scholarly journals A large radiolucent lesion in anterior maxilla: A case report

2021 ◽  
Vol 7 (3) ◽  
pp. 194-198
Author(s):  
Sunil Kumar Beniwal ◽  
Abhinav Chopra ◽  
Bhavneet Dhillon
Keyword(s):  
High Probability ◽  
Dentigerous Cyst ◽  
Cystic Lesions ◽  
Impacted Tooth ◽  
Anterior Maxilla ◽  
Posterior Teeth ◽  
Dual Pathology ◽  
Nasal Floor ◽  
Radiolucent Lesion

Cystic lesions of the jaw are a common occurrence. We present a case of a large unilocular cystic lesion in maxilla associated with an impacted tooth, impinging on the nasal floor. The uniqueness of the case is the high probability of a dual pathology; a cystic pathology associated with the impacted tooth (likely dentigerous cyst) and a large radicular cyst involving the apices of teeth from 21 to 26. The patient presented with a rare finding of a palatal swelling rather than a buccal swelling associated with cystic lesions involving maxillary posterior teeth. Enucleation of the cyst and extraction of the impacted tooth were performed, no other teeth were extracted. The report describes the treatment and follow up of the patient.

scholarly journals A large radiolucent lesion in anterior maxilla: A case report

2021 ◽  
Vol 7 (3) ◽  
pp. 194-198
Author(s):  
Sunil Kumar Beniwal ◽  
Abhinav Chopra ◽  
Bhavneet Dhillon
Keyword(s):  
High Probability ◽  
Dentigerous Cyst ◽  
Cystic Lesions ◽  
Impacted Tooth ◽  
Anterior Maxilla ◽  
Posterior Teeth ◽  
Dual Pathology ◽  
Nasal Floor ◽  
Radiolucent Lesion

Cystic lesions of the jaw are a common occurrence. We present a case of a large unilocular cystic lesion in maxilla associated with an impacted tooth, impinging on the nasal floor. The uniqueness of the case is the high probability of a dual pathology; a cystic pathology associated with the impacted tooth (likely dentigerous cyst) and a large radicular cyst involving the apices of teeth from 21 to 26. The patient presented with a rare finding of a palatal swelling rather than a buccal swelling associated with cystic lesions involving maxillary posterior teeth. Enucleation of the cyst and extraction of the impacted tooth were performed, no other teeth were extracted. The report describes the treatment and follow up of the patient.

scholarly journals Spontaneous Eruption of Premolar Associated with a Dentigerous Cyst

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Irla Karlinne Ferreira de Carvalho ◽  
Anibal Henrique Barbosa Luna
Keyword(s):  
Conservative Treatment ◽  
Root Formation ◽  
Dentigerous Cyst ◽  
Young Patients ◽  
X Rays ◽  
Impacted Tooth ◽  
Tooth Position ◽  
Dc Characteristics ◽  
Inclusion Rate ◽  
Radiolucent Lesion

Dentigerous cyst (DC) is the second most common odontogenic cyst with greater incidence in young patients. It presents as a unilocular, asymptomatic radiolucency involving the crown of an impacted tooth, commonly noticed in X-rays to investigate absence, wrong tooth position, or delay in the chronology of eruption. Decompression/marsupialization (D/M) is the most implemented treatment, especially when preserving the tooth involved is advised. The aim of this study is to discuss the DC characteristics that contribute to spontaneous eruption of premolars, by reporting the case of a conservative treatment of DC. This eruption depends on factors such as age, angulation of inclusion, rate of root formation, depth of inclusion, and eruption space. This paper reports the case of a 10-year-old patient with a radiolucent lesion diagnosed as DC involving element 35, which erupted as a result of treatment. The patient was observed during 1 year and 6 months.

scholarly journals Clinical and immunohistochemical study of melanotic neuroectodermal tumor of infancy in the maxilla

2018 ◽  
Vol 16 (2) ◽  
Author(s):  
Hellen Bandeira de Pontes Santos ◽  
Aníbal Henrique Barbosa de Luna ◽  
Pedro Everton Marques Goes ◽  
Alexander Tadeu Sverzut ◽  
Cassiano Francisco Weege Nonaka ◽  
...  
Keyword(s):  
Immunohistochemical Study ◽  
Dentigerous Cyst ◽  
Tomographic Reconstruction ◽  
Definitive Diagnosis ◽  
Neuroectodermal Tumor ◽  
Adenomatoid Odontogenic Tumor ◽  
Incisional Biopsy ◽  
Epithelioid Cells ◽  
Anterior Maxilla

