Dentigerous Cysts with Diverse Radiological Presentation Highlighting Diagnostic Challenges

Perez, Alexandre; Lenoir, Vincent; Lombardi, Tommaso

doi:10.3390/diagnostics12082006

Cited by 13 publications

(8 citation statements)

References 25 publications

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“…DC are benign odontogenic cysts that occur in a wide age range, with a peak frequency in the twenties and thirties; they are the second most common odontogenic cysts after radicular cysts, accounting for approximately 24% of all true cysts in the jaws [17][18][19]. DC develop from fluid accumulation between the reduced enamel epithelium of the follicle and the crown of an unerupted tooth, or between the layers of the reduced enamel epithelium.…”

Section: Discussionmentioning

confidence: 99%

Characteristic Mean Kurtosis Values in Simple Diffusion Kurtosis Imaging of Dentigerous Cysts

Fukumura,

Kuroda,

Yoshida

et al. 2023

Diagnostics

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We evaluated the usefulness of simple diffusion kurtosis (SD) imaging, which was developed to generate diffusion kurtosis images simultaneously with an apparent diffusion coefficient (ADC) map for 27 cystic disease lesions in the head and neck region. The mean kurtosis (MK) and ADC values were calculated for the cystic space. The MK values were dentigerous cyst (DC): 0.74, odontogenic keratocyst (OKC): 0.86, ranula (R): 0.13, and mucous cyst (M): 0, and the ADC values were DC: 1364 × 10−6 mm2/s, OKC: 925 × 10−6 mm2/s, R: 2718 × 10−6 mm2/s, and M: 2686 × 10−6 mm2/s. The MK values of DC and OKC were significantly higher than those of R and M, whereas their ADC values were significantly lower. One reason for the characteristic signal values in diffusion-weighted images of DC may be related to content components such as fibrous tissue and exudate cells. When imaging cystic disease in the head and neck region using SD imaging, the maximum b-value setting at the time of imaging should be limited to approximately 1200 s/mm2 for accurate MK value calculation. This study is the first to show that the MK values of DC are characteristically higher than those of other cysts.

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Section: Discussionmentioning

confidence: 99%

Characteristic Mean Kurtosis Values in Simple Diffusion Kurtosis Imaging of Dentigerous Cysts

Fukumura,

Kuroda,

Yoshida

et al. 2023

Diagnostics

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“…Cysts of the jaw bones, more often of odontogenic origin, are hollow benign neoplasms lined with multilayer squamous epithelium, and they are detected mainly in case of their large size, deformation of bone tissue, as well as in the development of secondary infection, etc. [1,2,3]. Such cysts are categorized into certain types: radicular, follicular, paradental, etc.…”

Section: Introductionmentioning

confidence: 99%

“…

Introduction.Cysts of the jaw bones, more often of odontogenic origin, are hollow benign neoplasms lined with multilayer squamous epithelium, and they are detected mainly in case of their large size, deformation of bone tissue, as well as in the development of secondary infection, etc. [1,2,3]. Such cysts are categorized into certain types: radicular, follicular, paradental, etc.Radicular cysts, which develop from cells of Epithelial Cell Rests of Malassez (ERM) and arise from foci of periapical chronic inflammation, account for the largest percentage in terms of frequency of occurrence.

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confidence: 99%

Frequency and Demographic Profile of Odontogenic Cysts From a Retrospective Analysis of a Cohort of Patients for the Period 2003-2014

