scholarly journals Penatalaksanaan Kista Dentigerus Terinfeksi dengan Fistel Ekstra Oral pada Pipi Kanan

2016 ◽  
Vol 1 (1) ◽  
pp. 79
Author(s):  
Rita Koen Widhianingrum ◽  
Maria Goreti ◽  
Prihartiningsih Prihartiningsih
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
General Anesthetic ◽  
Second Molar ◽  
Clinical Appearance ◽  
Post Surgery ◽  
Oral Approach ◽  
Unerupted Teeth ◽  
The Right ◽  
Slow Growing

Kista dentigerus merupakan kista yang berhubungan dengan gigi yang tidak erupsi berasal dari sisa epitelial organ pembentuk gigi. Gejala klinis menunjukkan pembengkakan yang tumbuh lambat dan tidak sakit pada rahang. Gambaran radiografis memperlihatkan area radiolusen uniokular yang mengelilingi mahkota gigi yang tidak erupsi. Proses infeksi kronis pada kista dentigerus dapat menyebar lambat membentuk abses subperiosteal dan melewati barrier kulit membentuk fistel ekstra oral. Studi kasus ini laporkan seorang wanita 56 tahun yang datang ke poli Bedah Mulut dan Maksilofasial RSUP Dr Sardjito dengan kasus kista dentigerus pada regio angulus mandibula kanan dengan fistel ekstra oral pada pipi kanan. Penatalaksanaan kasus adalah pemberian antibiotik, enukleasi kista, pengambilan gigi 45, 47 dan 48 yang impaksi sertafistulektomi dengan pendekatan ekstra oral dan sinus shoe polishing technique di bawah bius umum. Evaluasi 3 minggu pasca operasi menunjukkan penyembuhan ekstra oral dan intra oral sempurna serta tidak terbentuk jaringan parut. ABSTRACT: Management of Infected Dentigerous Cyst with Extra Oral Fistulae on Right Cheek. Dentigerous cyst is an odontogenic cyst associated with unerupted teeth from epithelial remnant teeth organ. The clinical appearance shows slow-growing painless swelling lesion in jaw. The radiografics reveals uniocular radiolucency surrounding unerupted teeth. The chronic infection proccess in dentigerous cyst could spread slowly forming subperiosteal abcess and, through cutaneous barrier, it forms extra oral fistulae. We reported a 56 year old woman who came to RSUP Dr Sardjito with dentigerous cyst in mandible angulus with extra oral fistulae in the right cheek. The treatment consisted of antibiotic medication; cyst enucleation; removal of unerupted third molar, second premolar, second molar; and fistulectomy with extra oral approach and sinus shoe polishing technique under general anesthetic. Three week evaluation post surgery shows succesful extra oral and intra oral healing without scarring.

scholarly journals Odontektomi Gigi Molar Ketiga Mandibula Impaksi Ektopik dengan Kista Dentigerous secara Ekstraoral

2016 ◽  
Vol 1 (2) ◽  
pp. 85
Author(s):  
Edwyn Saleh ◽  
Prihartiningsih Prihartiningsih ◽  
Rahardjo Rahardjo
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
General Anesthetic ◽  
Impacted Tooth ◽  
Submandibular Region ◽  
Pathologic Condition ◽  
Mandibular Third Molar ◽  
Oral Approach ◽  
One Year ◽  
The Right