ABSTRACT Melanotic neuroectodermal tumor of infancy is a rare and fast-growing neoplasm. In this study, we describe the case of a 6-month-old female patient, who presented swelling in the anterior maxilla. Tomographic reconstruction showed an unilocular hypodense and expansive area associated with the upper right central primary incisor. The presumptive diagnoses were dentigerous cyst, adenomatoid odontogenic tumor, melanotic neuroectodermal tumor of infancy and rhabdomyosarcoma, and an incisional biopsy was performed. Microscopically, the lesion revealed a biphasic cell population, consisting of small, ovoid, neuroblastic-like cells and epithelioid cells containing melanin. Immunohistochemically, the melanocyte-like component was strongly and diffusely positive for HMB-45 and Melan-A, but weakly positive for S100. Based on these findings, definitive diagnosis of melanotic neuroectodermal tumor of infancy was established. Then, enucleation of the lesion was performed by careful curettage. After 2 year follow-up, no clinical or radiographical evidence of recurrence was verified. The present case highlights the importance of early diagnosis and therapeutic intervention at the appropriate time to achieve a favorable outcome for the patient.

scholarly journals Enukleasi Kista Dentigerous pada Coronoid Mandibula Sinistra di Bawah Anastesi Umum

2015 ◽  
Vol 1 (2) ◽  
pp. 99
Author(s):  
Sayid Azhar ◽  
Maria Goereti ◽  
Soetji P Soetji P
Keyword(s):  
General Anesthesia ◽  
Tooth Enamel ◽  
Dentigerous Cyst ◽  
Systemic Disease ◽  
Allergic Symptom ◽  
Connective Tissues ◽  
Impacted Tooth ◽  
Follicular Cyst ◽  
Odontogenic Epithelium

Kista adalah penyebab pembengkakan kronis yang paling sering pada rahang dibandingkan tulang lain karena banyaknya sisa epitel odontogenik. Kista yang dibentuk dari epitel odontogenik merupakan yang terbanyak di rahang. Kista dentigerous merupakan kantung jaringan ikat yang berisi cairan dengan berbatas epitel skuamos berlapis yang terbentuk di sekitar mahkota gigi yang tidak erupsi atau dentikel. Kista ini sering disebut kista folikular karena hasil pembesaran folikel yang berasal dari akumulasi cairan antara epitel tereduksi dengan email gigi. Shear dan Spreight mengatakan bahwa etiologi terjadinya kista dentigerous bisa karena gigi impaksi. Seorang pasien laki – laki berusia 41 tahun dilaporkan datang ke klinik Bedah Mulut RSUP Dr. Sardjito dengan keluhan utama benjolan di bawah telinga kiri, tidak terasa sakit ukuran 4x3x3 cm muncul kurang lebih 8 bulan sebelumnya. Awalnya kecil kemudian membesar, pasien telah menjalani perawatan dari puskesmas dan tidak ada kemajuan. Penatalaksanaan kasus ini adalah enukleasi kista di bawah anestesi umum. Evaluasi dilakukan 4 bulan post operasi dan tidak ada tanda kambuh. Riwayat penyakit sistemik dan alergi obat tidak ada. ABSTRACT: Dentigerous Cyst Enucleation on Coronoid Mandibular Sinistra under General Anesthesia. Cyst is the most common caused of chronic swelling in the jaw compared to other bone as there are a lot of odontogenic epithelium. Cyst formed from odontogenic epithelium is the most encountered case found in dental practice. Dentigerous cyst is a sac formed of connective tissues filled with liquid and lined with stratified squamos epithelium border which was developed around un-erupted dental crown or denticle. This kind of cyst is also known follicular cyst on a reason that swelling follicle is derived from liquid accumulation between tooth enamel reductions with dental email. Shear and Spreight stated that impacted tooth is the ethiology of dentigerous cyst. We are reporting a case of41 year old man who came to Dr. Sardjito central hospital with chief complain of swelling under left ear, painless, 4x3x3 cm sized and increase within 8 months since its developed. The patient was treated in the Primary Health Care but no improvement reached. This case was managed with enucleated cyst under general anesthesia. No sign of recurrence after 3 months follow up and patient evaluation. No systemic disease and allergic symptom was found in this patient.

scholarly journals Three-dimensional radiographic features of ameloblastoma and cystic lesions in the maxilla

