scholarly journals Dentigerous cyst arising from a denticle in a primary teeth- a rare case report with brief review of literature

Author(s):  
Jimsha Kumaran ◽  
Jonathan Mariappan

Odontogenic cysts are derived from odontogenic epithelium which may develop before or after the formation of tooth. Most of these are developmental in origin. While dentigerous cysts are common odontogenic cysts that are related to the crown of the impacted tooth and known to arise from reduced enamel epithelium.

2019 ◽  
pp. 1-2
Author(s):  
K. S Manjunath

The Dentigerous cysts are odontogenic cysts which originates from reduced enamel epithelium in an unerupted tooth or it encloses the crown of an unerupted or impacted tooth at cementoenamel junction, it is estimated to about 20% of all epithelium lined cysts and 2nd most common odontogenic cyst after radicular cyst. Here is a case report of dentigerous cyst of right maxilla which has been discussed below.


2013 ◽  
Vol 4 (2) ◽  
pp. 95-97
Author(s):  
Priyanka Aggarwal ◽  
Barjinder Singh Sohal ◽  
Kuljit Singh Uppal

ABSTRACT Dentigerous cyst of mandible is a rare entity in routine clinical practice. A dentigerous or follicular cyst is formed from the accumulation of fluid between the reduced enamel epithelium and the completely formed tooth crown or in the layers of the reduced enamel epithelium. Pulp necrosis is a commonly observed sequel in traumatized primary teeth and is one of the possible etiologic factors for the development of dentigerous teeth. The dentigerous cyst is found in children and adolescents; the highest incidence is in the second and third decades. This article reports the case of a dentigerous cyst associated with the germ of a permanent mandibular right lower canine. The therapeutic approach included endodontic treatment of the primary tooth and marsupialization of the lesion. In conclusion, with proper case selection, marsupialization might be a good treatment option for conservative management of dentigerous cysts. How to cite this article Aggarwal P, Sohal BS, Uppal KS. Dentigerous Cyst of Mandible. Int J Head Neck Surg 2013; 4(2):95-97.


2021 ◽  
Vol 2 (1) ◽  
pp. 01-04
Author(s):  
Nanda Gofur

Introduction: Dentigerous cyst is a pathological epithelial cavity that surrounds an unerupted tooth crown. Dentigerous cysts are usually associated with impacted teeth, mandibular third molars, first and second premolars and canines. Dentigerous cysts can occur at any age, but most cases of these cysts occur at the age of approximately 20 years. Men are affected more often than women. Purpose.To find out how the mechanism of dentigerous cysts. The cyst cavity is lined with epithelial cells derived from the epithelial enamel that is reduced from the tooth-forming organs. According to its pathogenesis, the pressure exerted by an erupted tooth on the follicle can block venous flow leading to accumulation of exudate between the reduced enamel epithelium and the crown of the tooth. These cysts are mostly due to fluid accumulation either between the reduced enamel epithelium and the enamel or between the layers of the enamel organ. This fluid accumulation occurs as a result of the pressure exerted by the erupting tooth on the affected follicle, which blocks venous flow, thus inducing rapid transudation of serum in the capillary walls. Discussion: The expansion of the dentigerous cyst causes the release of bone resorbing factor and an increase in the osmolarity of the cyst fluid as a result of the discharge of inflammatory cells, the discharge of residual epithelial enamel and tooth enamel, and desquamation of epithelial cells into the lumen of the cyst. In theory, the fluid will cause cystic proliferation. because the hyperosmolar content produced by cellular breakdown and cell products causes an osmotic gradient to pump fluid into the lumen of the cyst or it can also be said that an increase in the osmolarity of cyst fluid is the result of a shortcut to inflammatory cells and desquamation of epithelial cells into the lumen of the cyst resulting in a dentigerous cyst. Conclusion: The dentigerous cysts that surround the unerupted dental crowns are caused by the accumulation of fluid either between the reduced enamel epithelium or between the layers of the enamel organs. Dentigerous cysts can cause infection, pain, swelling, root dislocation, and resorption of adjacent tooth roots.


Author(s):  
Antoine Berberi ◽  
Georges Aoun ◽  
Bouchra Hjeij ◽  
Maissa AboulHosn ◽  
Hiba Alassaad ◽  
...  

A dentigerous cyst is an epithelial-lined odontogenic cyst formed by an accumulation of fluid between the reduced enamel epithelium and the crown of an unerupted tooth. About 70% of dentigerous cysts occur in the mandible and 30% in the maxilla and the most involved teeth are maxillary canines and maxillary third molar. Dentigerous cysts often displace the related tooth into an ectopic position. In the maxilla when the cyst expands into the sinus, usually causes total or partial occupation of the sinus cavity and can extend to the nose. We report a rare case of a 24-year-old female with bilateral maxillary third molars inside the maxillary sinuses attached to a dentigerous cyst and treated with a minimally invasive endoscopic surgery through the middle meatal meatotomy.


