The Seven-year Journey of an Ectopic Canine: Multidisciplinary Management of a Dentigerous Cyst in the Early Mixed Dentition

The Aberdeen Royal Infirmary oral and maxillofacial surgery department is involved in the joint planning of cases with the orthodontic and restorative departments of the Aberdeen Dental Hospital to agree an optimal treatment plan for patients, with input from all three specialties. A 7-year-old girl was referred to the orthodontic department by her GDP due to non-eruption of the upper left central incisor. This was related to an associated dentigerous cyst. This presentation illustrates the phases of treatment involving marsupialization of the dentigerous cyst; surgical extraction and orthodontic treatment in order to provide the patient with the optimal outcome for her dentition. A retrospective assessment of the case is presented through photographs and radiological imaging outlining the chronology of the treatment and the outcome of marsupialization of the dentigerous cyst. It highlights this more conservative surgical approach as giving the best chances of preserving unerupted teeth in a younger patient. Marsupialization of a dentigerous cyst associated with UL1 and conservative management of cystic pathology led to preservation and natural mesial eruption of UL3 into the position of UL1. The unerupted UL1 associated with cystic pathology was extracted due to its ectopic position and root dilaceration. Seven years after diagnosis of the dentigerous cyst associated with the unerupted UL1, surgical and orthodontic management has facilitated the for patients tooth to erupt into the UL1 position. Restorative treatment is being planned following orthodontic treatment to restore for patients tooth to simulate the missing UL1. CPD/Clinical Relevance: This case encourages the appropriate referral of young patients with dentigerous cysts to achieve a satisfactory outcome.

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Compound odontoma associated with dentigerous cyst in the anterior mandible – case report

RSBO ◽

10.21726/rsbo.v12i1.178 ◽

2016 ◽

Vol 12 (1) ◽

pp. 98

Author(s):

Radamés Bezerra Melo ◽

Yuri Edward de Souza Damasceno ◽

Celio Armando Couto da Cunha Junior ◽

Igor Vasconcelos Pontes

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Young Patients ◽

Radiographic Examination ◽

Oral And Maxillofacial Surgery ◽

Surgical Removal ◽

Impacted Tooth ◽

Follicular Cyst ◽

Compound Odontoma

Introduction: The dentigerous cyst, also called a follicular cyst is an odontogenic cyst that develops in association with crown of an impacted tooth, predominantly in mandibular third molars of young patients. The Odontoma is a ectomesenquimal tumor of unknown origin that are more considered developmental malformations (harmatomas) than benign neoplasms. Occasionally, the dentigerous cyst is associated with odontoma. Objective: The article aims to report a case of surgical treatment of dentigerous cyst associated with compound odontoma and unerupted tooth in anterior region of the mandible. Case report: A male patient, 17 years of age, without systemic changes, was sent to the Center for Dental Specialties of Horizonte, Ceará, Brazil, specialty of Oral and Maxillofacial Surgery, for diagnosis and treatment of oral lesions visualized after periapical radiographic examination to determine failed eruption of element 42. Observing the periapical radiograph it was possible to visualize radiopaque lesion suggestive of a compound odontoma and a cystic capsule in association with the element 42. A panoramic radiographwas requested and it was planned a surgical removal of odontoma with curettage of bone cavity and removing the cystic capsule and element 42. There were no significant postoperative complications, the suture removal was performed 7 days after surgery where it was possible to observe a good healing, no swelling and no paresthesia. Conclusion: The treatment of choice is surgical excision of the lesions with the tooth associated to the cyst, it should be performed with proper planning, avoiding injury to vital structures and should not be delayed in order to avoid possible occlusion sequelae.