2019 ◽  
Vol 48 (6) ◽  
pp. 20190066 ◽  
Author(s):  
Yuan Meng ◽  
Ya-Ning Zhao ◽  
Ya-Qiong Zhang ◽  
Deng-Gao Liu ◽  
Yan Gao
Keyword(s):  
Maxillary Sinus ◽  
Dentigerous Cyst ◽  
Three Dimensional ◽  
Third Molar ◽  
Spiral Ct ◽  
Anterior Maxilla ◽  
Radiographic Features ◽  
Nasal Floor ◽  
Posterior Maxilla ◽  
Clinical Records

Objectives: To characterize the radiographic features of maxillary ameloblastoma (AM), odontogenic keratocyst (OKC) and dentigerous cyst (DC) comparatively by using spiral CT and cone beam CT (CBCT). Methods: Clinical records, histopathological reports, and nonenhanced spiral CT or CBCT images of 191 consecutive patients with primary maxillary AMs, OKCs, or DCs were retrospectively acquired, and radiographic features were analyzed. Results: The study included 118 males and 73 females (age: 5–84 years). 72.0% of AMs and 84.3% of OKCs originated from the posterior maxilla, while 69.6% of DCs occurred in the anterior maxilla. Among 25 AMs, 44.0% were of desmoplastic type, with honey-combed appearance. 84.0% of AMs were circular or oval in shape, 84.0% expanded buccally, and 36.0% invade the nasal floor. Among 89 OKCs of 88 patients, 61.8% were circular or oval, 58.4% expanded buccally, 49.4% were dentigerous, 41.6% nearly filled the maxillary sinus, and 13.5% invaded the nasal floor. 93.7% (74/79) of DCs enveloped a single tooth, and the tooth–cyst relationship was centripetal in 35, eccentric in 30, and circumferential in 9. Moreover, 98.2% (55/56) of the cysts enveloping a supernumerary tooth were DCs, while 80.9% (38/47) of the cysts enveloping the third molar were OKCs. Conclusions: Maxillary AMs tend to grow with buccal expansion and invade the nasal floor, and DAs with honey-combed lobularity are common. Maxillary OKCs have variant shapes and tend to invaginate the maxillary sinus. The tooth–cyst relationship of dentigerous OKCs and DCs can be centripetal, eccentric, or circumferential.

scholarly journals Case series of adenomatoid odontogenic tumour of jaws with variations in presentation

2020 ◽  
Vol 13 (1) ◽  
pp. e229358
Author(s):  
Ankita Chugh ◽  
Isha Srivastava ◽  
Shruti Khatana ◽  
Aasma Nalwa ◽  
Jyotsna Naresh Bharti
Keyword(s):  
Dentigerous Cyst ◽  
Case Series ◽  
Odontogenic Tumour ◽  
Impacted Tooth ◽  
Rare Tumour ◽  
Anterior Maxilla ◽  
Radiographic Appearance ◽  
Odontogenic Origin ◽  
Adenomatoid Odontogenic Tumour ◽  
Calcifying Epithelial Odontogenic Tumour

Adenomatoid odontogenic tumour (AOT) is a rare tumour of odontogenic origin with distinct clinicopathological appearance but is often clinically misdiagnosed as a cyst. The most common site is the anterior maxilla in the canine region. We present here two cases, one at its commonest location in the maxillary canine while the other is at the uncommon location of the anterior mandible. Its clinical features of painless slow growing swelling, association with impacted tooth and radiographic appearance of well defined predominantly radiolucent lesion are overlapping with other oral pathologies like dentigerous cyst, radicular cyst, calcifying odontogenic cyst, calcifying epithelial odontogenic tumour, unicystic ameloblastoma etc. One must be aware and updated with the variation in appearance of AOT. Encapsulation of tumour causes less cumbersome enucleation of the tumour, a successful treatment as it reduces the chances of recurrence.

scholarly journals Adenomatoid Odontogenic Tumor- A Rare Case Report of “Two Third Tumor”

2021 ◽  
pp. 117-124
Author(s):  
Akansha Budakoti ◽  
Kaveri Surya Khanna ◽  
Anuridhi Choudhary
Keyword(s):  
Dentigerous Cyst ◽  
Odontogenic Tumor ◽  
Cystic Neoplasm ◽  
Adenomatoid Odontogenic Tumor ◽  
Impacted Tooth ◽  
Anterior Maxilla ◽  
Rare Case Report ◽  
Odontogenic Origin ◽  
Rare Location ◽  
Mandibular Region