Mammadov

2024

VPBM

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Connection of the publication with planned research works.This article is a fragment of a dissertation "Spectrum and Distribution of Odontogenic Cysts -Retrospective Analysis of a Patient Cohort between 2003 -2014", performed at the Clinic and Polyclinic for Oral, Maxillofacial, and Facial Surgery at Ludwig Maximilian University in Munich, Germany. Introduction.Cysts of the jaw bones, more often of odontogenic origin, are hollow benign neoplasms lined with multilayer squamous epithelium, and they are detected mainly in case of their large size, deformation of bone tissue, as well as in the development of secondary infection, etc. [1,2,3]. Such cysts are categorized into certain types: radicular, follicular, paradental, etc.Radicular cysts, which develop from cells of Epithelial Cell Rests of Malassez (ERM) and arise from foci of periapical chronic inflammation, account for the largest percentage in terms of frequency of occurrence. These cysts can be diagnosed in the adult population and are detected unlike other types of odontogenic cysts in the most cases [4,5]. But, in general, such pathological processes are observed in individuals in childhood, adolescence and older age, but often, that is, in more than 50% of cases, cysts are diagnosed in the age group reaching 20-40 years; according to other authors, the highest prevalence of odontogenic cysts was found in the age group of 30-50 years [6][7][8][9][10]. When determining the prevalence of radicular cysts, insignificant gender differences were revealed.Thus, according to some authors, odontogenic cysts were more frequently detected in men than in women [11,12], and according to other authors, odontogenic cysts are more common in women than in men [13]. A number of researchers have proved that odontogenic cysts are more often localized on the upper jaw, but the mandible (64.03%) was more frequently affected than the maxilla. 31.89% of lesions were in the maxilla, 3.57% in the maxilla and the maxillary sinus, and only 0.51% in the maxillary sinus. These results are comparable to data from. In our study, we evaluated the localization of all odontogenic cysts as well as individual cyst entities. According to our results, odontogenic cysts were mostly located in the mandibular molar region (37.9%) and the maxillary anterior tooth region (18.3%). These localizations were also the most affected jaw areas according to other sources.The study aimed to examine odontogenic cysts in adult and pediatric patients within an entire population and in two separate groups over an eleven-year period, using different criteria and comparing results with previous studies. Cases were evaluated based on cyst distribution, gender distribution, localization, treatment type, recurrence rate, and treatment of causative teeth. Radicular cysts and follicular cysts were more frequently diagnosed in this study. The residual cyst, eruption cyst, and lateral periodontal cyst occurred much less frequently. These findings essentially confirmed the results of previously published studies. A predo...

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“…Radiographically, a dentigerous cyst typically appears as a unilocular, round or oval-shaped radiolucent lesion attached to the CEJ, enclosing the crown of an unerupted tooth [ 2 , 3 , 5 , 7 , 8 ], with well-defined sclerotic margins [ 3 , 9 ]. In infected cysts that are large enough to perforate the cortical bone, sclerotic margins may be lost, resulting in ill-defined borders [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional evaluation of dentigerous cysts in the Turkish subpopulation

Eninanç,

Mavi

2024

BMC Oral Health

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Background To investigate the radiological and demographic features, types, distribution, and treatment methods of dentigerous cysts (DC). Methods Panoramic radiographs and cone beam computed tomography (CBCT) images of patients diagnosed with DC based on biopsy results between January 2020 and December 2023 were examined. In patients from different age groups, the numbers, types and locations, and radiological features of DCs, associated changes in surrounding tissues, and treatment methods used were reviewed. Results Among 95 patients with DC (66 males, 29 females), sex and age distributions were comparable between those with a single cyst (n = 86) and those with two cysts (n = 9). Of 104 DCs, 44 were central, 38 were lateral, and 22 were circumferential. DC types were not significantly affected by sex, age group, or anatomical location. Circumferential DCs often caused displacement of the mandibular canal inferiorly. While enucleation was preferred for the treatment of central DCs, circumferential DCs were treated with marsupialization. Conclusions In this study, which is the first to evaluate the DC types on CBCT images, the central type was the most common. Circumferential DCs were mostly treated with marsupialization. CBCT imaging can assist in determining DC types, and may provide guidance for treatment planning.

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Dentigerous Cysts with Diverse Radiological Presentation Highlighting Diagnostic Challenges

Cited by 13 publications

References 25 publications

Characteristic Mean Kurtosis Values in Simple Diffusion Kurtosis Imaging of Dentigerous Cysts

Characteristic Mean Kurtosis Values in Simple Diffusion Kurtosis Imaging of Dentigerous Cysts

Frequency and Demographic Profile of Odontogenic Cysts From a Retrospective Analysis of a Cohort of Patients for the Period 2003-2014

Three-dimensional evaluation of dentigerous cysts in the Turkish subpopulation

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