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An Unusual Case of Tooth in the Floor of the Orbit: The Libyan Experience

Case Reports in Dentistry ◽

10.1155/2012/954789 ◽

2012 ◽

Vol 2012 ◽

pp. 1-5

Author(s):

Y. Naresh Shetty ◽

Irfan Adil Majid ◽

Raju Umaji Patel ◽

Musbah Shammam

Keyword(s):

Differential Diagnosis ◽

Primary Closure ◽

Unusual Case ◽

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Oral And Maxillofacial Surgery ◽

Dentigerous Cysts ◽

Facial Swelling ◽

The Face ◽

Maxillary Premolars

Maxillary dentigerous cysts although uncommon need to be considered in the differential diagnosis in children with painless facial swelling. We present a case of dentigerous cyst associated with maxillary deciduous canine and maxillary premolars manifesting as a unilateral swelling in canine region of the face. A ten-year-old boy came to oral and maxillofacial surgery unit with a painless left facial swelling. The local dentist had prescribed antibiotics for treatment for the facial swelling, but the swelling did not subside, and the parents brought the child to our unit in Zliten Dental College. After clinical examination and imaging, the diagnosis of dentigerous cyst was made. Caldwell-Luc approach was done, the cyst was enucleated, and primary closure was done. The patient was followed up for a period of two years and there was no evidence of any recurrence.

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Self-confidence in oral and maxillofacial surgery: a cross-sectional study of undergraduate dental students at Kuwait University

10.21203/rs.3.rs-31025/v3 ◽

2021 ◽

Author(s):

Mohammad Kamal ◽

Mohammad Abdulwahab

Keyword(s):

Maxillofacial Surgery ◽

Dental Students ◽

The Self ◽

Oral And Maxillofacial Surgery ◽

Independent Practice ◽

Cross Sectional ◽

Kuwait University ◽

Self Confidence ◽

Validated Questionnaire ◽

Surgical Extraction

Abstract Background: To evaluate the self-confidence of undergraduate dental students in relation to oral and maxillofacial surgery (OMFS) in order to assess the teaching curriculum at Kuwait University using a validated questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS).Methods: A cross-sectional survey of 6th year (n=20) and 7th- year (n=19) dentistry students was conducted Kuwait University Faculty of Dentistry between the 1st and 15th May 2020. The ABAOMS questionnaire is composed of 17 questions assessing various areas of the undergraduate OMFS curriculum. The response options to the questionnaire utilised a Likert scale. Independent sample t-tests were performed to assess the difference in responses between the two year groups. Spearman’s Rho correlations were calculated to measure the strength of association between confidence in all aspects of surgical and forceps exodontia.Results: A total of 39 questionnaires were completed by the students. The majority of students expressed that they feel confident that they have enough knowledge to undertake independent practice (61%). General aspects of the questionnaire were answered favourably except for surgical extraction of teeth, in which both classes reported a lower level of self-confidence.Conclusions: This survey revealed the students’ self-confidence in undertaking independent practice and preforming basic oral surgery procedures. Students felt comfortable with exodontia using forceps and elevators, root removal, managing acute pericoronitis, managing haemorrhage from a socket, assessing impacted teeth, and recognising the clinical features of potentially malignant and malignant lesions of the oral cavity. They reported a lower level of confidence for performing surgical procedures. The ABAOMS survey instrument is a useful and thorough tool to assess the self-confidence of dental students according to their undergraduate oral and maxillofacial surgery teaching.

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Early timely orthodontic treatment: Treatment of unerupted maxillary laterals

APOS Trends in Orthodontics ◽

10.25259/apos_27_2021 ◽

2021 ◽

Vol 11 ◽

pp. 4-13

Author(s):

Peter Ngan ◽

Mohamad Sarraj ◽

Ghaddy AlSaty

Keyword(s):

Early Intervention ◽

Orthodontic Treatment ◽

Case Reports ◽

Young Patients ◽

Mixed Dentition ◽

Maxillary Expansion ◽

Orthopedic Treatment ◽

Maxillary Protraction ◽

Posterior Crossbite ◽

Timely Treatment

There is no universal agreement as to which type of orthodontic or orthopedic treatment deserves early intervention. In addition, there is a need for more information as to which treatments are the most effective and less costly if they are initiated timely in the mixed dentition. Early timely treatment may benefit young patients with a maxillary transverse deficiency with or without a posterior crossbite that requires maxillary expansion. It may also be indicated in children with anteroposterior jaw discrepancy that requires chin cup or maxillary protraction. In this paper, the authors will focus on early maxillary expansion to facilitate the eruption of maxillary laterals. In specific, the authors will present a contemporary protocol using a bonded maxillary expander as anchorage for treatment of unerupted maxillary laterals. The use of this protocol was illustrated with two case reports to enable clinicians to routinely achieve a beautiful smile on a young patient by timely alignment of the maxillary incisors.

