scholarly journals Surgical Approach to Dentigerous Cyst with Protection of the Inferior Alveolar Nerve

2016 ◽  
Vol 20 (3) ◽  
pp. 178-181
Author(s):  
Stylianos Dalampiras ◽  
Georgios-Alexandros Vakirtzian ◽  
Foivos-Antonios Dalampiras ◽  
Maria Dalampira
Keyword(s):  
Case Report ◽  
Surgical Approach ◽  
Surgical Planning ◽  
Dentigerous Cyst ◽  
Inferior Alveolar Nerve ◽  
Radiographic Examination ◽  
Dentigerous Cysts ◽  
Surgical Field

Summary Aim: To stress the importance of surgical planning when treating large dentigerous cysts. Case Report: In a routine radiographic examination, a dentigerous cyst was revealed in a 20 years old male. A surgical approach that ensured the integrity of the inferior alveolar nerve (IAN) was applied. The incision was exceeded to the mesial surface of the first molar in order to create adequate surgical field and visibility. The final result was that the exposed nerve was protected successfully. Conclusion: This case shows the necessity of a meticulous preparation, even in routine operations.

scholarly journals Cisto dentígero: diagnóstico e tratamento

2019 ◽  
Vol 7 (11) ◽  
Author(s):  
Rodolfo Pollo Soares ◽  
Aline Reis Stefanini ◽  
André Luis da Silva Fabris ◽  
Paulo Henrique Bortoluzo ◽  
Luciana Estevam Simonato
Keyword(s):  
Case Report ◽  
Rio De Janeiro ◽  
Dentigerous Cyst ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Odontogenic Keratocyst ◽  
Rational Approach ◽  
Differential Expression Pattern ◽  
Dentigerous Cysts ◽  
Belo Horizonte

O cisto dentígero é um cisto odontogênico que é classificado como de desenvolvimento. Normalmente, está relacionado à coroa de um dente incluso, sendo um dos cistos odontogênicos mais frequentes nos ossos gnáticos. Na maioria das vezes é diagnosticado em pacientes entre a segunda e a terceira década de vida, com grande ocorrência em terceiros molares inferiores e caninos superiores. Clinicamente, apresenta evolução lenta, assintomática e pode causar discreta deformidade facial, deslocamento de dentes e alterações de estruturas na região. Radiograficamente, os cistos dentígeros são descritos como lesões radiolúcidas bem delimitadas e uniloculares. Na maioria dos casos, são observados em exames de rotina ou durante a pesquisa da causa da não erupção de um dente permanente. Apesar da singularidade clínica de cada caso, o prognóstico dessa lesão é favorável. O tratamento para o cisto dentígero pode ser a marsupialização em casos de lesões grandes, enucleação com exodontia do dente incluso ou preservação do elemento dental. Este trabalho visa apresentar um caso clínico de cisto dentígero em região posterior de mandíbula, abordando aspectos clínicos, imaginológicos, histopatológicos e terapêuticos, com a finalidade de familiarizar o cirurgião dentista com tal lesão.Descritores: Cisto; Cisto Dentígero; Diagnóstico Bucal.ReferênciasJones TA, Perry RJ, Wake MJ. Marsupialization of a large unilateral mandibular dentigerous cyst in a 6-year-old boy – a case report. Dent Update. 2003;30(10):557-61.Chapelle KOM, Stoelinga PJ, de Wilde PC, Brouns JJ, Voorsmit RA. Rational approach to diagnosis and treatment of ameloblastomas and odontogenic keratocists. Br J Oral Maxilofac Surg. 2004;42(5):381-90.Sampaio RK, Prado R. Cirurgia dos cistos odontogênicos. In: Prado R, Salim M. Cirurgia bucomaxilofacial: diagnóstico e tratamento. Belo Horizonte: Medsi; 2004. p. 365-407.Ustuner E, Fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(5):632-35.Tsukamoto G, Sasaki A, Akyama T, Ishikawa T, Kishimoto K, Nishiyama A et al. A radiologic analysis of dentigerous cyst and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(6):743-47.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.Regezi JA, Sciubba JJ. Patologia bucal: correlações clinicopatológicas. Rio de Janeiro: Guanabara Koogan; 2000.Shafer WG, Hine MK, Levy BM. Tratado de patologia bucal. 4. ed. Rio de Janeiro: Guanabara Koogan; 1987.Aziz SR, Pulse C, Dourmas MA, Roser SM. et al. Inferior alveolar nerve paresthesia associated with a mandibular dentigerous cyst. J Oral Maxillofac Surg. 2002;60(4):457-59.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 Dentofac Orthop. 2003;124(5):515-20.Thosaporn W, Iamaroon A, Pongsiriwet S, Ng KH. A comparative study of epithelial cell proliferation between the odontogênic keratocyst, orthokeratinized odontogenic cyst, dentigerous cyst, and ameloblastoma. Oral Dis. 2004;10(1):22-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral & Maxilofacial. 4.ed. Rio de Janeiro: Guanabara Koogan; 2016.Bajaj MS, Mahindrakar A, Pushker N. Dentigerous cyst in the maxillary sinus: a rare cause of nasolacrimal obstruction. Orbit. 2003;22(4):289-92.Kawamura JY, de Magalhães RP, Sousa SC, Magalhães MH. Management of a large dentigerous cyst occurring in a six-year-old boy. J Clin Pediatr Dent. 2004;28(4):355-57.Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J. 2005;198(4):203-6.Ertas U, Yavuz S. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxilofac Surg. 2003;61(6):728-32.Kim SG, Yang BE, OH SH, Min SK, Hong SP, Choi JY. The differential expression pattern of BMP-4 between the dentigerous cystand the odontogenic keratocyst. J Oral Pathol Med. 2005;34(3):178-83.Benn A, Altine M. Dentigerous cyst of infl amatory origin: a cliniopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(2):203-9.Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma – differential diagnosis in routine histology. J Oral Pathol Med. 2003;32(8):486-91.Fortin T, Coudert JL, Francois B, Huet A, Niogret F,Jourlin M et al. Marsupialization of dentigerous cyst associated with foreign body using 3D CT images: a case report. J Clin Pediatr Dent. 1997;22(1):29-33.Martínez-Pérez D, Varela-Morales M. Conservative treatmentof dentigerous  cysts in children: report of four cases. J Oral Maxillofac Surg. 2001;59(3):331-34.Vaz LGM, Rodrigues MTV, Ferreira Júnior O. Cisto dentígero: características clínicas, radiográficas e critérios para o plano de tratamento. RGO. 2010;58(1):127-30.

