Massive Dentigerous Cyst within the Anterior Part of The Mandible: A Case Report

2021 ◽  
pp. 39-44
Author(s):  
Rema Hwas ◽  
Mohamed Rohuma ◽  
Faten Bshena
Keyword(s):  
Standard Treatment ◽  
Anterior Part ◽  
Dentigerous Cyst ◽  
Radiographic Examination ◽  
Third Molars ◽  
Impacted Tooth ◽  
Jaw Cysts ◽  
Unerupted Tooth ◽  
Dentigerous Cysts ◽  
Bone Expansion

Dentigerous cysts are the most common developmental odontogenic jaw cysts, associated with crowns of an Unerupted tooth. Usually, they occur in the second and third decade of life with a male predilection. They are frequently asymptomatic and mostly discovered incidentally on routine dental radiographic examination. Its growth is slow, and can reach a considerable size causing bone expansion and displacement of teeth. Mandibular lower third molars are the most frequently effected teeth; dentigerous cysts involving impacted mandibular canines are rarely reported. Surgical enucleation with extraction of the associated tooth is the standard treatment for dentigerous cyst, marsupialization is recommended for large lesions. We report a rare case of a large dentigerous cyst in a 62-year-old male patient, associated with impacted left mandibular canine, extending from the retro-molar area of left side crossing the midline to the 2nd premolar in the other side, that was successfully treated by marsupialization followed by enucleation and removal of the impacted tooth.

scholarly journals Bilateral ectopic third molar in the maxillary sinuses associated with dentigerous cyst: a case report

2021 ◽  
Author(s):  
Antoine Berberi ◽  
Georges Aoun ◽  
Bouchra Hjeij ◽  
Maissa AboulHosn ◽  
Hiba Alassaad ◽  
...  
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Third Molars ◽  
Unerupted Tooth ◽  
Sinus Cavity ◽  
Dentigerous Cysts ◽  
Enamel Epithelium ◽  
Ectopic Third Molar ◽  
Reduced Enamel Epithelium ◽  
Maxillary Sinuses

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.

scholarly journals MASSIVE DENTIGEROUS CYST INVOLVING THE ENTIRE RIGHT MAXILLA - A CASE REPORT

2019 ◽  
pp. 1-2
Author(s):  
K. S Manjunath
Keyword(s):  
Case Report ◽  
Dentigerous Cyst ◽  
Odontogenic Cyst ◽  
Odontogenic Cysts ◽  
Radicular Cyst ◽  
Impacted Tooth ◽  
Unerupted Tooth ◽  
Dentigerous Cysts ◽  
Enamel Epithelium ◽  
Reduced Enamel Epithelium

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.

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 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.

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 A rare case of massif Adenomatoid Odontogenic Tumor in the anterior region of mandible: Mimicking as dentigerous cyst

2015 ◽  
Vol 27 (3) ◽  
Author(s):  
Aris Munandar ◽  
Endang Syamsudin ◽  
Melita Sylvyana ◽  
Kiki Akhmad Rizki
Keyword(s):  
Dentigerous Cyst ◽  
Final Diagnosis ◽  
Odontogenic Tumor ◽  
Radiographic Examination ◽  
Adenomatoid Odontogenic Tumor ◽  
Impacted Tooth ◽  
Unusual Site ◽  
Radiographic Features ◽  
Odontogenic Epithelium ◽  
Anterior Mandible

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.

scholarly journals Excisions of 4 unerupted canines in the mentonian region of the mandible – kisses teeth

2018 ◽  
Vol 33 (1) ◽  
pp. 102
Author(s):  
Ricardo Eugenio Varela Ayres de Melo ◽  
Marcela Côrte Real Fernandes ◽  
Rodrigo Henrique Mello Varela Ayres de Melo ◽  
Milena Mello Varela Ayres de Melo Pinheiro ◽  
Victor Leonardo Mello Varela Ayres de Melo ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
General Anesthesia ◽  
Surgical Procedure ◽  
Clinical Case ◽  
Dentigerous Cyst ◽  
Mucosal Tissue ◽  
Proper Treatment ◽  
Impacted Tooth ◽  
Unerupted Tooth ◽  
Regular Time