Gigi dikatakan impaksi ektopik apabila mengalami malposisi yang disebabkan oleh faktor kongenital atau mengalami perubahan posisi yang disertai dengan kondisi patologis. Kondisi patologis yang sering menyertai gigi impaksi ektopik adalah kista dentigerous. Tujuan dari studi pustaka ini adalah untuk memaparkan odontektomi pada kasus molar ketiga ektopik yangdisertai dengan kista dentigerous. Operasi ini adalah untuk menghilangkan faktor penyebab terjadinya kista dentigerous serta membersihkan lesi kista agar tidak berkembang semakin membesar. Pasien laki-laki 38 tahun mengeluhkan adanya sedikitbenjolan pada pipi sebelah kanan namun tanpa disertai rasa sakit. Benjolan dirasakan mulai muncul dalam satu tahun terakhir.Hasil pemeriksaan radiografik menunjukkan gigi molar ketiga mandibula kanan berada pada sudut angulus mandibula disertaiadanya gambaran radiolusen pada mahkotanya didiagnosa sebagai impaksi ektopik gigi molar ketiga mandibula kanan disertaikista dentigerous. Tindakan operasi odontektomi dan enukleasi kista dentigerous dilakukan secara ekstraoral dengananastesiumum, pemilihan metode pengambilan ekstraoral karena posisi gigi yang telah berubah jauh dari posisi normal gigimolar ketiga mandibula. Telah dilakukan pengambilan gigi molar ketiga mandibula yang impaksi ektopik dan enukleasi kistadentigerous secara ekstraoral, karena posisi gigi impaksi yang ektopik di ramus mandibula. Pengambilan gigi impaksi secaraekstraoral sangat jarang sekali dilakukan, namun jika posisi gigi berada jauh sekali dari posisi normal maka pendekatanekstraoral merupakan metode operasi yang akan mempermudah proses pengambilan gigi dan enukleasi kista serta dapatmeminimalkan hilangnya tulang mandibula yang sehat. ABSTRACT: Odontectomy of Ectopic Third Molar Associated with Dentigerous Cyst in Submandibular Region. Ectopic impacted tooth has been defined as malpositioned tooth caused by congenital factor or malpositioned tooth associated with pathologic condition. Pathologic condition associated with ectopic impacted tooth is dentigerous cyst. The purpose of this operation is to eliminate the causes of the dentigerous cyst and to raise cyst lesions that do not develop as they grow. A 38-year-old male patient complained of a painless slight swelling on his right cheek which occurred in the last one year. The radiograph examination shows an ectopic right mandibular third molar at the posterior border of the right angle of mandible, with an associated coronal radiolucency diagnosed as ectopic impacted right mandibular third molar associated with dentigerous cyst. The tooth and the cyst were removed surgically under general anesthetic via an extra-oral approach due to an extreme malposition of the tooth. The ectopic impacted right mandibular third molar and associated dentigerous cyst had been removed and enucleated surgically via extra-oral approach because the location of the ectopic impacted tooth was in the ramus of mandible. Extra-oral removal of ectopic mandibular third molar is very rare, however this approach will facilitate an easy removal and enucleation of an extremely malpositioned mandibular third molar associated with dentigerous cyst and minimize a loss of healthy mandibular bone.

scholarly journals The Anatomical Position and Size of Greater Palatine Foramen and Canal in an Iranian Sample Using Cone Beam Computed Tomography

2021 ◽  
Author(s):  
Solmaz Valizadeh ◽  
Seyedeh Mahshid Ahmadi ◽  
Mitra Ghazizadeh Ahsaie ◽  
Zahra Vasegh ◽  
Navid Jamalzadeh
Keyword(s):  
Computed Tomography ◽  
Average Length ◽  
Third Molar ◽  
Cone Beam ◽  
P Value ◽  
Second Molar ◽  
Anatomical Position ◽  
The Third ◽  
Greater Palatine Foramen ◽  
The Right

