Bilateral Mandibular Dentigerous Cysts Presenting as an Incidental Finding: A Case Report

Sindi, Amal M.

doi:10.12659/ajcr.917943

Cited by 7 publications

(10 citation statements)

References 9 publications

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“…Kista dentigerus merupakan lesi patologis berupa rongga, dilapisi oleh epitel yang mengelilingi mahkota gigi dari cemento enamel junction (CEJ) dan berisi cairan pada gigi yang belum erupsi. 1,2,3,4 Lesi ini dapat ditemukan pada anak-anak maupun dewasa dengan insiden tertinggi pada dekade ketiga kehidupan dengan rasio laki-laki berbanding wanita 1,6:1 tanpa adanya predileksi rasial. 2,4,5 Gigi molar ketiga rahang bawah, kaninus rahang atas, dan premolar rahang bawah merupakan gigi yang sering mengalami kista dentigerus.…”

Section: Pendahuluanunclassified

“…Dalam penelitian lain dikatakan bahwa kista dentigerus terkadang ditemukan secara tidak sengaja pada pemeriksaan panoramik radiograf. 8,9 Radiograf panoramik sangat berguna untuk mengidentifikasi dan menegakkan radiodiagnosis dari kista dentigerus, namun memiliki beberapa kekurangan. Kekurangnnya dalam kasus ini yaitu kurang mampu memperlihatkan hubungan lesi dengan struktur anatomi yang berdekatan, selain itu lesi juga terdapat pada area anterior rahang atas yang sering kali superimposisi sehingga memberikan gambaran tidak jelas, terlebih untuk kasus ini perluasan lesi kearah superior dan posterior tidak terlihat.…”

Section: Pembahasanunclassified

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Temuan kista dentigerus rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiograf

2020

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Kista dentigerous atau kista folikuler merupakan kista odontogenik yang terbentuk selama perkembangan gigi dan terbentuk karena akumulasi cairan di rongga folikuler pada gigi yang belum erupsi. Lokasi gigi-gigi yang sering berhubungan dengan kista dentigerous adalah gigi M3 rahang bawah, C rahang atas, P rahang bawah dan jarang pada gigi M3 rahang atas. Kista dentigerous yang berkaitan dengan gigi supernumerari dan sinus maksilaris sangat jarang ditemukan. Panoramik dan CBCT dapat dilakukan untuk melihat kasus kista dentigerous. Tujuan laporan kasus ini untuk melihat temuan kista dentigerous di rahang atas yang meluas sampai ke kavum nasi dan sinus maksilaris melalui gambaran CBCT dan panoramik radiograf. Laporan kasus: Seorang pasien laki-laki berusia 27 tahun datang ke RSGM Unpad untuk dilakukan CBCT-3D. Keluhan pasien yaitu bengkak di daerah langit-langit lebih dari 1 tahun yang lalu, bengkak meluas ke pipi sejak 1-2 bulan yang lalu. Keluhan bengkak tidak terasa nyeri. Konsistensi massa keras dan terasa nyeri saat ditekan. Hasil pemeriksaan CBCT dan histopatologi menyatakan bahwa lesi merupakan kista dentigerous. Simpulan: Kista dentigerous pada CBCT menunjukkan perluasan lesi ke kavum nasal dan sinus maksilaris serta tepi yang lebih jelas dibandingkan dengan radiograf panoramik. Kata kunci: CBCT, panoramik, kista dentigerous, kavum nasal, sinus maksilaris. Maxillary dentigerous cyst finding with expansion of the nasal cavity and maxillary sinus through the CBCT and panoramic radiographs ABSTRACT Introduction: Dentigerous cysts or follicular cysts are odontogenic cysts that form during tooth development and formed from the accumulation of fluid in the follicular cavity of an unerupted tooth. The teeth locations often associated with dentigerous cysts are the mandibular M3, the maxillary C, the mandibular P, and rarely occurred in the maxillary M3. Dentigerous cysts associated with supernumerary teeth and maxillary sinuses are extremely rare. Panoramic and CBCT can be performed to observe dentigerous cysts cases. This case report was aimed to examine the findings of a maxillary dentigerous cyst with expansion of the nasal cavity and maxillary sinus through CBCT and panoramic radiographs. Case report: A 27-yearsold male patient came to Universitas Padjadjaran Dental Hospital for CBCT-3D examination. The patient's complaint was swelling in the palate from more than one-year prior, extended to the cheek from 1-2 months prior. Complaints of swelling was not painful, although, when pressed, then a solid, painful mass will be felt. The results of CBCT and histopathological examination confirmed that the lesion was a dentigerous cyst. Conclusion: Dentigerous cyst on CBCT showed expansion of the lesion to the nasal cavity and maxillary sinus as well as more apparent margins compared to panoramic radiographs.

