Marsupialization of a dentigerous cyst followed by orthodontic traction of two retained teeth: A case report

Maltoni, Ivano; Maltoni, Manuela; Santucci, Giorgia; Ramina, Fabio; Lombardo, Luca

doi:10.1016/j.ortho.2019.03.019

Cited by 9 publications

(12 citation statements)

References 23 publications

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“…Other frequent cysts and tumors that can be concomitant with eruption disturbance are presented in Table 1. As stated in previous research, there is no significant correlation between the histological diagnosis and location of an unerupted tooth in the dental arch [3]. In some cases, clinical and radiological findings are inconclusive and may suggest an inflammatory cyst or ameloblastoma.…”

Section: Introductionmentioning

confidence: 63%

“…Two main surgical approaches can be applied, depending on the patient's age and the size of the lesion (Table 2) [3,18,19]. The first, more radical method is aimed to remove the cyst completely in a one-step procedure called enucleation.…”

Section: Treatment Methods For Odontogenic Cyst-like Lesionsmentioning

confidence: 99%

“…On the basis of a histopathological survey performed by Mohamed et al in a group of patients under 10 years of age, this type of pathology was predominant [2]. It is estimated that 10% of impacted teeth are associated with a dentigerous cyst, and the most common location is the area of the third mandibular molars and maxillary canines [3]. Other frequent cysts and tumors that can be concomitant with eruption disturbance are presented in Table 1.…”

Section: Introductionmentioning

confidence: 99%

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The Interdisciplinary Orthodontic–Surgical Diagnostic and Treatment Protocol for Odontogenic Cyst-like Lesions in Growing Patients—A Literature Review and Case Report

et al. 2022

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Tooth eruption disturbances associated with developmental odontogenic cysts represent a particular challenge in orthodontic treatment. Early diagnosis, crucial for prompt and effective therapy, is possible with a thorough radiological analysis. Three-dimensional digital images provided by CBCT are indispensable to establish an interdisciplinary orthodontic–surgical treatment plan. The aim of this paper is to present a case of an odontogenic cyst in a nine-year-old male patient. Particular attention is paid to radiological findings, possible therapeutic approaches and potential complications connected with an attempt to improve the alignment of teeth. Orthodontic implications associated with cysts in growing patients are widely described according to clinical observations and literature review.

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Section: Introductionmentioning

confidence: 63%

Section: Treatment Methods For Odontogenic Cyst-like Lesionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Interdisciplinary Orthodontic–Surgical Diagnostic and Treatment Protocol for Odontogenic Cyst-like Lesions in Growing Patients—A Literature Review and Case Report

et al. 2022

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“…The choice of methods and tactics for orthopedic treatment of patients with gnathic (skeletal) forms of mesial occlusion, in which skeletal growth is not completed, is one of the most difficult problems in modern orthodontic practice [25], [26], [27]. The necessity of early treatment in these patients is obvious, but it is difficult to predict the success of orthopedic treatment when jaw growth continues [28], [29]. Usually, these patients are advised to start treatment when the maxilla growth is complete, and all permanent teeth have erupted, that is, by 15-16 years [26].…”

Section: Discussionmentioning

confidence: 99%

Treating Gnathic form of Mesial Occlusion in Early Adolescence Patients: A Clinical Trial

Hải¹,

Hong²,

2022

Open Access Maced J Med Sci

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AIM: The aim of the study was to evaluate the early and late results of the non-surgical orthopedic treatment efficiency in 12–14 years old children with the gnathic forms of mesial occlusion by the dentoalveolar compensation utilizing a permanent device with a palatal expanding screw. METHODS: The study enrolled 26 patients aged 12–14 years who underwent orthopedic treatment by the dentoalveolar compensation using a permanent device with a palatal expanding screw. Late treatment results aged 4–6 years were analyzed for 21 patients by cephalometric indices, five patients were excluded from the study due to change of residence. The comparison group included 20 patients of the same age and diagnosis who received orthopedic treatment with a face mask. RESULTS: The method of treatment utilizing a permanent apparatus with a palatal expanding screw showed better results than the facemask therapy. More pronounced changes of the general growth vector of the facial skeleton toward the maxilla normalization were noted. The anteroposterior relations between the jaw bases were normalized, the normal position of the upper and lower incisors was achieved, a stable interincisal angle was formed, and the aesthetics of the facial profile significantly improved. CONCLUSIONS: Using a fixed apparatus with a palatal expanding screw has significantly improved patients’ morphological, physiological, and esthetic performance. The evaluation of late results (from 4 to 6 years) showed normal development of the dentistry system in 90.5% of cases that allowed avoiding surgical intervention in these patients after the end of skeletal growth.

