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

Abstract

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.

Dentigerous cyst in the maxilla: case report in a pediatric patient

“…Ectopic eruption can be a result of to one of these 3 processes: developmental disorder, iatrogenic activity, or pathological process such as a tumor or cyst. (Patil et al, 2019) Dentigerous cysts are considered the second most common odontogenic cysts of the jaws and can inhibit the eruption of teeth. Almost all dentigerous cysts are localized in intimate contact with the crown of an unerupted tooth and the radiolucent area is in contact with the tooth at the cemento-enamel junction.…”

“…Inflamed dentigerous cysts may present multilayered cystic epithelium. (Patil et al, 2019) Conventional treatment is removal of the cyst through marsupialization. This treatment method can be helpful in promoting the spontaneous eruption of the tooth involved within the cyst.…”

Voluminoso quiste dentígero de mandíbula tratado en dos etapas quirúrgicas informe de caso

“…O cisto dentígero é uma lesão benigna oriunda do epitélio odontogênico associado à coroa de um dente incluso. queratoquiste y quiste primordial, y tumores odontogénicos como: ameloblastoma, ameloblastoma unilocular, fibroma ameloblástico y tumor odontogénico adenomatoide (7) . Histológicamente, los quistes dentígeros se caracterizan en la mayoría de los casos como una cavidad patológica revestida por un epitelio plano estratificado (5,9) .…”

Marsupialização de cisto dentígero após traumatismo

“…A cicatrização da luxação intrusiva, tanto na dentição permanente quanto na decídua, normalmente é complicada, levando, muitas vezes, o dente traumatizado a necrose pulpar, anquilose dentária e reabsorções radiculares. Quando ocorre na dentição decídua, a luxação intrusiva leva, geralmente, ao desenvolvimento de alterações na dentição permanente, como na morfologia dentária e formações de cistos, muito frequentemente, os cistos dentígeros 4 .…”