Management of a 12-Year-Old Patient with Complex Odontoma, Impacted First Molar, Pericoronal Dentigerous Cyst and Involvement of Inferior Alveolar Nerve: A Case Report

Dental Oral Biology and Craniofacial Research ◽

10.31487/j.dobcr.2020.02.03 ◽

2020 ◽

pp. 1-6

Author(s):

Christian Bacci ◽

Cerrato Alessia ◽

Christian Bacci ◽

Sbricoli Luca ◽

Zanette Gastone

Keyword(s):

Case Report ◽

Conscious Sedation ◽

Dentigerous Cyst ◽

Young Patients ◽

Inferior Alveolar Nerve ◽

Rare Condition ◽

Nerve Damage ◽

Impacted Tooth ◽

Complex Odontoma

Complex odontoma, associated with an impacted tooth and a dentigerous cyst is a rare condition, especially in children. The management of such young patients could be difficult, and many aspects must be taken into consideration, like the patient’s collaboration during the procedures and the possibility of nerve damage. In this case report, we describe how to manage these kinds of patients, in order to reduce the risks and improve cooperation, taking advantage of the great benefits of conscious sedation.

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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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Conservative surgical-orthodontic treatment of a young patient with a dentigerous cyst

Revista de Odontologia da UNESP ◽

10.1590/s1807-25772013000500012 ◽

2013 ◽

Vol 42 (5) ◽

pp. 389-392

Author(s):

Marina Lara De Carli ◽

Fernanda Rafaelly De Oliveira Pedreira ◽

Eduardo Pereira Guimarães ◽

Nayara Nery De Oliveira Dias ◽

Alessandro Antônio Costa Pereira ◽

...

Keyword(s):

Case Report ◽

Orthodontic Treatment ◽

Dentigerous Cyst ◽

Young Patients ◽

Acrylic Resin ◽

Lesion Size ◽

Impacted Tooth ◽

Fixed Appliance ◽

Second Molar ◽

Cystic Cavity

INTRODUCTION: The dentigerous cyst is a developmental odontogenic cyst, whose therapeutic approach depends on the size of the lesion. This paper describes the treatment performed on a 14-year-old male patient who presented with a large dentigerous cyst on the permanent mandibular left second molar. CASE REPORT: The permanent mandibular left first molar was extracted, and the lesion was decompressed and marsupialized by excision of the overlying mucosa, opening a window into the cystic cavity and suturing an acrylic resin drain to the oral mucosa. The specimen removed during surgery confirmed the diagnosis of a dentigerous cyst. Within ninety days of surgery, there was a significant reduction in lesion size. Orthodontic treatment was then started, and included traction of the impacted tooth and opening of adequate space with a fixed appliance, providing favorable tooth alignment and leveling. CONCLUSION: Marsupialization and orthodontic traction should be considered when planning the treatment of a dentigerous cyst, mainly in young patients with large lesions, to avoid damage to the surrounding structures.

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A Case Report of Dentigerous Cyst with Impacted Tooth which was Transmigrated from Opposite Side

The Journal of the Kyushu Dental Society ◽

10.2504/kds.38.732 ◽

1984 ◽

Vol 38 (4) ◽

pp. 732-736

Author(s):

Shoji Toyoshima ◽

Takao Higashiyama ◽

Fumio Goto ◽

Kenji Hashimoto ◽

Yoshiyuki Harada ◽

...

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Impacted Tooth

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Karakteristik radiograf kista dentigerous dengan menggunakan CBCT-scan

Jurnal Radiologi Dentomaksilofasial Indonesia ◽

10.32793/jrdi.v4i2.519 ◽

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.

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Spontaneous Eruption of Premolar Associated with a Dentigerous Cyst

Case Reports in Dentistry ◽

10.1155/2016/5323978 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 1

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.

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Orthodontic assisted tooth eruption in a dentigerous cyst: a case report

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.29.1.2380j436055616j4 ◽

2005 ◽

Vol 29 (1) ◽

pp. 33-35 ◽

Cited By ~ 8

Author(s):

Ashok Kumar Jena ◽

Ritu Duggal ◽

Ajoy Roychoudhury ◽

Hari Parkash

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Tooth Eruption ◽

Impacted Tooth ◽

Impacted Teeth ◽

Initial Stage ◽

Difficult Situations

In an orthodontic practice, it is common to deal with impacted teeth, which are one of the most difficult situations dealt with by dentists. This case report describes the surgical and orthodontic management of the impacted teeth in a large dentigerous cyst. In the initial stage of treatment, the cyst was marsupialized over 7 months. After decompression of the cyst, spontaneous eruptions of the impacted tooth were noticed. Then, they were orthodontically brought into the proper occlusion.

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Complex odontoma associated with dentigerous cyst in maxillary sinus: case report and computed tomography features

Dentomaxillofacial Radiology ◽

10.1259/dmfr/95388644 ◽

2009 ◽

Vol 38 (1) ◽

pp. 48-52 ◽

Cited By ~ 12

Author(s):

MA Sales ◽

MG Cavalcanti

Keyword(s):

Computed Tomography ◽

Case Report ◽

Maxillary Sinus ◽

Dentigerous Cyst ◽

Complex Odontoma

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Impacted tooth associated with dentigerous cyst and compound odontoma – case report

RSBO ◽

10.21726/rsbo.v13i2.285 ◽

2017 ◽

Vol 13 (2) ◽

pp. 145

Author(s):

Letícia De Souza Moraes ◽

Ruth Peggy Bravo ◽

João Gilberto Duda ◽

Juliana Feltrin de Souza ◽

Estela Maris Losso ◽

...

Keyword(s):

Case Report ◽

Dentigerous Cyst ◽

Impacted Tooth ◽

Compound Odontoma

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Cisto dentígero: diagnóstico e tratamento

ARCHIVES OF HEALTH INVESTIGATION ◽

10.21270/archi.v7i11.3034 ◽

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.

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