Diagnosis and conservative treatment of dentigerous cyst: 3-year follow-up

Authors

  • Natália Bertolo-Domingues Sao Paulo State University (Unesp)
  • Diego Girotto-Bussaneli Sao Paulo State University (Unesp)
  • Fabiano Jeremias Sao Paulo State University (Unesp)
  • Elisa Maria Aparecida-Giro Sao Paulo State University (Unesp)
  • Cyneu Aguiar-Pansani Sao Paulo State University (Unesp)

DOI:

https://doi.org/10.21615/cesodon.31.1.6

Keywords:

Dentigerous cyst, surgical decompression, pediatric dentistry

Abstract

Dentigerous cyst is the most common developmental odontogenic cyst. It can involveany included tooth, although molars and canines are most frequently affected, followedby premolars and incisors. The aim of this article was to report the case of an11-year-old female patient complaining of an eruption delay of a mandibular secondpremolar (45). Therefore, a literature review regarding the diagnosis and treatmentof this condition is presented. At clinical and radiographic examination, the imagesuggested a dentigerous cyst; however, the diagnosis was confirmed by histopathologicaland cone-beam computed tomography (CBCT) exams. Surgical planning wascarried out using a conservative method involving surgical decompression. CBCTwas used as a surgical guide. At 4-month clinical and radiographic follow-up, cysticenucleation was performed by curettage. The patient was followed for 3 years untilcomplete eruption and alignment of the teeth occurred. No lesion was recorded,and orthodontic treatment was proven to be successful. The surgical decompressionwas completely safe, avoiding damage in important structures, and resulted in rapidrecovery of the patient.

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References

Gohel A, Villa A, Sakai O. Benign Jaw Lesions. Dent Clin North Am. 2016; 60(1):125-41.

Devenney-Cakir B, Subramaniam RM, Reddy SM, Imsande H, Gohel A, Sakai O. Cystic and cystic-appearing lesions of the mandible: review. AJR Am J Roentgenol. 2011; 196(6 Suppl):WS66-77.

Daley TD, Wysocki GP. The small dentigerous cyst: a diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995; 79(1):77–81.

Benn A, Altini M. Dentigerous cysts of inflammatory origin: a clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996; 81(2):203-9.

Arce K, Streff CS, Ettinger KS. Pediatric Odontogenic Cysts of the Jaws. Oral Maxillofac Surg Clin North Am. 2016; 28(1):21-30.

Arjona-Amo M, Serrera-Figallo MA, Hernández-Guisado JM, Gutiérrez-Pérez JL, Torres-Lagares D. Conservative management of dentigerous cysts in children. J Clin Exp Dent. 2015; 7(5):e671-4.

Asutay F, Atalay Y, Turamanlar O, Horata E, Burdurlu MÇ. Three-Dimensional Volumetric Assessment of the Effect of Decompression on Large Mandibular Odontogenic Cystic Lesions. J Oral Maxillofac Surg. 2016; 74(6):1159-66.

Allon DM, Allon I, Anavi Y, Kaplan I, Chaushu G. Decompression as a treatment of odontogenic cystic lesions in children. J Oral Maxillofac Surg. 2015; 73(4):649-54.

Yahara Y, Kubota Y, Yamashiro T, Shirasuna K. Eruption prediction of mandibular premolars associated with dentigerous cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108(1):28-31.

Song IS, Park HS, Seo BM, Lee JH, Kim MJ. Effect of decompression on cystic lesions of the mandible: 3-dimensional volumetric analysis. Br J Oral Maxillofac Surg. 2015; 53(9):841-8.

Thomas EH. Cysts of the jaws; saving involved vital teeth by tube drainage. J Oral Surg (Chic). 1947; 5(1):1-9.

Naclério H, Simões WA, Zindel D, Chilvarquer I, Aparecida TA. Dentigerous cyst associated with an upper permanent central incisor: case report and literature review. J Clin Pediatr Dent. 2002; 26(2):187-92.

Nakamura N, Mitsuyasu T, Mitsuyasu Y, Taketomi T, Higuchi Y, Ohishi M. Marsupialization for odontogenic keratocysts: Long-term follow-up analysis of the effects and changes in growth characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94(5):543-53.

Koca H, Esin A. Aycan K. Outcome of dentigerous cysts treated with marsupialization. J Clin Pediatr Dent. 2009; 34(2):165-8.

Peterson LJ, Ellis E III, Hupp JR and Tucker MR. Contemporary Oral and Maxillofacial Surgery. 3rd ed. St Louis: Mosby, 1998. p. 540.

Zhao Y, Liu B, Han QB, Wang SP, Wang YN. Changes in bone density and cyst volume after marsupialization of mandibular odontogenic keratocysts (keratocystic odontogenic tumors). J Oral Maxillofac Surg. 2011; 69(5):1361-6.

Celebi N, Canakci GY, Sakin C, Kurt G, Alkan A. Combined orthodontic and surgical therapy for a deeply impacted third molar related with a dentigerous cyst. J Maxillofac Oral Surg. 2015; 14(Suppl 1):93-5.

Miyawaki S, Hyomoto M, Tsubouchi J, Kirita T, Sugimura M. Eruption speed and rate of angulation change of a cyst-associated mandibular second premolar after marsupialization of a dentigerous cyst. Am J Orthod Dentofacial Orthop. 1999; 116(5):578–84.

Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofacial Orthop. 2003; 124(5):515-20.

Fujii R, Kawakami M, Hyomoto M, Ishida J, Kirita T. Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg. 2008; 66(2):272-6.

Published

2018-10-01

How to Cite

1.
Bertolo-Domingues N, Girotto-Bussaneli D, Jeremias F, Aparecida-Giro EM, Aguiar-Pansani C. Diagnosis and conservative treatment of dentigerous cyst: 3-year follow-up. CES odontol. [Internet]. 2018 Oct. 1 [cited 2024 Jul. 22];31(1):57-65. Available from: https://revistas.ces.edu.co/index.php/odontologia/article/view/4777

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Reporte de casos
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