Treatment of 2 impacted molars in a large dentigerous cyst (expansile cystic lesion) with combined orthodontic and surgical therapy

Chung, Kyu‐Rhim; Noh, Min-Ki; Oh, Song Hee; Jeong, Dawoon; Kim, Seong Hun; Nelson, Gerald

doi:10.1016/j.ajodo.2020.06.029

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…They maintained the space needed for the spontaneous eruption of the tooth by using a space maintainer. Chung et al (8) guided the mandibular first molar associated with a dentigerous cyst to a dental arch using a T-type C-tube placed in the inter radicular space of the posterior maxilla. In a study by Aoki1 et al (9), the orthodontic traction was not successful in guiding maxillary canine after the marsupialization of dentigerous cyst, thus alternative treatments, including tooth extraction and implant placement, were performed in this regard.…”

Section: Discussionmentioning

confidence: 99%

Eruption of an Uncommon Impacted Mandibular Canine in a Large Inflamed Dentigerous Cyst With the Combined Marsupialization and Orthodontic Treatment: A Case Report

Mollabashi,

Salehisaheb,

Naderi

et al. 2023

Avicenna J Dent Res

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A dentigerous cyst is a benign and asymptomatic lesion that may become extremely large and then interfere with tooth eruption. Marsupialization is known as the best treatment option for large cysts involving an unerupted permanent tooth. A 16-year-old female has been referred with the chief complaint of an unerupted tooth, extraoral and intraoral swelling, and pain. Radiographic examination demonstrated a unilocular, well-defined, and large radiolucent lesion extended from the distal of the right mandibular canine approximately to the left first mandibular molar. The mandibular left canine was also embedded within the lesion. The selected treatment plan was marsupialization, followed by performing orthodontic treatment of the unerupted mandibular canine. This clinical report presented the successful eruption of an impacted mandibular canine over a 4-years follow-up. The findings of this study revealed that the combination of marsupialization and orthodontic treatment is an effective treatment for large jaw cysts with impacted teeth.

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Section: Discussionmentioning

confidence: 99%

Eruption of an Uncommon Impacted Mandibular Canine in a Large Inflamed Dentigerous Cyst With the Combined Marsupialization and Orthodontic Treatment: A Case Report

Mollabashi,

Salehisaheb,

Naderi

et al. 2023

Avicenna J Dent Res

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“…Abu-Mostafa and Abbasi [ 12 ] published a case report in 2017 in which they effectively marsupialized a large DC and extruded the three involved permanent teeth in a 12-year-old female patient. In the year 2020, Chung et al [ 13 ] successfully treated a 10-year-old boy who had a large DC on the mandible and unerupted first and second permanent molars. The cystic lesion was marsupialized with orthodontic traction of the two molars using an orthodontic miniplate anchorage between the mandibular premolars.…”

Section: Discussionmentioning

confidence: 99%

Marsupialization of Dentigerous Cysts Followed by Enucleation and Extraction of Deeply Impacted Third Molars: Two Case Reports

Abu-Mostafa¹

2022

Cureus

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A dentigerous cyst (DC) is a developmental odontogenic cyst that involves the crown or a portion of the crown of an unerupted or impacted tooth. Mandibular third molars are the most commonly implicated teeth in this type of cyst. DC can be asymptomatic and detected by an ordinary radiographic examination. Two massive DC with deeply impacted third molars were treated by marsupialization followed by surgical extraction and enucleation of the residual lining. In both cases, sensation on the lower lip and chin remained normal, and complete bone healing was achieved. Decompression by simple marsupialization and extended follow-up are important roles in bone deposition and reduction of the cyst. Furthermore, surgical extraction can be performed non-traumatically for the cyst-associated tooth, because the surrounding bone is newer and less calcified than mature bone.

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“…As aforementioned, marsupialisation minimised the size of the bony defect, and 2 years was left to allow for bony infill prior to commencing orthodontic treatment. The distalisation of the LR7, LL7 was obtained by the utilisation of a titanium wire loop; however, temporary anchorage devices 10 or customised uprighting springs 11 could have been utilised. Multi‐disciplinary care allowed for the successful traction and alignment of all four permanent molars.…”

Section: Discussionmentioning

confidence: 99%

Multi‐disciplinary management of an unusual presentation of bilateral mandibular dentigerous cysts in a non‐syndromic child

2021

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Aim Bilateral dentigerous cysts of the mandible are extremely rare in non‐syndromic patients with <30 cases reported in the literature with only one involving successful orthodontic alignment of the affected teeth. This case aims to highlight a rare bilateral presentation of dentigerous cysts in a non‐syndromic child in addition to encouraging clinicians to consider multi‐disciplinary care for the management of cysts not only for successful resolution of the cystic spaces but also for subsequent successful orthodontic alignment of severely displaced teeth. Material and Methods A 12‐year old boy was referred to the paediatric dental department at the Edinburgh Dental Institute regarding partially erupted mandibular first permanent molars with suppuration and periodontal pocketing of 12mm. Radiographic examination revealed bilateral unilocular radiolucencies of the mandible associated with the partially erupted first and unerupted second permanent molars. The treatment to date includes oral hygiene advice, bilateral incisional biopsies and marsupialisation of the lesions under general anaesthetic, expose and bond procedures of the impacted mandibular second permanent molars and maxillary and mandibular fixed appliances. Results Both the first and second lower permanent molars have been successfully aligned within the arch. Histological analysis has confirmed the diagnosis of bilateral dentigerous cysts of the mandible although provisional diagnosis included bilateral keratocysts. This patient has had both clinical and radiographic follow‐up in the paediatric dental, oral surgery and orthodontic departments over a 4‐year period. Conclusion This is a highly unusual presentation of bilateral mandibular dentigerous cysts in a non‐syndromic child. Successful multi‐disciplinary care between the paediatric, oral surgery and orthodontic departments yielded an extremely favourable outcome for this challenging case. Paediatric dentists should be aware of this unusual presentation, the subsequent appropriate referral pathway and the promising feasibility of successful orthodontic alignment of the affected teeth.

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Treatment of 2 impacted molars in a large dentigerous cyst (expansile cystic lesion) with combined orthodontic and surgical therapy

Cited by 9 publications

References 14 publications

Eruption of an Uncommon Impacted Mandibular Canine in a Large Inflamed Dentigerous Cyst With the Combined Marsupialization and Orthodontic Treatment: A Case Report

Eruption of an Uncommon Impacted Mandibular Canine in a Large Inflamed Dentigerous Cyst With the Combined Marsupialization and Orthodontic Treatment: A Case Report

Marsupialization of Dentigerous Cysts Followed by Enucleation and Extraction of Deeply Impacted Third Molars: Two Case Reports

Multi‐disciplinary management of an unusual presentation of bilateral mandibular dentigerous cysts in a non‐syndromic child

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