Author(s):  
Prashant Nanwani

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.


2020 ◽  
Vol 1 (1) ◽  
pp. 13-16
Author(s):  
Sweta Jha ◽  
Bandana Koirala ◽  
Mamta Dali ◽  
Sneha Shrestha ◽  
Kabiraj Poudel ◽  
...  

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.


2015 ◽  
Vol 27 (3) ◽  
Author(s):  
Aris Munandar ◽  
Endang Syamsudin ◽  
Melita Sylvyana ◽  
Kiki Akhmad Rizki

Background. Adenomatoid Odontogenic Tumor (AOT) is a rare tumor of epithelial origin. AOT appears in three clinico-topographic variants: follicular, extrafollicular and peripheral. The AOT was predominantly found in the upper jaw, and rarely found in mandible, especially at anterior mandible. AOT is a tumor of odontogenic epithelium having duct like structures, which may be partly cystic, and in some cases the solid lesion may be present only as masses in the wall of a large cyst. The surgical management of this lesion would be enucleation along with removal of associated impacted tooth. The prognosis for both of them is good and recurrences are very rare after complete removal of the lesion. Purpose. It is important to define final diagnose for AOT due to mimicking with DC in clinically and radiographically finding. Biopsy is still obviously necessary to the final diagnosis. Case. 15-year-old female patients reported with chief complain of swelling in anterior mandible. The swelling beginning 4 years ago, gradually progressed, with no history pain, discharge and patient is complaint about loss of sensation around anterior mandible. Aspiration revealed straw colored fluid thinking in the way of DC. The provisional diagnosis of DC was given due to clinical presentation and radiographic imaging. But the biopsy examination showed AOT due to duct-like epithelial cells was being found. Discussion. The case report illustrates characteristic clinical and radiographic features of follicular variant of AOT mimicking a DC at unusual site that is anterior mandible. AOT is thought to arise from odontogenic epithelium and associated with the impacted tooth. Rightfully AOT is a perfect imitator of DC radiographically as well as histopathologically. It usually clinically misdiagnosed as DC as both have a unilocular, well-defined radiolucency surrounding the crown of an impacted tooth. The mass was enucleated, involved teeth were extracted, and titanium plates are used to avoid pathologist fracture. The patient had uneventful postoperative recovery. Follow up of a year has not shown any evidence of recurrence. Conclusion. Follicular type of OAT could confuse us with DC if the support examination just only clinicaly finding and radiographic examination. This case could not be definitively diagnosed on clinical and radiographic features alone. Biopsy was obviously necessary to the final diagnosis.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Laura Villalba ◽  
Federico Stolbizer ◽  
Fabián Blasco ◽  
Néstor Raúl Mauriño ◽  
María Julia Piloni ◽  
...  

Objective. To associate radiographic and histopathological features of pericoronal follicles (PFs) of asymptomatic impacted teeth and evaluate cell proliferation and apoptosis in the epithelium.Study Design. Epithelium and mesenchyme of radiographically normal (NPF≤2.5 mm) and hyperplastic (HPF 2.6 to 5 mm) PF (n=140) were studied histologically. Cell proliferation (PI) and epithelial apoptosis were evaluated by Ki-67 and bcl-2 expression in 14 NPFs and 10 dentigerous cysts (DCs).Results. Radiographically, 127 were NPFs and 13 were HPFs; 87.8% of total PFs exhibited epithelium on the surface. Reduced enamel epithelium was observed in 78 (61.4%) NPFs and 6 (46.2%) HPFs, squamous metaplasia in 17 (13.4%) NPFs and 4 (30.8%) HPFs, and cystic epithelium in 15 (11.8%) NPFs and 3 (23%) HPFs. Mean PI was1.97±1.25and7.97±1.74in the epithelial component of NPF and DC, respectively; bcl-2 positive expression was observed in 9 (64.3%) NPFs and 7 (70%) DCs.Conclusion. The scant epithelial remnant proliferation could imply low risk for development of odontogenic pathologies in the absence of an additional stimulus.


2002 ◽  
Vol 10 (4) ◽  
pp. 171-174
Author(s):  
Uğur Koçer ◽  
H Mete Aksoy ◽  
YiğIt Ö TiftikçioğLu ◽  
Dilek Ertoy ◽  
Önder Karaaslan

Dentigerous cysts are the second most common odontogenic cysts of the mandible. They may vary in size from 2 cm to more than 10 cm. In the present report, a dentigerous cyst with massive involvement of the right half of the mandible in a young patient is presented. For cosmetic reasons and long term risks these cysts must be treated. Surgical removal is the preferred modality and a submandibular route should be chosen in large lesions. Bony cavities may be decreased in volume by using osteoperiosteal flaps, but there is no need for primary bone grafting, even for large defects.


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