Dentigerous cyst associated with ectopic canine and a supernumerary tooth: A rare occurrence

Ramakrishna, Ashwini; Lambade, Pravin

doi:10.4103/2006-8808.128738

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…The increased hydrostatic pressure of this pooling fluid separates the follicle from the crown with or without reduced enamel epithelium. 9 The differential diagnosis of the dentigerous cyst includes ameloblastoma, odontogenic keratocyst, odontogenic fibroma, odontogenic myxoma, cementomas, and Pindborg tumor. Early identification and removal is necessary as they may rarely have the potential to develop into odontogenic tumors like ameloblastoma and malignancy like squamous cell carcinoma and mucoepidermoid carcinoma.…”

Section: Discussionmentioning

confidence: 99%

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Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases

Patil¹,

Jathar²,

Panse³

et al. 2019

International Journal of Clinical Pediatric Dentistry

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Aim To check the efficacy of decompression technique in children with dentigerous cysts. Background Most commonly occurring odontogenic cysts in the oral cavity are radicular cysts and dentigerous cysts. 1 According to Kramer, a cyst is defined as a pathological cavity having fluid, semi-fluid, or gaseous contents, which is not created by the accumulation of pus. A cyst which is lined by epithelium is known as a true cyst and that which is not lined by epithelium known as a pseudocyst. 2 The dictionary meaning of dentigerous is “structures resembling teeth”. 3 A dentigerous cyst is found enveloping the crown of an unerupted, embedded, or submerged tooth by the expansion of its follicle till the neck of the tooth. 1 It is not unusual for a dentigerous cyst to mimic a radicular cyst, especially when the cyst is associated with a pulpectomized or carious primary tooth and its unerupted permanent successor. This article presents two cases of infected dentigerous cysts. The first case was of a female patient associated with tooth 45; and another case was of a male patient associated with tooth 35. The infected dentigerous cyst in both the cases was treated with the most conservative option available, i.e., decompression technique. Case description In this article, two cases of infected dentigerous cysts are discussed, in which one case deals with the female patient associated with tooth 45 and the other case deals with the male patient associated with tooth 35. The infected dentigerous cysts in both the cases were treated conservatively, i.e., with the decompression technique. Conclusion The present case report states that the decompression technique may be the most conservative method available for managing dentigerous cysts in children. How to cite this article Patil AS, Jathar PN, et al. Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases. Int J Clin Pediatr Dent 2019;12(1):68–72.

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Section: Discussionmentioning

confidence: 99%

“…Early identification and removal is necessary as they may rarely have the potential to develop into odontogenic tumors like ameloblastoma and malignancy like squamous cell carcinoma and mucoepidermoid carcinoma. 9,10…”

Section: Discussionmentioning

confidence: 99%

Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases

Patil¹,

Jathar²,

Panse³

et al. 2019

International Journal of Clinical Pediatric Dentistry

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“…According to the scant literature available, in spite of the hypothetical relation between follicular sac expansion and its evolution into a follicular cyst, this can be considered unusual. Both Shetty and Sandler (29) and Ramakrishna and Lambade (30) report that cystic transformation is infrequent.…”

Section: Discussionmentioning

confidence: 99%

Clinical repercussions and epidemiological considerations of supernumerary canines: A 26 case series

Cortés-Bretón-Brinkmann

Martínez-Rodríguez²,

Dorado³

et al. 2019

Med Oral

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BackgroundTo establish the prevalence of supernumerary canines (SNC) in a sector of the population of Madrid (Spain), as well possible complications associated with this unusual developmental variation.Material and MethodsThis observational study was performed between 2005 and 2017, among 21,615 patients seeking dental treatment at the Faculty of Dentistry, Complutense University of Madrid (Spain), and at the Virgen de la Paloma Hospital, Madrid (Spain); 22 patients with 26 SNCs were diagnosed. These 22 patients underwent clinical and radiological exploration, registering patient data.ResultsSNCs presented a prevalence of 0.10% of the study population. The supernumerary teeth (SNT) were located in the upper maxilla more frequently (61.54%) than the mandible (38.46%). 69.23% were found to be impacted, also causing the impaction of the permanent canine in 53.85% of these cases. In 15.38%, follicular expansion > 3mm was observed. SNCs were associated with other SNT in only four patients.ConclusionsDespite of the fact that the SNCs are usually diagnosed casually in the course of radiological exploration, in the present study over half of them (53.85%) caused impaction of the permanent canine. Early diagnosis allows optimal patient management and treatment planning, with intervention at an appropriate time to prevent complications in development and so reduce later treatment need. Key words:Supernumerary canines, case-series, pathology, repercussions, epidemiological considerations.

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“…The morphology of the malformation can be very variable, and it may be difficult to distinguish between odontogenic entities when transitional forms occur. Cyst-like structures can develop with retained and dysmorphic surplus teeth and thus indicate a normal tooth developmental stage (follicle) (25,26), a developmental disorder (27,28), or true neoplasm (29). In the case presented, the tooth had developed within the neurofibroma.…”

Section: Imaging Of Ectopic Teeth On Radiographsmentioning

confidence: 93%

Microdont Developing Outside the Alveolar Process and Within Oral Diffuse and Plexiform Neurofibroma in Neurofibromatosis Type 1

Friedrich

Scheuer

Zustin³

et al. 2021

Anticancer Res

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Background/Aim: Numerical aberrations of permanent dentition and dystopic tooth eruption are part of the phenotype of the tumor predisposition syndrome neurofibromatosis type 1 (NF1). In these cases, surplus tooth germs usually develop in the alveolar processes of the jaw. This report attests to the dystopic development of a dysplastic supernumerary tooth in NF1 arising outside the jaw. Case Report: The 8-year-old male patient developed a microdont outside the bone and above the occlusal plane of the retained maxillary right second molar. The supernumerary tooth was completely embedded in oral soft tissue. Hyperplastic oral soft tissue in the molar region and microdont were excised. Specimen of the mucosa surrounding the teeth was interspersed with diffuse and plexiform neurofibroma. The retained upper right first molar emerged spontaneously within a few months after surgery. The upper right second molar did not change position. Conclusion: Odontogenesis can take place within tumorous oral mucosa in NF1. Surgical removal of the tumorous mucous membrane facilitates tooth eruption in some cases.Numerical aberrations of the permanent dentition have been reported in patients with neurofibromatosis type 1 (NF1) (1). NF1-associated supernumerary teeth were found more frequently in the molar region than in other tooth types (2,3). A topographic relationship between dental numerical aberrations and nerve sheath tumors typically arising in NF1 has been noticed in some cases (3). However, supernumerary teeth are regarded a constitutive finding in NF1 (3). This case report describes the diagnosis and treatment of a patient with NF1 who developed a supernumerary tooth of small size.

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Dentigerous cyst associated with ectopic canine and a supernumerary tooth: A rare occurrence

Cited by 7 publications

References 6 publications

Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases

Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases

Clinical repercussions and epidemiological considerations of supernumerary canines: A 26 case series

Microdont Developing Outside the Alveolar Process and Within Oral Diffuse and Plexiform Neurofibroma in Neurofibromatosis Type 1

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