Management Of Dentigerous Cyst Research Articles

The Successful Use of Decompression in the Management of Dentigerous Cyst: Case Report

The dentigerous cyst is reported to be one of the most common odontogenic cyst, of developmental origin, which is characterized by its association with an impacted tooth. Often assymptomatic, the dentigerous cyst presents as a well-limited unilocular radiolucent image surrounding the crown of an unerupted or impacted tooth. Decompression is a conservative treatment option for dentigerous cysts, used especially in children, to preserve the cyst associated tooth, promote its eruption and to avoid lesions of the mandibular canal. This report presents a mandibular dentigerous cyst associated with the 35 impacted tooth in a 12-year-old girl. The dentigerous cyst was successfully treated by surgical decompression.

The effectivity of Cone Beam Computed Tomography (CBCT) in dentigerous cyst management: a literature review

Objectives: This review aims to understand the effectiveness of Cone Beam Computed Tomography (CBCT) in the management of dentigerous cysts by looking at the advantages and disadvantages based on the quality of the resulting radiographic images.
 Review: Based on the literature review that has been carried out on 10 journals were eliminated from 22 journals that had the criteria according to the topic but there was a duplication in the identification results of the initial 50 journals from Pubmed, Google Scholar, ScienceDirect, and EuropePMC, with a range of 2012-2022 using the Boolean Operator Strategy with inclusion criteria developed from PICOS framework, it was found that the CBCT radiographic method is the most widely used method in the management of dentigerous cysts because of the predominance of advantages over disadvantages. This radiographic method is able to produce three-dimensional radiographic images without overlapping structures, distortions, and amplifications at a low cost, although it has weaknesses.
 Conclusion: CBCT 3D may assess dentigerous cyst lesions effectively by taking into account several considerations and the accuracy of the SOP in its use. This radiography method can provide clear radiographic images without structural overlap, distortion, and amplification at a low cost to confirm the diagnosis and determine the appropriate treatment plan despite the drawbacks as a new result of development technologies in dental radiography.

Management of Dentigerous Cyst: A Review Article

Introduction: Dentigerous cyst is a pathological epithelial cavity that surrounds an unerupted tooth crown. Dentigerous cysts are usually associated with impacted teeth, mandibular third molars, first and second premolars and canines. Dentigerous cysts can occur at any age, but most cases of these cysts occur at the age of approximately 20 years. Men are affected more often than women. Purpose.To find out how the mechanism of dentigerous cysts. The cyst cavity is lined with epithelial cells derived from the epithelial enamel that is reduced from the tooth-forming organs. According to its pathogenesis, the pressure exerted by an erupted tooth on the follicle can block venous flow leading to accumulation of exudate between the reduced enamel epithelium and the crown of the tooth. These cysts are mostly due to fluid accumulation either between the reduced enamel epithelium and the enamel or between the layers of the enamel organ. This fluid accumulation occurs as a result of the pressure exerted by the erupting tooth on the affected follicle, which blocks venous flow, thus inducing rapid transudation of serum in the capillary walls. Discussion: The expansion of the dentigerous cyst causes the release of bone resorbing factor and an increase in the osmolarity of the cyst fluid as a result of the discharge of inflammatory cells, the discharge of residual epithelial enamel and tooth enamel, and desquamation of epithelial cells into the lumen of the cyst. In theory, the fluid will cause cystic proliferation. because the hyperosmolar content produced by cellular breakdown and cell products causes an osmotic gradient to pump fluid into the lumen of the cyst or it can also be said that an increase in the osmolarity of cyst fluid is the result of a shortcut to inflammatory cells and desquamation of epithelial cells into the lumen of the cyst resulting in a dentigerous cyst. Conclusion: The dentigerous cysts that surround the unerupted dental crowns are caused by the accumulation of fluid either between the reduced enamel epithelium or between the layers of the enamel organs. Dentigerous cysts can cause infection, pain, swelling, root dislocation, and resorption of adjacent tooth roots.

Diagnostic Aids Credibility in Dentigerous Cyst Identification; Radiological Analysis

Objectives: To assess the incidence of dentigerous cyst in the jaw bones and the benefits of clinical and radiological analysis in diagnosis and treatment plan of odontogenic dentigerous cyst. Methods: 25 patients presenting with chronic recurrent jaw swelling not responding to routine dental treatment for dental infection. Special folders done for each patient including personal and medical information, investigations, treatment plan and follow up. The cases treated by enucleation or marsupialization and specimens send for histopathological examination. Results: 25 patients diagnosed as a cases of dentigerous cyst depending on clinical and radiological analysis and confirmed by histopathology. Most cases detected in the anterior maxillary region. The most common involved tooth is the maxillary canine. The mean age of the patients is (24.5 years). The circumferential pattern is the most common type of dentigerous cyst detected on radiograph. Conclusions: dentigerous cyst most commonly detected in the anterior maxillary region. Panoramic view is one of the corner stones in management of dentigerous cyst.

