Conservative Management of Large Dentigerous Cysts in Children

Abstract

Objective: Dentigerous cysts are benign odontogenic cysts which are associated with the crowns of permanent teeth and rarely seen during childhood. In most cases, they are painless and asymptomatic and usually can be detected by routine radiographs. For treatment of dentigerous cysts, the principal surgical methods are enucleation and decompression. The aim of this presentation is to share our experiences in a case series of children with the dentigerous cysts treated by decompression to allow the eruption. Cases: Dentigerous cysts enclosing the crown of an unerupted/impacted tooth of 4 children aged 7-11 years were treated with decompression with a tube drain. The results of clinical examination, radiologic findings and the treatment of the cysts were presented. Conclusion: Decompression therapy, which aims to eliminate the cystic tissue and protect the permanent teeth in the dentigerous cyst, is very effective in the management of dentigerous cysts during mixed dentition in the childhood.

Keywords

• Decompression
• Dentigerous cyst
• Children
• Conservative

References

1. 1. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol. 1994;77(3):276-80.
2. 2. Bodner L, Woldenberg Y, Bar-Ziv J. Radiographic features of large cystic lesions of the jaws in children. Pediatr Radiol 2003;33:3-6.
3. 3. Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofac Orthop. 2003;124:515-20.
4. 4. Takagi S. Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6-year-old child. J Oral Maxillofac Surg. 1998;56(2):237-9.
5. 5. Arjona-Amo M, Serrera-Figallo MA, Hernández-Guisado JM, Gutiérrez-Pérez JL, Torres-Lagares D. Conservative management of dentigerous cysts in children. J Clin Exp Dent. 2015;7(5):e671–e674.
6. 6. Pogrel MA. Decompression and marsupialization as a treatment for the odontogenic keratocyst. Oral Maxillofac Surg Clin North Am. 2003;15(3):415-27.
7. 7. Carrera, Manoela, Dantas, Danilo Borges, Marchionni, Antônio Mareio, Oliveira, Marília Gerhardt de, & Andrade, Miguel Gustavo Setúbal. Conservative treatment of the dentigerous cyst: report of two cases. Braz J Oral Sci 2013;12(1):52-56.
8. 8. Berdén J, Koch G, Ullbro C. Case series: Treatment of large dentigerous cysts in children. Eur Arch Paediatr Dent. 2010;11(3):140-5.