Large Dentigerous Cyst Associated with Ectopic Canine of the Maxilla: A Case Report

Abstract

Dentigerous cysts are among the frequently encountered odontogenic cysts, and they are often associated with impacted mandibular third molar teeth. These pathologies are benign masses which involve crowns of permanent teeth. They are often asymptomatic and detected during routine dental radiographs. Though when they get infected, they may produce pain symptoms. They are twice as commonly encountered in male patients compared to female patients, and the average age of onset is 20s and 30s. The optimal method in treatment of cysts varies depending on the size of the cyst, its localization and its distance to anatomical structures.This article presents a case of large dentigerous cyst due to maxillary canine tooth in a 33-year-old female patient, together with the surgical treatment process by way of enucleation.Dentigerous cysts can cause wide bone defects without manifesting any symptoms. Therefore, radiographic examination is critical importance for all impacted teeth. 

Keywords

• Dentigerous cyst,enucleation,maxilla

Maksillada Ektopik Kanin ile İlişkili Büyük Dentigeröz Kist: Olgu Sunumu

Abstract

Dentigeröz kistler çenelerin sık gözlenen odontojenik kistleri arasında olup sıklıkla gömülü mandibular 3. molar dişler ile ilişkilidirler. Bu patolojiler daimi dişlerin kronlarını içine alan iyi huylu kitlelerdir. Genellikle asemptomatik olup dental radyografilerde tesadüfen tespit edilirler. Enfekte oldukları durumda ağrı semptomu oluşturabilirler. Erkeklerde, kadın hastalara oranla iki kat daha fazla görülür ve ortalama görülme yaşı 2. ve 3. dekatlardır. Kistlerin tedavisinde tercih edilecek yöntem; kistin boyutlarına, lokalizasyonuna ve anatomik yapılara uzaklığına bağlı olarak değişebilmektedir. Bu makalede 33 yaşında kadın hastada maksiller kanin dişten kaynaklanan büyük dentigeröz kist olgusu ve enükleasyon ile cerrahi tedavi süreci sunulmuştur. Dentigeröz kistler semptomsuz bir şekilde geniş kemik defektlerine yol açabilir. Bu yüzden tüm gömülü dişlerde radyografik inceleme yapılması oldukça önemlidir.

Keywords

• Dentigeröz kist,Enükleasyon,Maksilla

References

1. 1. Korkmaz YT, Aral İL. Bilateral Dentigerous Cyst In Mandible: A Case Report. Cumhuriyet Üniversitesi Diş Hekimliği Fakültesi Dergisi 2009; Cilt: 12 Sayı: 2.
2. 2. Smith JL 2nd, Kellman RM. Dentigerous cysts presenting as head and neck infections. Otolaryngol Head Neck Surg 2005; 133: 715-717.
3. 3. Özkan A, Okçu KM, Sençimen M, ve ark. Nonsendromik bilateral mandibular dentigeröz kist: olgu sunumu. Gülhane Tıp Derg 2011; 53: 52-55.
4. 4. McCrea S. Adjacent dentigerous cysts with the ectopic displacement of a third mandibular molar and supernumerary (forth) molar: a rare occurrence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107 (6): e15-20. 5. Delbem AC, Cunha RF, Afonso RL, et al. Dentigerous cysts in primary dentition:Report of 2 cases. Pediatr Dent 2006;28(3):269272. 6. Usalan G, Erten H, Akpınar D. Dentigeröz kist ( üç olgu ). SÜ Dişhek Fak Derg 2008; 17: 126-130.
5. 7. Tayşi M, Ozden C, Cankaya AB, et al. Conservatıve Approach To A Large Dentıgerous Cyst In An 11-Year-Old Patıent. J Istanbul Univ Fac Dent 2016;50(3):51-56.
6. 8. Cury SE, Cury MD, Cury SE, et al. Bilateral dentigerous cyst in a nonsyndromic patient: case report and literature review. J Dent Child (Chic) 2009; 76 (1): 92-6.
7. 9. Kirtaniya BC, Sachdev V, Singla A, et al. Marsupialization: A conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent 2010;28(3):203-208.
8. 10. Yaqoob A, Wani TM, Ashraf J, et al. Conservative surgical management of adentigerous cyst associated with an impacted mandibular canine. Dentistry and Medical Research Jul-Dec 2014 Vol 2 Issue 2.

9. 11. Chakraborty A, Sarkar S, Dutta BB. Localised disturbances associated with primary teeth eruption. J Indian Soc Pedod Prev Dent 1994;12(1):25-28.
10. 12. Öz I, Erkan AN, Yıldırım Ç. Maksiller Sinüsü Destrükte Eden Büyük Dentijeröz Kist: Olgu Sunumu. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi Cilt: 4 Sayı: 2 Nisan 2013.
11. 13. Contar CMM, Thomé CA, Pompermayer A, et al. Marsupialization of Dentigerous Cyst: Report of a Case. J. Maxillofac. Oral Surg. 2015;14(Suppl 1):S4–S6 DOI 10.1007/s12663-011-0172-6.
12. 14. Meningaud JP, Oprean N, Pitak-Arnnop P, et al. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci. 2006; 48:59–62.
13. 15. Zhang LL, Yang R, Zhang L, et al. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in Biritish Bolumbia, Canada. Int J Oral maxillofac Surg, 2010;39(9):878-82.
14. 16. Srinivasa Prasad T, Sujatha G, Niazi TM, et al. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a rare entity. Indian journal of dental research : official publication of Indian Society for Dental Research 2007;18:141-3.
15. 17. Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J 2005: 26; 198 (4): 203-6.
16. 18. Summer M, Bas B, Yildiz L. Inferior alveolar nerve paresthesia caused by dentigerous cyst associated with three teeth. Med Oral Patol Oral Cir Bucal. 2007;12:E388–E390.
17. 19. Dinkar AD, Dawasaz AA, Shenoy S. Dentigerous cyst associated with multiple mesiodens: a case report. J Indian Soc Pedod Prev Dent 2007;128(2):201–205.