Large Dentigerous Cyst Research Articles

A Rare Case of Dentigerous Cyst in a 1-day-old Neonate

Dentigerous cysts are the second-most common odontogenic cysts which are of developmental pathology. These cysts have a very rare occurrence during the first decade of life with a predilection for males compared to females. We report the earliest occurrence to date of a large dentigerous cyst of maxillary origin in a 1-day-old male baby. We were able to successfully manage the baby with a conservative surgical approach.

Orthodontic Treatment of 3-Impacted Teeth Involved with a Large Dentigerous Cyst

Orthodontic Treatment of 3-Impacted Teeth Involved with a Large Dentigerous Cyst

A Massive Dentigerous Cyst in Maxillary Sinus

The dentigerous cysts are odontogenic cysts associated with impacted or unerupted teeth and supernumerary teeth. This is a case report of a large dentigerous cyst encroaching maxillary sinus in a11-year-old female patient where the surgical enucleation was done.

A suspect of large dentigerous cyst associated with impacted canine evaluated by CBCT: a case report in a young patient

Objectives: This case report aims to describe a large radiolucent lesion associated with an impacted canine in a young patient from CBCT radiographs.
 Case Report: A 12-year-old boy was referred for CBCT examination to the Dentomaxillofacial Radiology unit at the Universitas Padjadjaran Dental Hospital with swelling on the right side of the face and a gingival lump on the upper right region suspected as an unerupted canine. The CBCT examination results showed an ectopic impacted tooth 13 and a large hypodense/radiolucent lesion with a well-defined and corticated border located on the coronal of tooth 13, expanding into the maxillary sinus and nasal cavity.
 Conclusion: Based on the CBCT result in terms of location and radiographic features, this extensive radiolucent lesion led to a suspect radiodiagnosis of the dentigerous cyst within a young patient. However, histology examination is still required to establish a definitive diagnosis.

An Uncommon a Giant Dentigerous Cyst Associated With Unerupted Canine: A Case Report

Background and Objectives: Dentigerous cyst (DC) is the second most common developmental odontogenic cyst. On radiographic images, it usually seen as a well-defined unilocular radiolucency in the area surrounding the crown of an unerupted tooth. This study aims to report a case of giant DC in a 9-year-old boy who was treated conservatively. Case Report: This study reports a rare case of a mandibular DC associated with the crown of unerupted canine in a 9-year-old boy complained of swelling for about 5 months who had been treated by marsupialization. Conclusion: Conservative treatments for the large inflammatory DCs in children can lead to good results, ensuring the normal development of teeth, and proper bone repair.

Decompression procedure as a successful initial approach to large maxillary dentigerous cyst in 12- year-old boy - a case report

Introduction. A dentigerous cyst is a pathological lesion associated with the crown of the unerupted or impacted tooth. Decompression is proposed as the initial treatment for large cysts, especially in younger patients. The aim of this study was to present clinical, radiological, histopathological, and therapeutical aspects of the large dentigerous cyst in the maxilla. Case report. A 12-year-old boy with a large dentigerous cyst in the maxilla was referred to our clinic. A dentigerous cyst was associated with the crown of the unerupted maxillary left canine. Management of the cyst included initial decompression with biopsy, followed by secondary enucleation after 9 months and orthodontic treatment. Histopathological examination confirmed the definitive diagnosis of the dentigerous cyst. Conclusion. Initial decompression with a subsequent enucleation proved to be an effective treatment of choice for the large dentigerous cyst.

Successful Management of Large Dentigerous Cyst with Spontaneous Eruption of Affected Teeth by Minimal Invasive Surgical Approach: A Case Report

Successful Management of Large Dentigerous Cyst with Spontaneous Eruption of Affected Teeth by Minimal Invasive Surgical Approach: A Case Report

Orthodontic Management of the Edentulous Space Caused by Surgical Removal of a Large Dentigerous Cyst.

Herein, we report the orthodontic management of a patient with excessive bone and permanent tooth loss after surgical cyst removal. The patient was a 13-year-old Japanese boy who was referred to our department by an oral surgeon. He had an edentulous space with alveolar bone loss and loss of 2 permanent molars in the left mandibular region, following surgical removal of a large dentigerous cyst. We decided to close this space orthodontically. First, we moved the left mandibular second premolar into the edentulous region and autotransplanted the left maxillary lateral incisor in the adjacent distal space. We then performed comprehensive orthodontic treatment to establish stable occlusion. Following treatment, functional and stable occlusion of all permanent teeth was achieved without any spaces. The findings from this case suggest that orthodontic treatment is effective in growing patients with edentulous spaces and alveolar bone loss.