OBJECTIVE: Unerupted tooth, also called impacted tooth by some authors, is a dental organ that, even when fully developed did not erupt at the regular time, lying inside the bone completely surrounded by bone tissue or bone and mucosal tissue. The unerupted canines study is very important in dentistry, since successful results depend on early diagnosis for proper treatment management, however, despite the importance of this issue, few studies were found in the literature.CASE DESCRPTION: This paper reported a clinical case of a 14-year-old female patient who had four canines in the mentonian region of the mandible surrounded by a dentigerous cyst. The patient underwent a surgical procedure under general anesthesia for the teeth and dentigerous cyst removal.

scholarly journals Dentigerous cyst in the maxilla: case report in a pediatric patient

2021 ◽  
Vol 10 (16) ◽  
pp. e143101623293
Author(s):  
Bianca de Fatima Borim Pulino ◽  
Raphael Capelli Guerra ◽  
Gabriel Cunha Collini ◽  
Marcello Cheloti ◽  
Eduardo Hochuli Vieira
Keyword(s):  
Pediatric Patient ◽  
Alveolar Bone ◽  
Treatment Plan ◽  
Dentigerous Cyst ◽  
Odontogenic Cysts ◽  
Long Period ◽  
Unerupted Tooth ◽  
Dentigerous Cysts ◽  
Male Patients ◽  
Almost All

Dentigerous cysts are the second most common odontogenic cysts of the jaws, and sometimes inhibit the eruption of teeth. Almost all of the dentigerous cyst encloses the crown of an unerupted tooth and the radiolucent area is attached to the tooth at the cementoenamel junction. Dentigerous cyst is more common in male patients and most commonly develop in the second and third decades of life. Clinically, a localized swelling of the alveolar bone can be detected, however, dentigerous cysts can be asymptomatic during a long period of time, leading to a significant destruction of bone. The conventional treatment plan is cyst removal and marsupialization. Marsupialization therapy can be useful to promote the spontaneous eruption of the involved tooth within the cyst. However, tooth eruption does not always occur spontaneously after marsupialization. This article aims to report a clinical case of the diagnosis and treatment of a dentigerous cyst in the maxilla associated with an unerupted canine in a pediatric patient and discussion of the treatment performed.

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.

scholarly journals An Analysis of Dentigerous Cysts Developed around a Mandibular Third Molar by Panoramic Radiographs

2019 ◽  
Vol 7 (1) ◽  
pp. 13 ◽  
Author(s):  
Masahiko Terauchi ◽  
Satoshi Akiya ◽  
Junya Kumagai ◽  
Yoshio Ohyama ◽  
Satoshi Yamaguchi
Keyword(s):  
Dentigerous Cyst ◽  
Third Molar ◽  
Odontogenic Cysts ◽  
Third Molars ◽  
Class Iii ◽  
Panoramic Radiographs ◽  
Mandibular Third Molar ◽  
Dentigerous Cysts ◽  
Panoramic Images ◽  
Mandibular Third Molars

Dentigerous cysts are one of the most prevalent types of odontogenic cysts and are associated with the crown of an unerupted tooth, especially of the mandibular third molar. In this study, the characteristics of a dentigerous cyst developed around a mandibular third molar on panoramic radiographs were investigated. The panoramic images of 257 consecutive dentigerous cyst cases associated with a mandibular third molar were analyzed. The mean age of the patients was 45.9 ± 13.3 years. The size of the cyst did not significantly correlate to the age of the patient. The unilocular type (89.1%) and the crown side type (68.5%) were significant. The associated mandibular third molars had a high frequency of class III (64.6%) and position B (48.3%) in Pell and Gregory classification and of horizontal position (36.3%) in angulation. Dentigerous cysts were thought to originate and grow commonly around deeply impacted third molars. The associated third molar with dentigerous cyst tends to have a mesial inclination. Dentigerous cysts do not appear to develop gradually after the crown formation has finished, but arise at various periods randomly.

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