CONSERVATIVE APPROACH TO A LARGE DENTIGEROUS CYST IN AN 11 YEAR OLD PATIENT

Abstract

Dentigerous cysts are benign odontogenic cysts that are associated with the crowns of permanent teeth. They are usually characterized as unilocular radiolucent lesions and are rarely seen during childhood. The purpose of this article is to report a case of an 11 year old boy with a dentigerous cyst associated with the mandibular canine and a premolar. The treatment involved the extraction of the primary molars and marsupialization of the lesion. After 9 months of follow-up, spontaneous eruption of the impacted teeth was observed. Marsupialization might be the first treatment option for conservative management of dentigerous cysts in children.

Keywords

• Dentigerous cyst,marsupialization; tooth eruption; tube drain; oral surgery

References

1. Jena AK, Duggal R, Roychoudhury A, Parkash H. Orthodontic assisted tooth eruption in a dentigerous cyst: A case report. J Clin Pediatr Dent 2005;29(1):33-35.
2. Ikeshima A, Tamura Y. Differential diagnosis between dentigerous cyst and benign tumor with an embedded tooth. J Oral Sci 2002;44(1):13-17.
3. Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: Report of 2 cases. Pediatr Dent 2006;28(3):269-272.
4. Cury SE, Cury MD, Cury SE, Pontes FS, Pontes HA, Rodini C, Pinto Ddos S, Jr. Bilateral dentigerous cyst in a nonsyndromic patient: Case report and literature review. J Dent Child (Chic) 2009;76(1):92-96.
5. Ertas U, Yavuz MS. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxillofac Surg 2003;61(6):728-730.
6. Fujii R, Kawakami M, Hyomoto M, Ishida J, Kirita T. Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg 2008;66(2):272-276.
7. 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(3):203-208.
8. Chakraborty A, Sarkar S, Dutta BB. Localised disturbances associated with primary teeth eruption. J Indian Soc Pedod Prev Dent 1994;12(1):25-28.

9. Bozdogan E, Cankaya B, Gencay K, Aktoren O. Conservative management of a large dentigerous cyst in a 6-year-old girl: A case report. J Dent Child (Chic) 2011;78(3):163-167.
10. Benn A, Altini M. Dentigerous cysts of inflammatory origin. A clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81(2):203-209.
11. Berti Sde A, Pompermayer AB, Couto Souza PH, Tanaka OM, Westphalen VP, Westphalen FH. Spontaneous eruption of a canine after marsupialization of an infected dentigerous cyst. Am J Orthod Dentofacial Orthop 2010;137(5):690-693.
12. Koca H, Esin A, Aycan K. Outcome of dentigerous cysts treated with marsupialization. J Clin Pediatr Dent 2009;34(2):165-168.
13. Peterson IJ, Ellis EIII, Hupp Jr, et al. Contemporary oral and maxillofacial surgery St Louis: MO, Mosby, 1998, 540.
14. Golden AL, Foote J, Lally E, Beideman R, Tatoian J. Dentigerous cyst of the maxillary sinus causing elevation of the orbital floor. Report of a case. Oral Surg Oral Med Oral Pathol 1981;52(2):133-136.
15. Miyawaki S, Hyomoto M, Tsubouchi J, Kirita T, Sugimura M. Eruption speed and rate of angulation change of a cyst-associated mandibular second premolar after marsupialization of a dentigerous cyst. Am J Orthod Dentofacial Orthop 1999;116(5):578-584.
16. Hyomoto M, Kawakami M, Hanamoto S, KiritaT, Myawaki S. A clinicopathologic study of 184 dentigerous cysts. J Nara Med Assoc 2001;52:181-187.