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ISSN 2174-0798 (Print)
Organo oficial de la Asociación Latinoamericana de Odontopediatría (ALOP)

2019, Number 2

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Rev Odotopediatr Latinoam 2019; 9 (2)

Dantigerous cyst in dentistry. Case report

Floriam LJ, Danelon M, Oliveira SV, Gonçalves EN, Báez-Quintero LC, Macchetti KDD

Language: Spanish
References: 42
Page: 151-159
PDF size: 628.26 Kb.


ABSTRACT

The dentigerous cyst is defined as a cystic lesion involving the crown of an included tooth, which is attached to the cement enamel junction. Clinically it is manifested by asymptomatic increase in volume, and is usually discovered by routine radiographic examination or by investigation of non-erupted tooth. Radiographically, it presents as a unilocular radiolucent lesion around an even tooth. This study presents a clinical case of a patient with a dentigerous cyst in the posterior region of the mandible, treated surgically by enucleation and exodontia of involved teeth. A 9-year-old male patient attended the Pediatric Dentistry Clinic of the University of Ribeirão Preto (UNAERP), Brazil, complaining of lower left bulging of the face, with marked facial asymmetry, whose panoramic radiographic examination and computed tomography evidenced the presence of large dentigerous cyst. In view of the clinical and radiographic findings, the treatment plan was to enucleate the cyst to allow eruption of the permanent successors, followed by the exodontia of the dental elements 74/75. Surgical treatment was fast and resolute, showing that the choice of treatment should be carefully weighted for each case.


REFERENCES

  1. Chang CH, Wu YC, Wu YH, Sun A, Cheng SJ, Chen HM. Significant association of high grade inflammation and thick lining epithelium with the increased number of Langerhans cells in dentigerous cysts. J Formos Med Assoc 2017; 116: 837-843.

  2. Neville BW, Damm DD, Allen CM, Chi AC. Odontogenic cysts and tumors. In: Oral and maxillofacial pathology. 4th ed. St. Louis: Elsevier; 2016. p. 632e5.

  3. Wu YH, Chang JYF, Chang HH, Chiang CP. Langerhans cells in dermoid cyst lining epithelium. J Formos Med Assoc 2016; 115: 57e8.

  4. Allison JR, Garlington G. The Value of Cone Beam Computed Tomography in the Management of Dentigerous Cysts – A Review and Case Report. Dent Update 2017; 44: 182-184.

  5. Mirhaidari S, Murthy A. Management of a Dentigerous Cyst in a Child with Robin Sequence. Arch Plast Surg 2017; 44: 434-438.

  6. Friedrich RE, Scheuer HA, Zustin J. Inflammatory paradental cyst of the first molar (buccal bifurcation cyst) in a 6-year-old boy: case report with respect to immunohistochemical findings. In Vivo 2014; 28: 333-339.

  7. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, Matsumura T. A radiologic analysis of dentigerous cysts and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 743-747.

  8. Khandeparker RV, Khandeparker PV, Virginkar A, Savant K. Bilateral Maxillary Dentigerous Cysts in a Nonsyndromic Child: A Rare Presentation and Review of the Literature. Case Rep Dent 2018; 15; 1-6.

  9. Gulbranson SH, Wolfrey JD, Raines JM, McNally BP. Squamous cell carcinoma arising in a dentigerous cyst in a 16-month-old girl. Otolaryngol Head Neck Surg 2002; 127: 463-464.

  10. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent 2010; 28: 203-208.

  11. Bhardwaj B, Sharma S, Chitlangia P, Agarwal P, Bhamboo A, Rastogi K Mandibular Dentigerous Cyst in a 10-Year-Old Child. Int J Clin Pediatr Dent 2016 9: 281-284.

  12. Moturi K, Puvvada D, Kotha PR. A Novel, Minimally Invasive Technique in the Management of a Large Cyst Involving the Maxilla in a Child: A Case Report. Cureus 2018 18; 10: e2503.

  13. Shand JM, Heggie AA. Cysts of the jaws and advances in the diagnosis and management of nevoid Basal cell carcinoma syndrome. Oral Maxillofac Surg Clin North Am 2005; 17: 403-414.

  14. Batra J, Attresh G, Garg B, Goel M. Decompression as a Treatment of Odontogenic Cystic Lesions in Children. J Oral Maxillofac Surg 2015; 73: 1667.

  15. Bravo M, White D, Miles L, Cotton R. Adenomatoid odontogenic tumor mimicking a dentigerous cyst. Int J Pediatr Otorhinolaryngol 2005; 69: 1685-1688.

  16. Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent 2006; 28: 269-272.

  17. Allais M, Maurette E, Haiter M. Tratamiento de quiste dentígero bilateral mandibular por medio de dos tipos de tratamientos: Relato de caso clínico y comparación entre las técnicas. Acta Odontol Venez 2007; 45: 109-112.