WITHDRAWN: Using a combination of conservative and enucleating treatment to treat a large dentigerous cyst

Dentigerous cysts are the second most common type of odontogenic cysts. Although the majority of dentigerous cysts are relatively small in size, our case report is based on a patient with a very large dentigerous cyst, which is not a common occurrence. We performed a combination of conservative treatment and enucleation to prevent fracture and preserve vital structures in a two-staged approach.

A non-invasive system to manage impacted teeth associated with a large dentigerous cyst.

A male patient aged 11 years presented a large dentigerous cyst in the lower left quadrant associated with retained deciduous lower lateral incisor and canine and impacted, unerupted corresponding permanent ones. The treatment consisted in marsupialisation and placement of a modified lingual arch that held a tube for decompression used for irrigation of the cystic cavity in a comfortable way for the patient and for the clinician.The same lingual arch was later used as an anchorage method for traction of the retained teeth. The final records showed complete resolution of the cyst and retained teeth were successfully Aligned into the oral cavity.

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

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.

Management of extensive dentigerous cystic lesions in adult patient

Background: The dentigerous cyst is the second most common developmental cysts of the jaws. Despite being asymptomatic in many cases, untreated lesions can reach significant sizes and result in extensive bone resorption. Associated complications may include facial asymmetry, teeth mobility, nerve compression, and pain. Large extensive dentigerous cyst are more difficult to manage. Aim of the study: This study was conducted to evaluate the management of extensive dentigerous cysts in adults as well as the associated potential risks and complications. Patients and methods: Fourteen (8 males and 6 females) patients with age range of 20-55 years (mean age of 33.9 years) who had large dentigerous cysts were included in this study. Enucleation of the cystic lesions along with the associated teeth was performed. Patients were clinically and radiographically evaluated for one year postoperatively. Results: Nine mandibular (64.3%) and 5 maxillary dentigerous cystic lesions (35.7%) were operated. No surgical postoperative complications were encountered. Radiographic evaluation showed adequate new bone formation in the surgical defects within 6-12 months. Conclusion: Untreated dentigerous cysts can reach a significant size. Extensive dentigerous cysts can be adequately treated with careful enucleation. Extensive dentigerous cysts may be associated with an increased risk for transformation into more aggressive lesions.

Decompression and enucleation of a large dentigerous cyst in the mandible angle – a case report

Dentigerous cyst is the most prevalent lesion of odontogenic origin, commonly radiographically diagnosed, between the second and fourth decades of life, with a predilection for the male sex. The treatment of choice is enucleation; however, decompression is indicated for cysts that reach large proportions. The most frequent complications are expansion and resorption of the bone cortex, facial asymmetry, root resorption of adjacent teeth, migration or delay of dental eruption and compression of the lower alveolar nerve canal. Objective: To report a clinical case of a dentigerous cyst adjacent to an impacted mandibular third molar, treated with decompression and enucleation. Case report: A 39-year-old male, attended the Stomatology service with a history of a radiographic finding in the mandible. At the radiopraghic evaluation, it was possible to observe a radiolucent unilocular cystic tumor lesion, well delimited by a radiopaque, asymptomatic, intraosseous image in the region of the mandible right angle, extending from the left first pre molar to the left third molar, with the later included in a mesioangular position. The patient underwent a previous cystic decompression process, followed up regularly for 6 months, and referred for endodontic treatment of the left first and second molars to prepare for surgical enucleation and removal of the third molar. After removal, the material was sent to anatomopathological analysis, and the results confirmed the diagnosis of dentigerous cyst. The patient is being followed up without postoperative comorbidities. Conclusion: The chosen treatment allowed the maintenance of the teeth involved in the lesion, and mainly, the minimization of the enucleation procedure by previous decompression.

Quiste dentígero en odontología. Reporte de caso

El quiste dentígero es definido como una lesión quística que involucra la corona de un diente incluido que está relacionada con la unión amelocementaria. Clínicamente se manifiesta por un aumento del volumen asintomático, siendo generalmente descubierto en un examen radiográfico de rutina o por la investigación de un diente no erupcionado. Radiográficamente presenta una lesión radiolúcida unilocular asociada a un diente incluido. Este estudio presenta un caso clínico de un paciente con quiste dentígero en la región posterior de la mandíbula, tratado quirúrgicamente por medio de enucleación y exodoncia de los dientes involucrados. Paciente de género masculino, de 9 años de edad, que compareció a la Clínica de caso Odontología de la Universidad de Ribeirão Preto (UNAERP), Brasil, con queja de abultamiento inferior izquierdo de la cara y marcada asimetría facial, la radiografía panorámica y tomografía computarizada evidenciaron la presencia de un quiste dentígero extenso. Delante de este cuadro clínico y radiográfico, el plan de tratamiento establecido fue la enucleación del quiste para permitir la erupción de los dientes sucesores permanentes, seguido por la exodoncia de los elementos dentarios 74/75. El tratamiento quirúrgico se mostró rápido y resolutivo evidenciando que la elección del tratamiento debe ser cuidadosamente evaluado para cada caso.