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Section: Pendahuluanunclassified

Section: Pembahasanunclassified

Temuan kista dentigerus rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiograf

2020

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“…Dentigerous cyst is a type of odontogenic cyst and accounts for 20-24% of all jaw cysts ( 1 ). There are two types of dentigerous cysts: one of developmental origin, associated with impacted teeth ( 2 ) and the other one, of inflammatory origin, associated with non-vital primary teeth ( 3 , 4 ). Inflammatory dentigerous cysts are only found in the mixed dentition and they generally involve mandibular premolars ( 3 , 5 ).…”

Section: Introductionmentioning

confidence: 99%

“…A dentigerous cyst encloses the crown of an unerupted tooth by expansion of its follicle and is attached to the tooth along the cervical region ( 6 ). Dentigerous cysts are often asymptomatic and they are usually detected during routine radiographic examination, X-rays taken for orthodontic reasons or in order to find the reason for delayed eruption ( 2 , 7 , 8 ). In the radiographic examination, dentigerous cyst lesion shows a well-demarcated unilocular radiolucency with a sclerotic border, surrounding the crown of an unerupted tooth ( 3 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

Management of large inflammatory dentigerous cysts adapted to the general condition of the patient: Two case reports

et al. 2021

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Dentigerous cysts may be of developmental or inflammatory origin. The latter occur in unerupted permanent teeth as a result of inflammation from a preceding non-vital primary tooth or from another source spreading to involve the tooth follicle. This report presents two clinical cases of children with dentigerous cysts of inflammatory origin. Case 1 is a healthy boy (7 years 11 months) referred for a large cystic cavity in the right mandibular premolar region. Extraction of 84 and 85 and marsupialization of the cyst were performed under nitrous sedation. A removable appliance with an acrylic piece fitted into the socket was applied on the same occasion. The in-socket piece was progressively reduced as the cystic cavity was shrinking. After a 20-month follow-up, 44 and 45 are sound and correctly erupted and 46 remains unaffected. Case 2 is an autistic girl (10 years 9 months) with bilateral large odontogenic cysts enclosing the crowns of 35 and 45. Extractions of 75, 85 were performed under general anesthesia, leaving large bone defects. Given the limited compliance of the patient under common dental office circumstances, no appliance was used. Thirteen months after extraction, 35 and 45 are sound, fully erupted and no visible mesial drifting of 36 and 46 occurred. In conclusion, conservative treatment of large inflammatory dentigerous cysts in children gives good results with minimal intervention, ensures physiologic development of teeth and proper bone healing. The general condition of the patient can influence treatment choice. Patients must be followed up until eruption of the displaced permanent teeth and bony consolidation of the cyst.

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“…Bilateral dentigerous cyst in the absence of a syndrome is rare 3 . Non-syndromic bilateral odontogenic cysts have only rarely been reported in the literature, with less than twenty cases reported to date 4 . This paper reports a rare case of bilateral dentigerous cyst in the mandibular ramus of a non-syndromic child 6 years old patient previously diagnosed with a bilateral supra-renal tumor, treated by surgical enucleation.…”

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confidence: 99%

Bilateral dentigerous cyst in suprarenal tumor child: a case report

Frascino¹,

Almeida²,

Fava³

et al. 2021

Arch. Head Neck Surg.

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Bilateral dentigerous cyst in patients with no syndrome diagnosis is rare. Only 20 cases are published, to our knowledge. Here, a 6 years old child with a previous adrenal tumor diagnosis at 2yo and surgically treated at 4yo presented at our outpatient clinic in a quaternary children's hospital with a painless mandibular bone expansion on both sides. Physical and tomographic assessments suggested odontogenic cysts. Due to continuous hormone therapy with hydrocortisone and fludrocortisone, excisional biopsies were performed. Teeth associated with the cysts were removed to avoid postoperative infections. The patient had an uneventful follow-up and no recurrence signs. This case report reveals a potent focus of oral infections in an immunosuppressed patient. In these cases, the multidisciplinary approach is necessary.

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Bilateral Mandibular Dentigerous Cysts Presenting as an Incidental Finding: A Case Report

Cited by 7 publications

References 9 publications

Temuan kista dentigerus rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiograf

Temuan kista dentigerus rahang atas dengan perluasan kavum nasal dan sinus maksilaris melalui CBCT dan panoramik radiograf

Management of large inflammatory dentigerous cysts adapted to the general condition of the patient: Two case reports

Bilateral dentigerous cyst in suprarenal tumor child: a case report

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