Adenomatoid odontogenic tumor (AOT) is a rare odontogenic origin tumor that manifests as a slow-growing cystic neoplasm in the anterior maxilla, often in conjunction with an impacted tooth. AOTs are divided into three kinds based on their histology: follicular, extrafollicular, and peripheral. Because the source of the AOT is unknown, it's impossible to say whether the lining of an associated cyst reflects the cause i.e. a real dentigerous cyst, a cystic alteration within an AOT, or a separate entity. The diagnosis and treatment should be determined following a thorough clinical, radiographic, and histological investigation. The presented case is a rare occurrence of its sort due to the favorable patient's age and the AOT's site in the lower jaw. The current study reports on a case with follicular AOT in the anterior mandibular region (a rare location), with unusual histomorphology (snow flake and calcified areas) associated with impacted 43 and retained 83.

scholarly journals A Case Report of Maxillary Anterior Radiolucent Lesion Associated with Impacted Teeth

2017 ◽  
Vol 1 (1) ◽  
pp. 42-44
Author(s):  
Barsha Bajracharya ◽  
Pratibha Poudel ◽  
Dipshikha Bajracharya ◽  
Subrata Bhattacharyya
Keyword(s):  
Case Report ◽  
High Probability ◽  
Anterior Maxilla ◽  
Radiographic Appearance ◽  
Impacted Teeth ◽  
Careful Observation ◽  
Wide Range ◽  
Proper Diagnosis ◽  
Radiolucent Lesion ◽  
The Right

The unilocular radiolucencies, with its wide range of possible diagnosis, remain the topic of much debate and interest for clinicians. These lesions cannot be diagnosed solely based on radiographic appearance, but should be based on clinical, radiological and histopathological features. Due to high probability of misdiagnosis of this entity, a sound knowledge of various unilocular radiolucencies, adequate use of diagnostic aids and careful observation is important to provide proper diagnosis and treatment. Here, we present a case of a unilocular lesion in the right anterior maxilla with two impacted teeth.

scholarly journals Unicystic Ameloblastoma presenting as Dentigerous Cyst

2013 ◽  
Vol 3 (3) ◽  
pp. 144-146
Author(s):  
Srijon Mukherji ◽  
Yogendra Chauhan ◽  
Niladri Sekhar Bakshi
Keyword(s):  
Dentigerous Cyst ◽  
Tumor Proliferation ◽  
Cystic Lesions ◽  
Unicystic Ameloblastoma ◽  
Tumor Group ◽  
Jaw Cyst ◽  
Dentigerous Cysts ◽  
Cyst Cavity

ABSTRACT Unicystic ameloblastoma refers to those cystic lesions that show clinical, radiographic or gross features of a jaw cyst but on histological examination show a typical ameloblastomatous epithelium lining the cyst cavity, with or without luminal and/or mural tumor proliferation. Unicystic ameloblastoma is a less encountered variant of the ameloblastoma and believed to be less aggressive. As this tumor shows considerable similarities with dentigerous cysts, both clinically and radiographically the biologic behavior of this tumor group was reviewed. Moreover, recurrence of unicystic ameloblastoma may be long delayed and a long-term postoperative follow-up is essential for proper management of these patients. Here, we present a case of unicystic ameloblastoma in a 12-year-old female patient. How to cite this article Bakshi NS, Mukherji S, Chauhan Y. Unicystic Ameloblastoma presenting as Dentigerous Cyst. J Contemp Dent 2013;3(3):144-146.

scholarly journals Surgical Enucleation of a Dentigerous Cyst in a 12-Year-Old Child: A Case Report

2020 ◽  
Vol 1 (1) ◽  
pp. 13-16
Author(s):  
Sweta Jha ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha ◽  
Kabiraj Poudel ◽  
...  
Keyword(s):  
Case Report ◽  
Bone Formation ◽  
Dentigerous Cyst ◽  
Odontogenic Cysts ◽  
Impacted Tooth ◽  
Jaw Cysts ◽  
Dentigerous Cysts

Dentigerous cysts are the benign odontogenic cysts that surround the crown of an unerupted or impacted tooth and they account for approximately 20-24% of the jaw cysts. Dentigerous cysts involving impacted second premolars are rare. Here we report a case of surgical enucleation of an inflammatory type of dentigerous cyst associated with the impacted mandibular second premolar in a 12-year-old child. Nine-months follow up showed satisfactory healing of the defect with remarkable bone formation.

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