scholarly journals Case report: Dentigerous Cyst and Canine Impaction at the Orbital Floor

2019 ◽  
Vol 55 (3) ◽  
pp. 234
Author(s):  
Ferdian Rizky Hutomo ◽  
Ellen Satya Pratiwi ◽  
Viskasari P Kalanjati ◽  
Andra Rizqiawan
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Orbital Floor ◽  
Radiographic Examination ◽  
Epithelial Lining ◽  
Impacted Tooth ◽  
Eye Muscle ◽  
Dentigerous Cysts ◽  
Impacted Canine ◽  
Unerupted Teeth

Dentigerous cysts are cysts of the epithelial lining of the jaws derived from the dental follicle of unerupted teeth. These cysts are often found during routine radiographic examination along with unerupted teeth. Dentigerous cysts are usually asymptomatic unless the size becomes large, thus causing swelling. This case report describes the management of dentigerous cyst in the upper left canine region with canine impaction to the orbital floor. Dentigerous cyst was treated with cyst enucleation but the impacted canine was not taken because of the magnitude of risk that can occur which was a disruption to the eye muscle. Conclusion. Treatment of dentigerous cysts can be performed by enucleation technique and management related the impacted tooth at the orbital floor needs a further evaluation consideration.

scholarly journals Infected Dentigerous Cyst of Maxillary Sinus Arising from an Ectopic Third Molar

2013 ◽  
Vol 3 ◽  
pp. 7 ◽  
Author(s):  
Yadavalli Guruprasad ◽  
Dinesh Singh Chauhan ◽  
Umashankar Kura
Keyword(s):  
Maxillary Sinus ◽  
Rare Case ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Radiographic Examination ◽  
Palpable Mass ◽  
Follicular Cyst ◽  
Pathologic Features ◽  
Dentigerous Cysts ◽  
Ectopic Third Molar