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“…The enlarged cyst usually results in dentition disturbance, dentofacial deformity, and even pathological fracture [2,3]. The standard treatment is surgical enucleation or curettage of the capsule combined with the involved tooth, while marsupialization is preferred in some pediatric cases and large cystic lesions (radiologic diameter > 3 cm), especially when they are proximal to vital structures [4][5][6][7]. However, it takes quite a long time for DC to reach recovery under marsupialization.…”

Section: Introductionmentioning

confidence: 99%

Activation of mesenchymal stem cells promotes new bone formation within dentigerous cyst

Zhou

et al. 2020

Stem Cell Res Ther

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Background Dentigerous cyst (DC) is a bone destructive disease and remains a challenge for clinicians. Marsupialization enables the bone to regenerate with capsule maintaining, making it a preferred therapeutic means for DC adjacent to vital anatomical structures. Given that capsules of DC are derived from odontogenic epithelium remnants at the embryonic stage, we investigated whether there were mesenchymal stem cells (MSCs) located in DC capsules and the role that they played in the bone regeneration after marsupialization. Methods Samples obtained before and after marsupialization were used for histological detection and cell culture. The stemness of cells isolated from fresh tissues was analyzed by morphology, surface marker, and multi-differentiation assays. Comparison of proliferation ability between MSCs isolated from DC capsules before (Bm-DCSCs) and after (Am-DCSCs) marsupialization was evaluated by Cell Counting Kit-8 (CCK-8), fibroblast colony-forming units (CFU-F), and 5′-ethynyl-2′-deoxyuridine (EdU) assay. Their osteogenic capacity in vitro was detected by alkaline phosphatase (ALP) and Alizarin Red staining (ARS), combined with real-time polymerase chain reaction (RT-PCR) and immunofluorescence (IF) staining. Subcutaneous ectopic osteogenesis as well as cranial bone defect model in nude mice was performed to detect their bone regeneration and bone defect repairability. Results Bone tissue and strong ALP activity were detected in the capsule of DC after marsupialization. Two types of MSCs were isolated from fibrous capsules of DC both before (Bm-DCSCs) and after (Am-DCSCs) marsupialization. These fibroblast-like, colony-forming cells expressed MSC markers (CD44+, CD90+, CD31−, CD34−, CD45−), and they could differentiate into osteoblast-, adipocyte-, and chondrocyte-like cells under induction. Notably, Am-DCSCs performed better in cell proliferation and self-renewal. Moreover, Am-DCSCs showed a greater osteogenic capacity both in vitro and in vivo compared with Bm-DCSCs. Conclusions There are MSCs residing in capsules of DC, and the cell viability as well as the osteogenic capacity of them is largely enhanced after marsupialization. Our findings suggested that MSCs might play a crucial role in the healing process of DC after marsupialization, thus providing new insight into the treatment for DC by promoting the osteogenic differentiation of MSCs inside capsules.

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Marsupialization of a dentigerous cyst followed by orthodontic traction of two retained teeth: A case report

Cited by 9 publications

References 23 publications

The Interdisciplinary Orthodontic–Surgical Diagnostic and Treatment Protocol for Odontogenic Cyst-like Lesions in Growing Patients—A Literature Review and Case Report

The Interdisciplinary Orthodontic–Surgical Diagnostic and Treatment Protocol for Odontogenic Cyst-like Lesions in Growing Patients—A Literature Review and Case Report

Treating Gnathic form of Mesial Occlusion in Early Adolescence Patients: A Clinical Trial

Activation of mesenchymal stem cells promotes new bone formation within dentigerous cyst

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