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Dentigerous cyst in the maxilla: case report in a pediatric patient

Research Society and Development ◽

10.33448/rsd-v10i16.23293 ◽

2021 ◽

Vol 10 (16) ◽

pp. e143101623293

Author(s):

Bianca de Fatima Borim Pulino ◽

Raphael Capelli Guerra ◽

Gabriel Cunha Collini ◽

Marcello Cheloti ◽

Eduardo Hochuli Vieira

Keyword(s):

Pediatric Patient ◽

Alveolar Bone ◽

Treatment Plan ◽

Dentigerous Cyst ◽

Odontogenic Cysts ◽

Long Period ◽

Unerupted Tooth ◽

Dentigerous Cysts ◽

Male Patients ◽

Almost All

Dentigerous cysts are the second most common odontogenic cysts of the jaws, and sometimes inhibit the eruption of teeth. Almost all of the dentigerous cyst encloses the crown of an unerupted tooth and the radiolucent area is attached to the tooth at the cementoenamel junction. Dentigerous cyst is more common in male patients and most commonly develop in the second and third decades of life. Clinically, a localized swelling of the alveolar bone can be detected, however, dentigerous cysts can be asymptomatic during a long period of time, leading to a significant destruction of bone. The conventional treatment plan is cyst removal and marsupialization. Marsupialization therapy can be useful to promote the spontaneous eruption of the involved tooth within the cyst. However, tooth eruption does not always occur spontaneously after marsupialization. This article aims to report a clinical case of the diagnosis and treatment of a dentigerous cyst in the maxilla associated with an unerupted canine in a pediatric patient and discussion of the treatment performed.

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Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2042 ◽

2017 ◽

Vol 18 (4) ◽

pp. 337-341 ◽

Cited By ~ 2

Author(s):

Rafaella de S Leão ◽

Edmilson Z da S Júnior ◽

Marília GM de Alencar ◽

Raisa Q Catunda ◽

Sandra LD de Moraes ◽

...

Keyword(s):

Surgical Procedures ◽

Treatment Plan ◽

Maxillofacial Surgery ◽

Recurrent Dislocation ◽

Complete Denture ◽

Oral And Maxillofacial Surgery ◽

Mandibular Movement ◽

Technical Adequacy ◽

Surgical Access ◽

Tmj Dislocation

ABSTRACT Aim To report a case of association between the surgical treatment of temporomandibular dysfunction and rehabilitation with denture total prosthesis (TP) using nonanatomic teeth (cusp 0°) in patients with anterior recurrent dislocation of the temporomandibular joint (TMJ) and persistent uncontrolled mandibular movement, showing a technical adaptation and conduct. Introduction There are several treatment approaches available for dislocation of the TMJ. The use of condylar mini-anchors for recurrent TMJ dislocation is a valid option and should be considered since it does not alter the joint anatomy. In edentulous patients undergoing TMJ surgical procedures, prosthetic rehabilitation can be seen as a means of treatment preservation. Case report A 73-year-old female patient attended the oral and maxillofacial surgery clinic presenting with joint instability, ligament laxity, and chronic recurrent TMJ dislocations. She had already been through three previous unsuccessful surgical procedures. A treatment plan was done based on the installation of a mini-anchor in the patient's TMJ through the preauricular surgical access. Dislocations were then resolved, but the lack of mandibular control even to a lesser extent after surgery precluded the use of prosthetics even at rest. Thus, it was planned to manufacture two conventional TPs with 0° cusp angle teeth, a clinical protocol shortened to three sessions in an attempt to improve the stability of the prosthesis. Conclusion The use of an individual mini-anchor is simple and effective, and the use of artificial teeth is well suited to the case. Clinical significance A multidisciplinary intervention (surgery/ prosthesis) is of utmost importance for the resolution and preservation of the treatment of these complex cases. How to cite this article de S Leão R, da S Júnior EZ, de Alencar MGM, Catunda RQ, de Moraes SLD, do E Vasconcelos BC. Use of Mini-anchors and Rehabilitation with 0° Cusp Angle Teeth Complete Denture in Recurrent Condylar Dislocation: Technical Adequacy and Procedure. J Contemp Dent Pract 2017;18(4):337-341.