Abstract IntroductionDetection of exact location of greater palatine foramen and its anatomical variations are vital prior to posterior maxillary surgeries and gingival grafts. The aim of this study is to determine the anatomical position and size of the greater palatine canal (GPC) and foramen (GPF) using cone beam computed tomography (CBCT) scans.Materials and methodsIn this descriptive-analytic study, CBCT images of 148 patients were assessed. To determine the anatomical foramen position, the posterior maxilla area was divided into five regions on the axial view (A: from the mesial surface of the second molar to the center of the second molar, B: from the center of the second molar to its distal, C: from the mesial surface of the third molar to the center of the third molar, D: from the center of the third molar to the distal of the third molar, E: distal to the third molar.). The length of the canal was investigated on both coronal and sagittal views. Independent and paired T-test were used to analyze the data.ResultsAmong 80 females -68 males, the anatomical position of the GPF was mainly located in region E on the left (55%) and the right (50%), and then, respectively, in region D and region C. The mean diameter of GPF was 4/48 mm on the left and 4/63 mm on the right side (P-value = 0/01). The average length of the canal on the coronal view was 29.46 mm on the left side and 29.75 mm on the right (P-Value = 0/005). The average length of the canal on the sagittal view was 29.62 mm on the left and 30.02 mm on the right (P-value = 0/001).ConclusionThe anatomical position of the GPF was primarily located distal to the third maxillary molar. CBCT is a valuable diagnostic tool for evaluation of vital anatomic landmarks in the maxillofacial region prior to surgeries and interventions.

scholarly journals Giant dentigerous cyst of maxillary sinus associated with impacted maxillary canine

2019 ◽  
Vol 7 (10) ◽  
pp. 3901
Author(s):  
P. P. G. Krisna Bayu Pramana Rimbawan ◽  
I. Putu Gede Windhu Saputra ◽  
Ratna Rayeni Natasha Roosseno
Keyword(s):  
Histopathological Examination ◽  
Dentigerous Cyst ◽  
Facial Asymmetry ◽  
Aesthetic Surgery ◽  
Maxillary Canine ◽  
General Physician ◽  
Post Surgery ◽  
Stratified Squamous Epithelium ◽  
Ectopic Tooth ◽  
The Right

Dentigerous cyst is a cyst that encapsulates enamel of the unerupted tooth, thus causing the tooth become unable to complete the eruption process. This cyst is defined as a developmental cyst as it generally occurs in first until the third decades of life. Dentigerous cyst commonly affect the mandibular area of the teeth. This article describes the case of a young patient with dentigerous cyst which affect maxillary canine. A 6-year-old girl was admitted to Plastic Reconstructive and Aesthetic Surgery Clinic at Mangusada Hospital Bali with facial asymmetry on her right cheek, noticed since the past one week. She got some medicines from the general physician, but there was no improvement. From the CT scan, we found a solitary mass on the size of 3 x 3.2 x 3.6 cm on the right maxillary area. Enucleation was done and the Caldwell-Luc approach was performed under general anesthesia. The cyst revealed to have an ectopic maxillary canine inside. The cyst and ectopic tooth were extracted from the pathological site and the incisional specimens were sent for histopathological examination. The result revealed a cyst lined by non-keratinized stratified squamous epithelium without any malignancy. She had antibiotics therapy post-surgery, and her symptoms were resolved within a week. In one month follow up, there was no sign of recurrence.

The Criteria for Lower Second Molar Extraction

1987 ◽  
Vol 14 (1) ◽  
pp. 1-9 ◽  
Author(s):  
J. T. Dacre
Keyword(s):  
Selection Criteria ◽  
Third Molar ◽  
Second Molar ◽  
The Third ◽  
The Right ◽  
Molar Extraction

The benefits of lower second molar extraction are substantially reduced if the third molar fails to erupt into a satisfactory position. The selection criteria offered by the literature have been tested in a sample of 51 patients. Prediction is uncertain and cases should be followed until such time as a satisfactory third molar position has been achieved. Failure may be unilateral and more often on the right side. The need for follow-up treatment is subjective but may be as many as one in the patients.

scholarly journals Large Dentigerous Cyst associated with Supernumerary Canine with Unilateral Nasal Obstruction: An Unusual Case

