Abstract
Although dentigerous cysts are the most common developmental odontogenic cysts, multiple synchronous lesions in nonsyndromic patients are a rare event. A 10-year-old patient was admitted to the intensive care unit presenting painful progressive bilateral facial swelling. Medical history was unremarkable. Intraoral examination revealed an increase of volume in the region of the bilateral mandibular and left maxillary molars. Magnetic resonance imaging showed expansive and well-defined lesions in those regions, associated with the crown of the impacted second molars. Under general anesthesia, aspiration was performed, and a yellowish fluid content was observed. Enucleation of the cystic lesions was performed along with extraction of the involved second molars. Histopathologic analysis revealed fragments of cystic lesions lined by a thin, nonkeratinized odontogenic epithelium, leading to the diagnosis of multiple dentigerous cysts. The postoperative period was uneventful and the patient does not show clinical or radiographic signs of recurrence after 2 years of follow-up. Although dentigerous cysts are the most common developmental odontogenic cysts, multiple synchronous lesions in nonsyndromic patients are a rare event. A 10-year-old patient was admitted to the intensive care unit presenting painful progressive bilateral facial swelling. Medical history was unremarkable. Intraoral examination revealed an increase of volume in the region of the bilateral mandibular and left maxillary molars. Magnetic resonance imaging showed expansive and well-defined lesions in those regions, associated with the crown of the impacted second molars. Under general anesthesia, aspiration was performed, and a yellowish fluid content was observed. Enucleation of the cystic lesions was performed along with extraction of the involved second molars. Histopathologic analysis revealed fragments of cystic lesions lined by a thin, nonkeratinized odontogenic epithelium, leading to the diagnosis of multiple dentigerous cysts. The postoperative period was uneventful and the patient does not show clinical or radiographic signs of recurrence after 2 years of follow-up.
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