaluation of a clinical case

Introducción: el empleo de técnicas regenerativas tras la extracción de dientes retenidos ha mostrado su eficacia con diversos materiales de regeneración, al asociarse al empleo de membranas, pero en los últimos años se ha descrito el empleo de dentina autógena en procedimientos de regeneración ósea, mostrando unos resultados favorables. Caso clínico: se presenta un caso clínico de una mujer de 20 años, sin antecedentes médico-quirúrgicos de interés, que acudió a consulta remitida por su ortodoncista, para la extracción de un premolar maxilar retenido, en posición invertida. Tras la extracción del premolar y del tercer molar inferior retenidos, se obtuvo dentina procedente de ambos, para la regeneración ósea guiada del defecto resultante de la extracción del premolar, realizando revisiones a la semana y a los 4 meses de la intervención. Conclusiones: la dentina autógena demuestra ser un biomaterial biocompatible, adecuado para procedimientos de regeneración ósea guiada, tras la extracción de dientes retenidos, como alternativa a otros biomateriales. (AU)

Introduction: regenerative bone techniques after impacted teeth extraction have shown to be effective with different materials, when used in conjunction with membranes, but in the last few years, autogenous dentin has been used in bone regeneration procedures, having promising results. Clinical case: a clinical case of a 20-year-old woman is presented, with no interesting medical record, who went to dental clinic for removal of an inverse maxillary bicuspid retained. After maxillary bicuspid and lower third molar extractions, autogenous dentin was obtained from both teeth, to perform a guided bone regeneration of the bicuspid defect. A week and 4-month check-up were carried out. Conclusion: autogenous dentin has shown to be a biocompatible material, adequate for guided bone regeneration procedures, after extraction of impacted teeth, as an alternative to other biomaterials. (AU)

Material de injerto en elevación de seno de acceso lateral: ¿es necesario? Parte II / Graft material in lateral sinus lift, is it necessary?: Part II

Introducción: Las extracciones dentarias producen una reabsorción del proceso alveolar en sentido horizontal y vertical además de la neumatización del seno. Estos cambios óseos en la zona posterior del maxilar pueden comprometer la colocación de implantes. La técnica convencional o de acceso lateral sigue siendo la técnica más utilizada para realizar elevaciones de seno maxilar. Estas elevaciones se realizan tanto sin injertos óseos como con diferentes biomateriales. Existe cierto debate sobre si es necesario colocar o no injerto. Objetivo: Analizar y comparar la ganancia ósea en elevaciones de seno de acceso lateral con injerto y sin injerto. Material y método: Se realizó una búsqueda electrónica para la actualización del tema en tres bases de datos y una serie de libros relacionados. Resultados: Se obtiene una ganancia de 4,0-6,14 mm cuando no se emplea material de injerto y entre 3,11-13,1 mm cuando se emplean biomateriales. Los estudios reflejan una pérdida ósea marginal entre 1,01-1,9 mm cuando no se emplea material de injerto y 2,3 mm de media cuando se emplean biomateriales. La técnica de elevación de seno de acceso lateral sin empleo de biomaterial presenta unas tasas de supervivencia elevadas pero las tasas de supervivencia son ligeramente superiores cuando se emplean biomateriales. La tasa de complicaciones es baja para ambas técnicas, siendo la más frecuente la perforación de la membrana de Schneider, que no parece suponer un impedimento para la colocación de implantes. Conclusión: la técnica de elevación convencional con relleno obtiene mayor ganancia ósea, pero mayor pérdida ósea marginal y presenta una tasa de supervivencia alta de implantes en comparación con la técnica que no emplea material de injerto, por lo que se debe individualizar cada caso para decidir si es necesario o no la utilización de un sustituto óseo. (AU)

