Abstract
The purpose of this 5-year study (2002-2007) was to evaluate 90 cases of dentigerous cysts that were identified in a private dental office in terms of distribution by region (maxillary-anterior region, mandibular), age, sex, and surgical removal technique chosen. We also compared the 45 cases where PRGF was applied after cyst extirpation with the other 45 cases that were allowed to heal periosteum. We noticed that in cases where the PRGF clot was applied in the cystic geography, bone regrowth was achieved much faster.
Highlights
The purpose of this 5-year study (2002-2007) was to evaluate 90 cases of dentigerous cysts that were identified in a private dental office in terms of distribution by region, age, sex, and surgical removal technique chosen
The external access has the advantage of good exposure of the surgical site but may result in complications, such as extraoral scar formation, damage of joint components, facial nerve injury in case of preauricular access or damage of marginal mandibular branch of the facial nerve in case of submandibular access
Marsupialization is done in cases when the size of the cysts is large, in a young patient with developing tooth gums, in elderly, debilitated patient, cyst proximity to the vital structures if the tooth is in a favorable position and space is available, it will permit the eruption of unerupted tooth
Summary
During 2002-2007, in a private practice, we found 90 cases of dentigerous cysts, 80 (88.88%) of which were localized to the jaw in the canine-premolary region, and 10 (11.11%) of them at the level of mandible, at molar level 3. In the decade 10-19 years, of the 35 cases, 30 were found in men and 5 in women, 29 presented the bucal cortical expansion alongside radiological examination wich revealed a unilocular radiolucency with well-defined border surronding the crown of on unerupted tooth over 3 centimeters and 6 cases with pain. In the 30-39 decade, of the 18 cases, 14 were found in men and 4 in women, 16 of them presented the bucal cortical expansion alongside radiological examination wich revealed a unilocular radiolucency with well-defined border surronding the crown of on unerupted tooth over 3 centimeters and 2 cases with pain. Following the marsupialisation and enucleation surgery, the extracted tissues were stained with HE (hematoxylineosin) and analyzed by microscope
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