2015 ◽  
Vol 6 (2) ◽  
pp. 104-107
Author(s):  
Abhinandan Bhattacharjee ◽  
Adity Chakraborty ◽  
Aakanksha Rathor ◽  
Bandana Talukdar
Keyword(s):  
Nasal Obstruction ◽  
Unusual Case ◽  
Maxillary Antrum ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Odontogenic Cysts ◽  
Supernumerary Tooth ◽  
Lower Jaw ◽  
Unerupted Teeth ◽  
Molar Region

ABSTRACT Dentigerous cyst is the most frequent developmental odontogenic cysts. It forms in relation to unerupted teeth, decidous teeth or supernumerary tooth as seen in our case. It is common in younger individuals in lower jaw involving mostly the third molar region. Here, we report a case of 25 years old female with a large dentigerous cyst of right maxilla who presented with complete unilateral nasal obstruction. Radiologically, a supernumerary tooth was seen located superiorly in the medial wall of the maxillary antrum. The cyst was surgically removed through a gingivobuccal sulcus incision. Although, Weber Fergusson incision is generally required for removal of large cysts, sublabial or Caldwell-Luc approach is equally useful for large cyst removal and is also more cosmetically acceptable. How to cite this article Bhattacharjee A, Chakraborty A, Rathor A, Talukdar B. Large Dentigerous Cyst associated with Supernumerary Canine with Unilateral Nasal Obstruction: An Unusual Case. World J Dent 2015;6(2):104-107.

scholarly journals Clinical and Histopathological Study of Dentigerous Cyst Associated to Maxilar Lateral Tooth: Case Report

2017 ◽  
Vol 19 (1) ◽  
pp. 33
Author(s):  
Lida Velazque Rojas DDS, MSc ◽  
Carlos Alonso Claudio DDS, MSc, PhD ◽  
Gina Velazque Rojas MD
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Clinical History ◽  
Histopathological Study ◽  
Odontogenic Cysts ◽  
Rare Entity ◽  
Dental Crowns ◽  
Appropriate Treatment ◽  
The Right

The dentigerous cyst is one of the most common Odontogenic cysts involving the jaws, usually associated with the crown of a third molar or unerupted canine being in most unilateral lesions. The impaction of the incisor lateral maxillary permanent associated with dentigerous cyst is a rare entity and even more if it involves continuous dental crowns. Generally, affect between the second and third decade of life, its appearance in the first decade is still rare, representing only 9.1% of cases between 6 and 7 years. The purpose of this article is to describe the presence of impacted teeth associated with a large dentigerous cyst in the right jaw of an eight-year-old child with clinical and histopathological approach. Thorough evaluation of clinical history based on clinical, radiographic, and histopathological findings helps specialists to correctly diagnose and identify the etiological factors that lead to appropriate treatment.

scholarly journals Case Report: Ectopic third molar in the maxillary sinus with infected dentigerous cyst assessed by cone beam CT

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 209
Author(s):  
Khairy Elmorsy ◽  
Lubna K. Elsayed ◽  
Sara M. El Khateeb
Keyword(s):  
Maxillary Sinus ◽  
Cone Beam Ct ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Panoramic Radiograph ◽  
Cone Beam ◽  
Purulent Discharge ◽  
Uneventful Recovery ◽  
Radiographic Examination ◽  
Second Molar

Ectopic development of teeth in nondental areas is uncommon, especially in the maxillary sinus. A panoramic radiograph is the routine diagnostic radiographic examination performed for this type of eruption, although cone beam computed tomography (CBCT) is highly recommended for further localization of the ectopic tooth and assessment of the characteristics of any associated lesion before a surgical procedure. We report a case of a 13-year-old female student who presented with purulent discharge posterior to the upper right second molar with a bad taste and foul odour. Radiographic examination revealed a maxillary third molar tooth located at the posterosuperior aspect of the right maxillary sinus with a hyperdense lesion surrounding the crown, obliterating the sinus cavity. Both the tooth and dentigerous cyst were surgically removed under general anaesthesia through Caldwell-Luc antrostomy. After a three-month follow-up, the patient was symptom free and had an uneventful recovery. The rare and critical location of the reported third molar along with the infected dentigerous cyst indicates its complete enucleation to avoid complications as recurrence or malignant transformation.