Introduction: dental extractions produce a resorption of the alveolar process, horizontally and vertically in addition to pneumatization of the sinus. These bone changes in the posterior area of the maxilla can compromise implant placement. The conventional or lateral access technique is still the most used technique to perform maxillary sinus elevations. These elevations are performed without bone grafts and with different graft biomaterials where there is some discussion whether or not it is necessary to place a graft. Objective: Analyze and compare bone gain in graft and non-graft lateral access sinus lifts. Material and method: An electronic search was carried out to update the subject in three databases and a series of related books. Results: A gain of 4.0-6.14 mm is obtained when no graft material is used and between 3.11-13.1 mm when biomaterials are used. Studies show a marginal bone loss between 1.01-1.9 mm when no graft material is used and 2.3 mm on average when biomaterials are used. Lateral access sinus elevation technique without the use of biomaterial has high survival rates but survival rates are slightly higher when biomaterials are used. Rate of complications is low for both techniques, the most frequent being the perforation of Schneider’s membrane, which doesn’t seem to be an impediment to the placement of implants. Conclusion: conventional lift technique with filling obtains greater bone gain, but greater marginal bone loss and presents a high implant survival rate compared to the technique that doesn’t use graft material, so each case must be individualized to decide if it’s necessary or not the use of a bone substitute. (AU)

Regeneración ósea con injertos intraorales: rama vs. mentón. Puesta al día / Bone regeneration with intraoral graft: ramus vs. chin. Updating

La utilización de injertos intraorales en bloque es una alternativa de tratamiento válida para la regeneración en anchura de defectos óseos maxilares y mandibulares. Sin embargo, actualmente no hay consenso entre los diferentes autores en la elección del mejor tipo de bloque intraoral a utilizar. Por ende, esta puesta al día busca comparar la ganancia ósea, la tasa de complicaciones postoperatorias y el éxito del injerto entre bloques autólogos de rama mandibular y mentón. La ganancia ósea alcanzada es similar en ambos bloques. No obstante, se podría deducir una mayor ganancia al utilizar bloques de la rama mandibular cuando son evaluados mediante CBCT. Además, la tasa de reabsorción ósea fue menor con los injertos de rama. La supervivencia de los implantes es equiparable con ambos tipos de injertos. Las complicaciones que tienen lugar, en orden de frecuencia, son las alteraciones sensoriales, las necrosis pulpares, dehiscencias y hemorragias; apareciendo con mayor frecuencia en los bloques de mentón. Además, el periodo de recuperación en las zonas de rama mandibular es más lento. De este modo, a la hora de la elección parece razonable individualizar el caso y tener en consideración aspectos como la morbilidad y el acceso a la zona donante. (AU)

The use of intraoral block grafts is a valid treatment alternative for the regeneration of maxillary and mandibular horizontal bone defects. However, there is currently no consensus among different authors on the choice of the best type of intraoral bone block to use. Therefore, this update seeks to compare bone gain, post-operative complication rate and grafting success between autologous mandibular ramus and chin bone block grafts. The bone gain achieved is similar in both block grafts. However, a higher gain can be observed by CBCT when using mandibular ramus blocks. In addition, the rate of bone resorption is lower with ramus grafts. Implant survival is comparable in both types of grafts. The complications that occur, in order of frequency, are sensory alterations, pulp necrosis, dehiscence and bleeding, appearing more frequently in chin blocks. In addition, the recovery period in the mandibular ramus areas is slower. Thus, when choosing, it seems reasonable to individualize the case and take into consideration aspects such as morbidity and access to the donor area. (AU)

Material de injerto en elevación de seno atraumática: ¿es necesario? Parte I / Graft material in atraumatic sinus lift elevation: ¿is it necessary? Part I

