Inflammatory dentigerous cyst in a ten-year-old child

Abstract

Dentigerous cyst may be developmental or inflammatory in origin. The latter is found only in mixed dentition with a low frequency. Treatment of inflammatory type of dentigerous cyst in children should be done with the aim of saving developing permanent teeth which should not be sacrificed as far as possible. This is a case report of a large inflammatory dentigerous cyst in a 10-year-old female patient treated conservatively by marsupialization method saving all teeth (mandibular permanent left canine, first and second premolars) in relation to the cyst.

Case Report: Accidental Finding of Dentigerous Cyst in Unerupted Maxillary Incisor

“…Two types of dentigerous cyst are reported, namely, inflammatory and developmental in origin. Developmental type of cyst develops in a mature permanent tooth as a result of fluid accumulation, whereas the inflammatory counterpart develops in an immature permanent tooth (12). The developmental histopathogenesis of dentigerous cyst is constructed on the bases of extrafollicular and intrafollicular theories.…”

“…These cysts are frequently treated surgically, either by enucleation or by marsupialization. Marsupialization or decompression technique has been advocated widely for the treatment of DC in young patients (12). Marsupialization of cystic lining creates an accessory cavity to relieve intracystic pressure and accelerate the healing of the cystic lesion (12).…”

“…Marsupialization or decompression technique has been advocated widely for the treatment of DC in young patients (12). Marsupialization of cystic lining creates an accessory cavity to relieve intracystic pressure and accelerate the healing of the cystic lesion (12). CONCLUSION When a patient presents with bony swelling associated with any tooth, the differential diagnosis should be Dentigerous Cyst, radicular cyst, odontogenic k e r a t o c y s t , a m e l o b l a s t o m a s , o d o n t o g e n i c fibromyxoma, odontomas, and cementoma.…”

Cistos radiculares em incisivos decíduos traumatizados: série de casos

“…Embora a teoria de desenvolvimento dos cistos dentígeros seja a mais coerente, na literatura tem sido relatado casos com origem inflamatória (Shaw et al, 1980;Benn;Altini, 1996;Seddon et al, 2002;Shibata et al, 2004;Gondim et al, 2008;Kumar et al, 2012;Narang et al, 2012). Este fato, é muito importante, pois casos de cisto radicular e cisto dentígero podem estar sendo diagnosticados erroneamente.…”

“…Na literatura tem sido registrado e especulado os casos de cisto dentígero com origem inflamatória (Shaw et al, 1980;Benn;Altini, 1996;Seddon et al, 2002;Shibata et al, 2004;Gondim et al, 2008;Kumar et al, 2012;Narang et al, 2012), que tem sido relatados associados a folículos de germes dentários sucessores a dentes decíduos traumatizados que sofreram necrose pulpar. O cisto dentígero inflamatório, como o cisto dentígero de origem de desenvolvimento apresentam-se radiograficamente como uma imagem radiolúcida associada ao germe dentário (Takiguchi et al,2001), enquanto o cisto radicular ao ápice do dente decíduo (Freitas et al, 2000).…”