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Efficacy of platelet rich plasma (PRP) on mouth opening and pain after surgical extraction of mandibular third molars

Journal of Oral Medicine and Oral Surgery ◽

10.1051/mbcb/2020045 ◽

2020 ◽

Vol 27 (1) ◽

pp. 9

Author(s):

Maidah Hanif ◽

Muhammad Azhar Sheikh

Keyword(s):

Platelet Rich Plasma ◽

Maxillofacial Surgery ◽

Third Molar ◽

Mouth Opening ◽

Third Molar Surgery ◽

Oral And Maxillofacial Surgery ◽

Surgical Removal ◽

Mandibular Third Molar ◽

Surgical Extraction ◽

Molar Teeth

Introduction: Surgery of mandibular third molar teeth for removal is one of the most common procedures undertaken in oral and maxillofacial surgery departments. The complications created by the post extraction wound healing and physiological consecution of third molar surgery can affect patients' quality of life. Platelet rich plasma (PRP) is an autologous concentrate of platelets suspended in the Plasma that accelerates healing by concentration of growth factors which lessen the inflammation and as a result pain and trismus. Materials and methods: A Study was conducted on 130 patients at the department of Oral and Maxillofacial Surgery, FUCD Islamabad, for a period of 6 months after ethical approval. The patients with impacted mandibular wisdom teeth were selected and divided equally into two equal groups. The pain score was measured using the visual analogue scale (VAS) and trismus was measured using Vernier caliper before the surgery, immediately after surgery, on 3rd and 7th follow up visits. Results: The mean postoperative pain on 7th day was significantly lower in the PRP group with statistically significant P-value <0.0001. Trismus was also less reported in the PRP group with P-value <0.00065. Conclusion: Platelet Rich Plasma is effective to lessen trismus and pain after surgical removal of mandibular third molar teeth.

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Maxillofacial tumors and tumor-like lesions : a retrospective analysis

Update Dental College Journal ◽

10.3329/updcj.v8i1.38408 ◽

2018 ◽

Vol 8 (1) ◽

pp. 22-28 ◽

Cited By ~ 1

Author(s):

Md Amirul Islam ◽

M Ahmed Hossain ◽

Sabrina Binte Rahman ◽

Md Ali Kawser ◽

Md Shamsur Rahman

Keyword(s):

Dentigerous Cyst ◽

Maxillofacial Surgery ◽

Descriptive Study ◽

Oral And Maxillofacial Surgery ◽

Malignant Tumours ◽

Cross Sectional ◽

Female Ratio ◽

Odontogenic Tumours ◽

Benign Tumours ◽

Tumor Like Lesions

Background: This paper reviews the types, prevalence and demographic distribution of maxillofacial tumors, cysts and tumor-like lesions in a Bangladeshiteaching Hospital.An observational descriptive study (January’ 2014 to December’ 2016) was performed at Oral and Maxillofacial Surgery depart- ment, Dental Unit,TMSS Medical College and Hospital. This study presents 55 cases of maxillofacial tumour & tumour like lesions collected over 3 years at a tertiary oral care centre in Bogra, Bangla- desh.Objectives:To find out the distribution & pattern of maxillofacial tumours and to find out the age, sex, site, clinical presentation and thehistological types of these tumors Method: A cross sectional descriptive study where the Histopathological types of the maxillofacial tumours were analyzed to indicate the numbers that occurred and also the pattern of occurrence according to age, gender, site and clinical presentation.Result: There were 55 maxillofacial tumour & tumour like lesions of which 44 (80.01%) were Benign tumours & 11 (19.81%) were malignant tumours. Among Eighteen histo- pathologic types were found of which Squamous cell carcinoma (18.18%), Ameloblastoma (16.36%), Odontogenic keratocystic tumour (10.90%), Dentigerous cyst (7.27%)& Radicular cyst (7.27%) were predominant. The male to female ratio was 1.29:1. Patients were between 10 years and 72 years with most patients (27.27%) in 51 to 60 years of life. Case presented with symptoms such as swelling (41.96%), pain (28.82%) and loosetooth (17.12%).Conclusion: Both malignant and benign tumours are seen. In the present study, SCC and ameloblastoma were the commonest malignant and benign odontogenic tumours seen respectively; the two representing more than 34.54% of all tumors.Tumour & tumour like lesions of the oral & maxillofacial region with late presentation still remains the main challenging factor in the early detection & management. Surgery was the main modality used for treat- ment while some patients had no treatment due to self discharge and late presentation.Update Dent. Coll. j: 2018; 8 (1): 22-28