A dentigerous cyst or follicular cyst is a form of odontogenic cyst. It is believed that it forms during the development of the tooth and is associated with pressure exerted by the crown of an unerupted (or partially erupted) tooth on the fluid within the follicular space. Typically, dentigerous cysts are painless and discovered during routine radiographic examination. However, they may be large and result in a palpable mass. Additionally, as they grow they displace adjacent teeth. They almost exclusively occur in permanent dentition. The cyst is lined by stratified squamous non-keratinizing epithelium. About 70% of dentigerous cysts occur in the mandible and 30% in the maxilla. Dentigerous cysts associated with ectopic teeth within the maxillary sinus are very rare. We report radiologic and pathologic features in a rare case of infected dentigerous cyst of maxillary sinus arising from an ectopic third molar in a 21-year-old female patient.

scholarly journals Karakteristik radiograf kista dentigerous dengan menggunakan CBCT-scan

2020 ◽  
Vol 4 (2) ◽  
pp. 15
Author(s):  
Berty Pramatika ◽  
Aga Satria Nurrachman ◽  
Eha Renwi Astuti
Keyword(s):  
Case Report ◽  
Surgical Planning ◽  
Dentigerous Cyst ◽  
Three Dimensional ◽  
Case Series ◽  
Impacted Tooth ◽  
Adjacent Structures

Objectives: The aim of this report which contains three case series is to describe the radiographic characteristic of dentigerous cyst using CBCT. Case Report: In the case presented here, all of the three patients had dentigerous cyst developing in impacted tooth, but did not have the same symptoms. CBCT radiography examination was carried out to find out the margin of the cortical extension, the diameter of the lesion, and the relations between the lesion and adjacent structures. The result of CBCT examination shows there is a variation of radiograph characteristics of dentigerous cyst among the three patients. Conclusion: CBCT is a very useful complementary tool for diagnosis and surgical planning in cases of dentigerous cyst, because three-dimensional viewing of the structures offers greater accuracy in lesion identification.

Virtual surgical planning and 3D-printed guided biopsy of bilateral lesions in the mandible: a case report

2020 ◽  
Vol 4 (4) ◽  
pp. 185-192
Author(s):  
Douglas Rangel Goulart ◽  
Lucas Raineri Capeletti ◽  
Gabriel Henrique Campos Pinheiro ◽  
Mateus Veppo dos Santos ◽  
Alessandro Lourenço Januario
Keyword(s):  
Case Report ◽  
Surgical Procedure ◽  
Surgical Planning ◽  
Inferior Alveolar Nerve ◽  
Postoperative Recovery ◽  
Virtual Surgical Planning ◽  
Drill Guide ◽  
Bone Biopsies ◽  
3D Printed ◽  
Bilateral Lesions

Purpose: To report the use of virtual surgical planning and a 3D printed drill guide for the biopsy of mandibular lesions. Case report: A 38-year-old woman presented with two bilateral lesions in the mandibular body, in close proximity to the inferior alveolar nerve and the molar roots. An incisional biopsy was planned with coDiagnostiX software using the cone beam computed tomography DICOM files and a cast model that had been digitalized using a bench scanner (7series, Dental Wings, Quebec, Canada). A tooth-supported drill guide was produced by 3D printing with digital light processing technology (Moonray S, Sprintray, CA, USA). The surgical procedure was performed under local anesthesia. No complications were observed intraoperatively or during postoperative recovery. Conclusion: The use of an intraoperative surgical 3D-printed drill guide enables a smaller surgical procedure and more precise bone biopsies.

scholarly journals Intercostal celiotomy for removal of proventriculus foreign body in muscovy duck (Cairina moschata): case report

2019 ◽  
Vol 71 (3) ◽  
pp. 805-810
Author(s):  
M.A. Goulart ◽  
C.S. Braga ◽  
C. Lira ◽  
D.B. Amorim ◽  
A.S. Macedo ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Teaching Hospital ◽  
Surgical Approach ◽  
Foreign Bodies ◽  
Radiographic Examination ◽  
Muscovy Duck ◽  
Cairina Moschata ◽  
Operative Complications ◽  
Subsequent Patient

ABSTRACT Ducks, geese and swans are included in the Anatidae family, Anseriformes order. The leading injuries causes to waterfowl are tangling in fishing materials and foreign bodies ingestion. A muscovy duck (Cairina moschata) was referred for treatment at Veterinary Teaching Hospital and a radiographic examination showed the presence of a hook in the coelom. Surgical exposure and incision of the proventriculus was made through left intercostal access and the hook along with a fishing line were gently removed. The animal began to feed voluntarily at the fourth post-operative day and two weeks after the procedure the patient was clinically well and was released to wild. This surgical approach differs in some aspects from the listed techniques in the known literature. It proved to be a viable and appropriate alternative to treat this affection since it did not cause any trans- or post-operative complications and enabled rapid recovery and subsequent patient release.