  18. Ustner E, fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Pathol Oral Radiol Endod 2003; 95: 632-635.

  19. Yao L, Xu X, Ren M, Liu D, Ni Z, Lin F. Inflammatory dentigerous cyst of mandibular first premolar associated with endodontically treated primary first molar: a rare case report. Eur J Paediatr Dent 2015; 16: 201-204.

  20. Taysi M, Ozden C, Cankaya AB, Yildirim S, Bilgic L. Conservative approach to a large dentigerous cyst in an 11-year-old patient. J Istanb Univ Fac Dent 2016; 50: 51-56.

  21. Edamatsu M, Kumamoto H, Ooya K, Echigo S. Apoptosisrelated factors in the epithelial components of dental follicles and dentigerous cysts associated with impacted third molars of the mandible. Oral Surg Oral Med Pathol Oral Radiol Endod 2005; 99: 17-23.

  22. Chang CH, Wu YC, Wu YH, Sun A, Cheng SJ, Chen HM. Significant association of high grade inflammation and thick lining epithelium with the increased number of Langerhans cells in dentigerous cysts. J Formos Med Assoc 2017; 116: 837-843.

  23. Neville BW, Damm DD, Allen CM, Chi AC. Odontogenic cysts and tumors. In: Oral and maxillofacial pathology. 4th ed. St. Louis: Elsevier; 2016. p. 632e5.

  24. Wu YH, Chang JYF, Chang HH, Chiang CP. Langerhans cells in dermoid cyst lining epithelium. J Formos Med Assoc 2016; 115: 57e8.

  25. Allison JR, Garlington G. The Value of Cone Beam Computed Tomography in the Management of Dentigerous Cysts – A Review and Case Report. Dent Update 2017; 44: 182-184.

  26. Mirhaidari S, Murthy A. Management of a Dentigerous Cyst in a Child with Robin Sequence. Arch Plast Surg 2017; 44: 434-438.

  27. Friedrich RE, Scheuer HA, Zustin J. Inflammatory paradental cyst of the first molar (buccal bifurcation cyst) in a 6-year-old boy: case report with respect to immunohistochemical findings. In Vivo 2014; 28: 333-339.

  28. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, Matsumura T. A radiologic analysis of dentigerous cysts and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 91: 743-747.

  29. Khandeparker RV, Khandeparker PV, Virginkar A, Savant K. Bilateral Maxillary Dentigerous Cysts in a Nonsyndromic Child: A Rare Presentation and Review of the Literature. Case Rep Dent 2018; 15; 1-6.

  30. Gulbranson SH, Wolfrey JD, Raines JM, McNally BP. Squamous cell carcinoma arising in a dentigerous cyst in a 16-month-old girl. Otolaryngol Head Neck Surg 2002; 127: 463-464.

  31. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent 2010; 28: 203-208.

  32. Bhardwaj B, Sharma S, Chitlangia P, Agarwal P, Bhamboo A, Rastogi K Mandibular Dentigerous Cyst in a 10-Year-Old Child. Int J Clin Pediatr Dent 2016 9: 281-284.

  33. Moturi K, Puvvada D, Kotha PR. A Novel, Minimally Invasive Technique in the Management of a Large Cyst Involving the Maxilla in a Child: A Case Report. Cureus 2018 18; 10: e2503.

  34. Shand JM, Heggie AA. Cysts of the jaws and advances in the diagnosis and management of nevoid Basal cell carcinoma syndrome. Oral Maxillofac Surg Clin North Am 2005; 17: 403-414.

  35. Batra J, Attresh G, Garg B, Goel M. Decompression as a Treatment of Odontogenic Cystic Lesions in Children. J Oral Maxillofac Surg 2015; 73: 1667.

  36. Bravo M, White D, Miles L, Cotton R. Adenomatoid odontogenic tumor mimicking a dentigerous cyst. Int J Pediatr Otorhinolaryngol 2005; 69: 1685-1688.

  37. Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent 2006; 28: 269-272.

  38. Allais M, Maurette E, Haiter M. Tratamiento de quiste dentígero bilateral mandibular por medio de dos tipos de tratamientos: Relato de caso clínico y comparación entre las técnicas. Acta Odontol Venez 2007; 45: 109-112.

  39. Ustner E, fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Pathol Oral Radiol Endod 2003; 95: 632-635.

  40. Yao L, Xu X, Ren M, Liu D, Ni Z, Lin F. Inflammatory dentigerous cyst of mandibular first premolar associated with endodontically treated primary first molar: a rare case report. Eur J Paediatr Dent 2015; 16: 201-204.

  41. Taysi M, Ozden C, Cankaya AB, Yildirim S, Bilgic L. Conservative approach to a large dentigerous cyst in an 11-year-old patient. J Istanb Univ Fac Dent 2016; 50: 51-56.

  42. Edamatsu M, Kumamoto H, Ooya K, Echigo S. Apoptosisrelated factors in the epithelial components of dental follicles and dentigerous cysts associated with impacted third molars of the mandible. Oral Surg Oral Med Pathol Oral Radiol Endod 2005; 99: 17-23.




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