scholarly journals Dentigerous Cyst Associated with Impacted Third Molar

2015 ◽  
Vol 6 (1) ◽  
pp. 11-13
Author(s):  
MS Nalini ◽  
Balasubramanya Kumar ◽  
Sunil Shroff
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Facial Asymmetry ◽  
Odontogenic Cyst ◽  
Radiographic Examination ◽  
Present Case Report ◽  
Impacted Third Molar ◽  
Mandibular Region ◽  
Unerupted Teeth

ABSTRACT A dentigerous cyst is an odontogenic cyst associated with the crown of the impacted or unerupted teeth. Such cyst remains initially completely asymptomatic unless when infected and can be discovered only on routine radiographic examination. Here is a case of dentigerous cyst, present in left mandibular region associated with cortical expansion and facial asymmetry which has been enucleated and the tooth extracted surgically is discussed in present case report. How to cite this article Nalini MS, Kumar B, Shroff S. Dentigerous Cyst Associated with Impacted Third Molar. J Health Sci Res 2015;6(1):11-13.

scholarly journals Clinical and Histopathological Study of Dentigerous Cyst Associated to Maxilar Lateral Tooth: Case Report

2017 ◽  
Vol 19 (1) ◽  
pp. 33
Author(s):  
Lida Velazque Rojas DDS, MSc ◽  
Carlos Alonso Claudio DDS, MSc, PhD ◽  
Gina Velazque Rojas MD
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Clinical History ◽  
Histopathological Study ◽  
Odontogenic Cysts ◽  
Rare Entity ◽  
Dental Crowns ◽  
Appropriate Treatment ◽  
The Right

The dentigerous cyst is one of the most common Odontogenic cysts involving the jaws, usually associated with the crown of a third molar or unerupted canine being in most unilateral lesions. The impaction of the incisor lateral maxillary permanent associated with dentigerous cyst is a rare entity and even more if it involves continuous dental crowns. Generally, affect between the second and third decade of life, its appearance in the first decade is still rare, representing only 9.1% of cases between 6 and 7 years. The purpose of this article is to describe the presence of impacted teeth associated with a large dentigerous cyst in the right jaw of an eight-year-old child with clinical and histopathological approach. Thorough evaluation of clinical history based on clinical, radiographic, and histopathological findings helps specialists to correctly diagnose and identify the etiological factors that lead to appropriate treatment.

scholarly journals Dentigerous cyst and Osteomyelitis with proliferative periostitis: a diagnostic update

2020 ◽  
Vol 9 (7) ◽  
pp. e866975020
Author(s):  
Anderson Maikon de Souza Santos ◽  
Bruno Coelho Mendes ◽  
Cristian Statkievicz ◽  
Tiburtino José de Lima Neto ◽  
Ana Karina Tormes ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Dentigerous Cyst ◽  
Third Molar ◽  
Rare Condition ◽  
Second Molar ◽  
The Third ◽  
Rare Association ◽  
Stomatognathic System ◽  
Cyst Infection ◽  
Life Threatening

Dentigerous cyst infection is a rare condition that can lead to life-threatening situations. A situation unusual is the development of osteomyelitis with proliferative periostitis from infection of this cyst, with only one possible case published in the literature. The purpose of this article is to relate a rare association of a dentigerous cyst with osteomyelitis and proliferative periostitis. An 11-year-old patient compared for dental care with infection from second molar pericoronitis, who reached the third molar germ and progressing to osteomyelitis with proliferative periostitis, thatwas treated under general anesthesia. Histological exam of the tissues removed during the surgery revealed infected dentigerous cyst and osteomyelitis with proliferative periostitis. After the surgery, the patient progressed satisfactorily with improvement of the clinical complaints. This condition, although rare, should be considered as a differential diagnosis of several stomatognathic system lesions.

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