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

RSBO ◽  
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.

Dentigerous Cyst Associated with a Misaligned Maxillary First Premolar: A Case Report

2021 ◽  
pp. 170-175
Author(s):  
Hassan Dib ◽  
Sarah Farhat ◽  
Antoine Berberi
Keyword(s):  
Case Report ◽  
Histological Examination ◽  
Dentigerous Cyst ◽  
Final Diagnosis ◽  
Tooth Eruption ◽  
Deciduous Teeth ◽  
Odontogenic Cysts ◽  
Dentigerous Cysts ◽  
Facial Swelling ◽  
Tissue Specimens

Aims: The main goal of the following case report was to shed the light on the importance of thorough clinical, radiological and histological examinations in order to elaborate a final diagnosis of asymptomatic dentigerous cysts detected in unusual locations. Presentation of Case: A case of dentigerous cyst was identified accidentally in the maxillary left premolar region of an asymptomatic 14-year-old female post an orthodontic consultation. Histological examination of the tissue specimens following enucleation confirmed the diagnosis of a dentigerous cyst. Discussion: Dentigerous cysts are the second most common odontogenic cysts after radicular cysts. They involve impacted, un-erupted, permanent, supernumerary, odontomas and rarely deciduous teeth. Dentigerous cysts are usually painless but may cause facial swelling and delayed tooth eruption. Extensive maxillary involvement and childhood presentation are rare. Radio-graphic and histological examinations should be done to confirm the diagnosis of a dentigerous cyst. Conclusion: In our case, we showed the presence of a maxillary premolar dentigerous cyst that was removed by enucleation. The presence of dentigerous cyst is not always associated with a syndrome and its removal is very important to avoid future complications.

scholarly journals Case Report: Dentigerous cyst marsupialization for a child with Hunter’s syndrome

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1760
Author(s):  
Shaimaa Sabry ◽  
Dalia Moheb ◽  
Osama El Shahawy
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Pediatric Dentistry ◽  
Radiographic Examination ◽  
Cystic Fluid ◽  
Left Posterior ◽  
Musculoskeletal Systems ◽  
Department Faculty ◽  
Hunter's Syndrome

Hunter’s syndrome or mucopolysaccharidosis (MPS) type II is an inherited disorder caused by enzyme iduronate-2-sulfatase deficiency. It is characterized by involvement of the nervous, cardiovascular, respiratory, and musculoskeletal systems, along with numerous oral manifestations. This is a case report of an eight year-old girl diagnosed with Hunter’s syndrome, who was referred to the Pediatric Dentistry Department, Faculty of Dentistry, Cairo University with a chief complaint of hard swelling related to the lower left posterior area. Radiographic examination revealed well defined corticated radiolucency surrounding an unerupted lower left first molar. Aspiration was done and cytopathologic examination revealed cystic fluid mixed with blood. The case was diagnosed as a dentigerous cyst. Cyst marsupialization was done under general anaesthesia.  From this case report we concluded that in Hunter’s syndrome patients more conservative approaches are more valuable. Regular dental follow up is advised to maintain good oral hygiene, and to detect any complications as early as possible.

scholarly journals Maxillary Dentigerous Cyst Associated With Supernumerary Tooth

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Prashant Nanwani
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Developmental Abnormality ◽  
Supernumerary Tooth ◽  
Anterior Maxilla ◽  
Present Case Report ◽  
Dentigerous Cysts ◽  
Enamel Epithelium ◽  
Reduced Enamel Epithelium

Introduction Dentigerous cysts are caused by a developmental abnormality derived from the reduced enamel epithelium of the tooth-forming organ. Dentigerous cyst rarely involve impacted supernumerary tooth in anterior maxilla while commonly involve third molar tooth.   Case Report A case of dentigerous cyst in association with supernumerary tooth in a 15-year-old male patient is reported causing right nasal cavity obstruction. The present case report describes the management of a dentigerous cyst by surgical enucleation.

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