ATYPICAL DENTIGEROUS CYST ASSOCIATED WITH COMPLEX ODONTOMA

Odontomas are the most commonly found odontogenic tumors in the population, and among their variants, complex odontomas are located preferentially in the region of premolars and molars and consist of an amorphous mass of mineralized tissue, showing no anatomic similarity to the tooth. The dentigerous cysts are the second most frequent odontogenic cyst of the jaws. Odontogenic tumors may occur in association with odontogenic cysts. Among these associations, mixed lesions between dentigerous cysts and odontomas may occur. This fact is justified because odontomas are tumors that originate from the epithelial and mesenchymal tissues and can undergo cystic transformation in dentigerous cysts. This is a case report of an upper bilateral complex odontoma, with the right side associated with a large dentigerous cyst, in a 10-year-old male, treated with enucleation and total surgical excision. This report discusses different aspects of this type of lesion. Odontomas are the most commonly found odontogenic tumors in the population, and among their variants, complex odontomas are located preferentially in the region of premolars and molars and consist of an amorphous mass of mineralized tissue, showing no anatomic similarity to the tooth. The dentigerous cysts are the second most frequent odontogenic cyst of the jaws. Odontogenic tumors may occur in association with odontogenic cysts. Among these associations, mixed lesions between dentigerous cysts and odontomas may occur. This fact is justified because odontomas are tumors that originate from the epithelial and mesenchymal tissues and can undergo cystic transformation in dentigerous cysts. This is a case report of an upper bilateral complex odontoma, with the right side associated with a large dentigerous cyst, in a 10-year-old male, treated with enucleation and total surgical excision. This report discusses different aspects of this type of lesion.

Treatment of 2 impacted molars in a large dentigerous cyst (expansile cystic lesion) with combined orthodontic and surgical therapy

Nonmineralized cysts and cyst-like lesions that frequently occur in the mandible include ameloblastomas, odontogenic keratocysts, and dentigerous cysts. They have specific features of well-demarcated, unilocular, and radiolucent lesions that are often associated with tooth impaction. Although it rarely occurs, these cysts can become extremely large. Furthermore, cyst enlargement causes additional symptoms that can challenge the success of tooth recovery through orthodontic treatment. This clinical report presents the successful eruption of 2 impacted molars in a large dentigerous cyst treated with marsupialization and orthodontic traction usingan orthodontic miniplate anchorage over a 4-year treatment period.

A Large Dentigerous Cyst Obliterating the Maxillary Sinus Leading to Nasal Obstruction and Impaired Hearing: A Case Report

A Large Dentigerous Cyst Obliterating the Maxillary Sinus Leading to Nasal Obstruction and Impaired Hearing: A Case Report

SURGICAL TREATMENT OF INFLAMMATORY DENTIGEROUS CYST ASSOCIATED WITH THIRD MOLAR IN MANDIBLE: CASE REPORT

Most dentigerous cysts are considered developmental, but some cases can present an inflammatory pathogenesis. We report a case of enucleation of a large inflammatory dentigerous cyst in a 20-year-old patient with tooth extraction involved. The patient presented to dental care to evaluate the noneruption of third molars. No significant changes were observed in the extraoral examination. The intraoral examination showed the growth of the vestibule region of tooth 48, and discrete bulging of the lingual cortical was observed. Computed tomography showed an extensive hypodense unilocular image associated with the crown of tooth 48. The lesion was enucleated together with element 48. The histologic examination concluded as an inflammatory dentigerous cyst. After 1 year and 6 months of follow-up, no recurrence was observed, and the patient had a great prognosis.

Large dentigerous cyst in the maxillary sinus causing bone erosion of the sinus walls

Dentigerous cyst is a type of odontogenic cysts occurs in the ages of twenties or thirties and rarely occurs in the first decade of life with male predominance. In this report, a case of a large dentigerous cyst in 34 years old female patient complaining from progressive painful swelling of the right cheek for a month duration. CT scan of the paranasal sinuses showed a well-defined solitary expansile right maxillary cystic mass eroding the antero-lateral maxilla, with a crown of a tooth projecting inside the cystic cavity. The dentigerous cyst totally enucleated through sublabial incision in combination with nasal endoscopic approach. The unerupted tooth removed from inside the right maxillary antrum. Follow-up at 2 weeks showed no abnormality at the surgical site and no any paresthesia.

Conservative technique for enucleation of a large dentigerous cyst through bony fenestrations

Conservative technique for enucleation of a large dentigerous cyst through bony fenestrations