Treatment Modalities and Rehabilitation Procedures of Dentigerous Cyst Among the Paediatric Population - A Systematic Review of Case Reports

Abstract

BACKGROUND: The dentigerous cyst which wraps around the impacted teeth is the most prevalent developmental odontogenic cyst among the Paediatric population in India. Various treatment modalities were proposed previously, such as enucleation, marsupialization, fenestration, or a combination technique with or without preservation of the affected dentition. OBJECTIVES: The aim of the Paediatric dentist should rely on the preservation of permanent teeth. Hence, this systematic review aimed to evaluate the prevalence and describe the different treatment methods and rehabilitation techniques conducted following the surgical excision of dentigerous cysts among the Paediatric population in India, which is significant to Paediatric dentists. METHODS: Systematic review registered under PROSPERO following PRISMA guidelines. Thorough search was done in PubMed, EMBASE, ProQuest and Cochrane Library. RESULTS: The results showed that the dentigerous cyst occurred commonly in the age group of children aged 6 – 10 years (72.22%), with a male predilection (80.56%). The complete cyst enucleation with the removal of milk teeth and permanent dentition (52.78%) was preferred more than the preservation of the affected dentition. After complete enucleation of the cyst in only 57.89% of cases, rehabilitation procedures were planned. The results showed that proper rehabilitation was not planned in many cases, which may lead to poor oral hygiene maintenance and early space loss. CONCLUSIONS: It is important for the Paediatric Dentist to know the importance of preserving the permanent teeth or plan a wise rehabilitation procedure to replace missing teeth to maintain the proper oral health of the children. Keywords: Dentigerous Cyst, Paediatric Dentistry, Enucleation, Marsupialization, Oral Rehabilitation.