Spontaneous regression of a dentigerous cyst associated with an impacted mandibular canine: a case report

AbstractDentigerous cysts are the second most common odontogenic cyst. The most frequently affected teeth are mandibular third molars and the incidence in mandibular canines is significantly less common. The management of dentigerous cysts is usually surgical enucleation, with extraction of the associated tooth if required. Spontaneously regressing dentigerous cysts are uncommon, but have been reported in the literature. However, this is the first reported case of a spontaneously resolving dentigerous cyst affecting an unerupted lower canine. A 12‐year‐old male presented with a retained deciduous canine and an asymptomatic radiolucency associated with an unerupted mandibular canine. This was provisionally diagnosed as a dentigerous cyst based on radiographic appearance. Over a period of 4 years, the cyst regressed without any surgical intervention. A cone beam computed tomogram was taken which confirmed the regression of the cyst and showed that the incisal edge of the canine had perforated the labial cortex of the mandible. This case supports the theory that if an unerupted tooth with an associated dentigerous cyst perforates bone or communicates with the oral cavity then spontaneous decompression and resolution of the cyst can occur.

Conservative management of a dentigerous cyst by marsupialization treatment: Clinical insight and a case report

The progression of inflammation from a nonvital deciduous predecessor tooth around an unerupted permanent tooth is one of the possible etiologic factors for the development of a dentigerous cyst. The article reports the management of an inflammatory dentigerous cyst in an 11-year-old male patient, associated with the germ of an unerupted permanent maxillary canine. The patient was treated by extraction of the left first and second deciduous molars under local anesthesia and marsupialization of the cystic cavity. The patient was followed for 18 months, and eruptions of the permanent canine, first and second premolars, and gradual reduction of the radiolucent area were observed periodically. In conclusion, with proper case selection, marsupialization might be a good treatment option for the conservative management of dentigerous cysts.

Diagnostic ability of cone beam computed tomography in the management of dentigerous cysts

A dentigerous cyst is an odontogenic cyst that develops from reduced enamel epithelium and is associated with the crown of an impacted tooth. It is the second most common cyst after radicular cysts. It is mostly seen in the second and third decades of life and is rarely encountered in children. Dentigerous cysts are most common in mandibular molars, and are rare in premolars and canines. They are usually asymptomatic, unless they are secondarily infected. Cone beam computed tomography (CBCT) is a state-of-the-art three-dimensional imaging modality used in all areas of dentistry specifically for maxillofacial imaging. Because of its features, the role of CBCT has been extended from diagnosis to surgical management. This report describes a case of a dentigerous cyst in a 12-year-old patient involving an impacted right mandibular second premolar, a rare entity. Using CBCT, canal mapping was performed to extricate the extension of the cyst with the mandibular canal, helping the surgeon during surgical management. The present report also highlights the role of CBCT in the preoperative assessment and management of dentigerous cysts.

Dentigerous Cyst in a young child: Clinical Insight and A Case report

A dentigerous cyst or follicular cyst is an odontogenic cyst - thought to be of developmental origin - associated with the crown of an unerupted tooth. Such cyst remain initially completely asymptomatic unless when infected. The purpose of this case report was to describe the diagnosis and management of dentigerous cyst in a 9-year-old boy. The chosen treatment was cyst enucleation and tooth extraction.

Conservative treatment of dentigerous cyst associated with primary teeth

Dentigerous cyst is the most common odontogenic cyst. It is characterized by a unilocular radiolucent lesion that encloses permanent tooth buds or, under certain circumstances, displaced tooth buds. Buccal bony expansion is the most common clinical feature. Several treatment modalities have been mentioned in the literature for management of dentigerous cysts. The purpose of this article was to report an extensive right mandibular dentigerous cyst on a 10-year-old boy. Marsupialization was chosen to preserve the permanent tooth bud and a denturelike obturator was then provided for space maintenance and masticatory function. Long-term follow-up revealed good healing of the bony lesion with converted tooth eruption.

Save-a-tooth: Conservative surgical management of dentigerous cyst

Dentigerous cysts are the most common bony lesions of the jaws in children. It is one of the most prevalent types of odontogenic cysts associated with an erupted or developing tooth, particularly the mandibular third molars; the other teeth that are commonly affected are, in order of frequency, the maxillary canines, the maxillary third molars, and rarely the central incisors. Radiographically, the cyst appears as ovoid well-demarcated unilocular radiolucency with a sclerotic border. Careful evaluation of the history and the clinical and radiographical findings help clinicians to currently diagnose the condition, identify the etiological factors, and administer the appropriate treatment.

Dentigerous cyst in primary dentition: A case report

Dentigerous cyst is a developmental odontogenic cyst, which apparently develops by accumulation of fluid between the reduced enamel epithelium and the tooth crown of an unerupted tooth. There is usually no pain or discomfort associated with the cyst unless there is acute inflammatory exacerbation. Management of dentigerous cyst in primary dentition needs special consideration regarding the preservation of the developing permanent tooth buds. Here, we report a case of dentigerous cyst in primary dentition in a 10-year-old male patient and its management.