Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases.

Madhuri Patil,Raju U Patil,Amol S Patil,Amey M Panse,Samhita R Bahutule,Prasad N Jathar

doi:10.5005/jp-journals-10005-1578

Madhuri Patil, Raju U Patil + Show 4 more

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https://doi.org/10.5005/jp-journals-10005-1578

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Abstract

ABSTRACTAimTo check the efficacy of decompression technique in children with dentigerous cysts.BackgroundMost commonly occurring odontogenic cysts in the oral cavity are radicular cysts and dentigerous cysts.1 According to Kramer, a cyst is defined as a pathological cavity having fluid, semi-fluid, or gaseous contents, which is not created by the accumulation of pus. A cyst which is lined by epithelium is known as a true cyst and that which is not lined by epithelium known as a pseudocyst.2 The dictionary meaning of dentigerous is “structures resembling teeth”.3 A dentigerous cyst is found enveloping the crown of an unerupted, embedded, or submerged tooth by the expansion of its follicle till the neck of the tooth.1 It is not unusual for a dentigerous cyst to mimic a radicular cyst, especially when the cyst is associated with a pulpectomized or carious primary tooth and its unerupted permanent successor. This article presents two cases of infected dentigerous cysts. The first case was of a female patient associated with tooth 45; and another case was of a male patient associated with tooth 35. The infected dentigerous cyst in both the cases was treated with the most conservative option available, i.e., decompression technique.Case descriptionIn this article, two cases of infected dentigerous cysts are discussed, in which one case deals with the female patient associated with tooth 45 and the other case deals with the male patient associated with tooth 35. The infected dentigerous cysts in both the cases were treated conservatively, i.e., with the decompression technique.ConclusionThe present case report states that the decompression technique may be the most conservative method available for managing dentigerous cysts in children.How to cite this articlePatil AS, Jathar PN, et al. Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases. Int J Clin Pediatr Dent 2019;12(1):68–72.

Highlights

In 1908, “Paget” coined the term “Dentigerous cyst”.3A male preponderance is seen with a male to female ratio of around 1.84:1.2 Among all the true cysts of the jaws, dentigerous cyst accounts for around 24%,4which is commonly seen in 2nd–3rd decades of life.[1] In an Israeli study, the incidence of dentigerous cyst was around 45% in pediatric patients.[2]the frequency of radicular cyst occurrence in primary dentition is rare accounting for around 0.5–3.3%.5 The purpose of this paper is to present the management of an infected odontogenic cyst and its conservative modality
It is very common for a dentigerous cyst to mimic an infected radicular cyst, especially when associated with a carious primary tooth as well as its unerupted permanent successor
A carious primary tooth may have the potential to involve in the development of inflammatory dentigerous cysts and proper diagnosis is important to plan a proper treatment protocol

Summary

Introduction

In 1908, “Paget” coined the term “Dentigerous cyst”.3A male preponderance is seen with a male to female ratio of around 1.84:1.2 Among all the true cysts of the jaws, dentigerous cyst accounts for around 24%,4which is commonly seen in 2nd–3rd decades of life.[1] In an Israeli study, the incidence of dentigerous cyst was around 45% in pediatric patients.[2]the frequency of radicular cyst occurrence in primary dentition is rare accounting for around 0.5–3.3%.5 The purpose of this paper is to present the management of an infected odontogenic cyst (dentigerous cyst) and its conservative modality. The diseased primary molar was extracted to gain a conservative access to the cystic site and decompression was chosen as the modality of choice since the preservation of the permanent successor was desirable. A 12-year-old male patient was reported to the Outdoor Patient Department of Pediatric and Preventive Dentistry, Pune, Maharashtra, with a chief complaint of pain and swelling in the lower left back region of the jaw since 15 days. Extra-orally facial asymmetry was noted on the left side of the jaw with swelling extending anterio-posteriorly from the angle of the mouth to the lower border of the mandible (Fig. 1).

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