INTRODUCCIÓN: la reabsorción vertical de la zona posterior del maxilar supone un reto terapéutico para el profesional, ya que son necesarias técnicas regenerativas para poder colocar implantes den-tales. La elevación de seno atraumática permite la colocación de implantes dentales de manera simultánea al procedimiento regenerativo, pero hay controversia en la necesidad o no de emplear materiales de injerto asociados a esta técnica. Ganancia ósea: al comparar la utilización o no de materiales de injerto en elevaciones de seno atraumáticas, se obtiene una ganancia ósea de 1-6.8 mm cuando no se emplean biomateriales, y 3.07-8.5 mm al utilizarlos. Pérdida ósea marginal: los estudios reflejan una pérdida ósea marginal de 0.5-1.54 mm al no emplear materiales de injerto, respecto a 0.7-1.67 mm cuando se utilizan. Supervivencia de implantes: ambas técnicas de elevación de seno atraumática presentan tasas de supervivencia imlantarias similares, superiores al 90 %.Complicaciones: la tasa de complicaciones en esta técnica regenerativa es baja, siendo la más frecuente la perforación de la membrana de Schneider, no suponiendo en la mayoría de los casos un impedimento para la colocación de implantes dentales. CONCLUSIONES: la técnica de elevación de seno sin relleno presenta menor ganancia ósea y pérdida ósea marginal en comparación a la técnica de elevación de seno con relleno, pero ambas técnicas presentan tasas de supervivencia implantarias similares, y una baja tasa de complicaciones, por lo que la utilización o no de biomateriales asociados debe decidirse en función de todas estas variables

INTRODUCTION: vertical resorption of posterior maxilla is a therapeutic challenge for dentists, since regenerative techniques are necessary to be able to place dental implants. Atraumatic sinus lift augmentation allows simultaneous dental implants placement to regenerative procedure, but it is not clear nowadays if it is or not necessary to use associated graft materials. Bone gain: scientific evidence reports a bone gain of 1-6.8 mm without using graft materials, versus 3.07-8.5 mm when authors use graft materials in atraumatic sinus lift augmentations procedures. Marginal bone loss: similar bone loss is expected in both techniques, but atraumatic sinus lift augmentation presents 0.5-1.54 mm when graft material is not used, versus 0.7-1.67 mm when graft material is used. Implant survival: both techniques present similar survival implant rates, greater than 90 %.Complications: low complications rate is reported, being the most frequent complication Schneider membrane perforation. Nevertheless, dental implant placement is possible in spite of this complication. CONCLUSIONS: atraumatic sinus lifting without graft materials presents lower bone gain and marginal bone loss in comparison to atraumatic sinus lifting with graft materials. Both techniques present similar survival implant rates and low complication rates, so using or not grafting materials should be decided analyzing all these variables

Tratamiento de la ránula sublingual: revisión de la literatura. A propósito de un caso / Relationship between treatment of sublingual ranula: literature review. A case report

El objetivo de este trabajo es conocer las principales técnicas para el tratamiento de la ránula sublingual, llevando a cabo una revisión de la literatura existente a propósito de un caso clínico. Con respecto al caso clínico se trata de una paciente mujer de 20 años que acude a consulta por aumento de tamaño del suelo de la boca de unos 3x5 cm. Al realizar la resonancia magnética, se observa una lesión quística en la región sublingual derecha. Se planifica cirugía de escisión radical, extirpando la glándula sublingual derecha y la lesión. Se pauta como tratamiento antibiótico amoxicilina-ác. clavulánico 875/125 mg y antiinflamatorio metilprednisolona 40 mg y dexketoprofeno 50 mg. Como conclusión la técnica más utilizada, hoy en día, es la cirugía radical, seguida de la micromarsupialización y técnicas modernas mínimamente invasivas

The objective of this study is to know the main techniques for the treatment of the sublingual ranula, through a literature review about a clinical case. With regard to the clinical case, this is a 20 year old female patient present at medical clinic for an increase size of the floor of the mouth of about 3x5cm. When performing a magnetic resonance, observe a cystic lesion in the right sublingual region. Radical excision surgery planned, removing the right sublingual gland and the lesion. It is prescribed as antibiotic treatment amoxicillin-clavulanic acid 875/125 mg and anti-inflammatory methylprednisolone 40 mg and dexketoprofene 50 mg. In conclusion, the most used technique, nowadays, is the radical surgery, followed by the micromarsupialisation and minimally invasive modern technique