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Prevention of dry socket in mandibular 3rd molars by means of single preoperative oral dose of metronidazole and amoxicillin compared to conventional therapy

Journal of the Pakistan Medical Association ◽

10.47391/jpma.09-1107 ◽

2021 ◽

pp. 1-9

Author(s):

Tahseen shabbir Khooharo ◽

Sayed Umer Hassan ◽

Abdul Hafeez Shaikh ◽

Admin

Keyword(s):

Oral Dose ◽

Conventional Therapy ◽

Therapy Group ◽

Maxillofacial Surgery ◽

P Value ◽

Oral And Maxillofacial Surgery ◽

Double Blind ◽

Dry Socket ◽

Surgical Extraction ◽

Present Trial

Abstract Objective: To compare the efficacy of metronidazole and amoxicillin as preoperative single dose treatment with conventional therapy in prevention of dry socket. Methods: A double blind randomized control trial; patients attending the oral and maxillofacial surgery OPD at DUHS Karachi requiring surgical extraction of madibular 3rd molar during October 2018 till April 2019 were randomly divided into 3 groups. Ethical approval was taken from Institutional Review Board of DUHS Karachi. Consent from patients was also taken. First group was given single preoperative oral dose of 400mg metronidazole one hour before extraction, second group was treated with single oral dose of 500mg amoxicillin an hour before tooth extraction, and both of the groups were given painkillers postoperatively. Third group was given 500mg of Amoxicillin BD, 400mg of metronidazole and painkillers postoperatively. Every group had a follow-up on fifth postoperative day. Results: Dry socket was reported among 19 patients (8.4 %) amongst them 4 were males and 15 were females. Chi-square test was used to calculate the p-value (0.066). Results of the present trial were statistically insignificant. Incidence of dry socket in amoxicillin group was 3 (5.5%), in metronidazole was 4 (7.5) and in conventional therapy group was 12(16%). Conclusion: Present trial was not effective in preventing the occurrence of dry socket by means of single preoperative oral dose of metronidazole and amoxicillin compared to conventional therapy. However, clinically percentage of occurrence of dry socket was higher in conventional group compared to amoxicillin and metronidazole group. Clinical Trial Number: NCT03992144. Continuous...

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Interdisciplinary (surgical and orthodontic) treatment in a patient with compound odontoma associated with impacted permanent lateral incisor of the mandible – a case report

Nowa Stomatologia ◽

10.25121/ns.2018.23.1.25 ◽

2018 ◽

Vol 23 (1) ◽

Author(s):

Diana Karolak ◽

Joanna Lange

Keyword(s):

Orthodontic Treatment ◽

Anterior Part ◽

Treatment Plan ◽

Relevant Literature ◽

Maxillofacial Surgery ◽

Lateral Incisor ◽

Impacted Tooth ◽

Impacted Teeth ◽

Manual Search ◽

Compound Odontoma

Impacted teeth are one of the reasons for orthodontic appointments. Two conditions must be met for the tooth to be considered impacted, i.e. a fully developed tooth that has not erupted on time. The presence of an odontoma in the maxillary bone when the impacted teeth are observed is a particular situation. We present a case of a patient with a compound odontoma located in the anterior part of the mandible and associated with an impacted right lateral incisor, who received interdisciplinary (surgical and orthodontic) treatment. The aim of the study was to present the advances in interdisciplinary (surgical and orthodontic) treatment of the compound odontoma associated with the impacted permanent lateral incisor of the mandible and a review of relevant literature. A literature review covering years 1990-2016 was performed. Medical databases, such as PubMed and Medline, were used. The following keywords were used: “impacted tooth”, “odontoma”, “orthodontic treatment”. Additionally, a manual search of specialist literature on orthodontics and maxillofacial surgery was conducted. Written consent from the subject/subject’s parents/subject’s legal guardians was obtained. Polish- and English-language publications were included. Early diagnosis of odontoma enables less complicated and less expensive treatment. The treatment plan should be tailored to each patient. More research is needed on predicting the behaviour of impacted teeth related to odontomas.

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