Decompression Method of Treatment for Dentigerous Cyst Associated with Impacted Lower Second Molar Tooth
Abstract
Dentigerous cysts are the most common cysts in the maxilla and mandible after radicular cysts. They are more common in the mandible and men. They are usually symptomless. Patients present with the complaint of unerupted teeth and they are noticed during routine radiography examination. On radiographs, they are generally observed as wide radiolucency around the crown of an unerupted tooth. CBCT (cone-beam computed tomography) is the golden key in the evaluation of the relationship of cysts and tumors with anatomical structures. In advanced cases, dentigerous cysts enlarge by damaging adjacent bone and tooth structures and may lead to conditions that affect the comfort of life such as function, phonation, or fracture. Although cyst enucleation is among the treatment options, it is an ideal treatment to add marsupialization, decompression, and cyst reduction to enucleation in advanced cases. In this case report, the diagnosis and treatment of a dentigerous cyst associated with an impacted tooth, located close to the mandibular canal, which poses a risk of paresthesia and fracture, is described in a young patient.
References
- 1. Takagi S, Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6- year-old child. J Oral Maxillofac Surg. 1998;56(2); 237-9
- 2. Küçükkurt S, Tükel C, Barış E. "Çocuk hastalarda dentigeröz kistin konservatif tedavisi: İki olgu sunumu." 7tepe Klinik Dergisi, 2017; 13.3: 71-75.
- 3. Chi AC, Nevılle, BW. Odontogenic cysts and tumors. Surgical pathology clinics, 2011; 4.4: 1027-1091.
- 4. Johnson NR, Gannon OM, Savage NW, Batstone MD. Frequency of odontogenic cysts and tumors: a systematic review. J Investig Clin Dent 2014; 5: 9-14.
- 5. Srinivasa Prasad T, Sujatha G, Niazi TM, et al. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a rare entity. Indian J Dent Res 2007;18(3):141-3.
- 6. Tournas AS, Tewfik MA, Chauvin PJ, et al. Multiple unilateral maxillary dentigerous cysts in a nonsyndromic patient: a case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra 2006; 1: 100-6 .
- 7. Astekar M, Manjunatha BS, Kaur P, Singh J. Histopathological insight of complex odontoma associated with a dentigerous cyst. BMJ Case Rep 2014.
- 8. Wanjari SP, Tekade SA, Parwani RN, Managutti SA. Dentigerous cyst associated with multiple complex composite odontomas. Contemp Clin Dent 2011; 2: 215-217.
- 9. Ikeshima A, Tamura Y. Differential diagnosis between dentigerous cyst and benign tumor with an embedded tooth. J Oral Sci 2002; 44: 13-17.
- 10. Prabhusankar K., et al. CBCT cyst leasions diagnosis imaging mandible maxilla. Journal of clinical and diagnostic research: JCDR, 2014; 8.4: ZD03.
- 11. Yetkıner E, Tekın U, Atagün Ç.Dentijeröz kist tedavisinde ortodontik traksiyon: olgu bildirimi. Acta Odontologica Turcica, 2015; 32: 149-52.
- 12. Werkmeister R, Fillies T, Joos U, Smolka K. Relationship between lower wisdom tooth position and cyst development, deep abcess formation and mandibular fracture. J Craniomaxillofac Surg 2005; 33: 164- 8.
- 13. Eliasson S, Heimdahl A, Nordenram A. Pathological changes related to long-term impaction of third molars. A radiographic study. Int J Oral Maxillofac Surg 1989;18:210-2.
- 14. Dimitroulis George and John Curtin. "Massive residual dental cyst: Case report." Australian dental journal. 1998; 43.4: 2-4.
- 15. Costa V, Caris AR, Leon JE, Ramos CJ, Jardini V, Kaminagakura E. Cystic Odontoma in a Patient with Hodgkin's Lymphoma. Case Rep Dent 2015.
- 16. Sivri D, Öztürk K, Çetiner S. Çenelerdeki Kistik Lezyonların Dekompresyonunda Kullanılan Stentler Çenelerde Kullanılan Dekompresyon Stentleri. Aydın Dental Journal. 2019; 6.1: 23-29.
- 17. Enislidis G, Fock N, Sulzbacher I, Ewers R. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J oral Maxillofac Surg. 2004;42(6):546–50
Abstract
Dentigeröz kistler radiküler kistlerden sonra maksilla ve mandibulada en çok görülen kistlerdir. Mandibulada ve erkeklerde daha sık görülürler. Genelde semptom vermezler. Hastalar dişlerin sürmemesi şikâyeti ile başvurular ve rutin radyografi muayenesinde farkedilirler. Radyografilerde genel olarak sürmemiş bir dişin kronu etrafında geniş radyolüsensi olarak izlenirler. KIBT (konik ışınlı bilgisayarlı tomografi), kist ve tümörlerin anatomik yapılarla olan ilişkinin değerlendirmesinde altın anahtardır. Dentigeröz kistler, ilerleyen vakalarda komşu kemik ve diş yapılarına zarar vererek genişlerler ve fonksiyon, fonasyon veya fraktür gibi hayat konforunu etkileyen durumlara yol açabilirler. Kist enükleasyonu tedavi seçenekleri arasında olsa da ilerlemiş vakalarda marsupyalizasyon, dekompresyon yöntemi ile kistin küçültülmesi yönteminin enükleasyona eklenmesi ideal bir tedavidir. Bu vaka raporunda genç bir hastada gömülü bir diş ile ilişkili, mandibular kanala yakın yerleşimli, parestezi ve fraktür riski oluşturan dentigeröz kistin tanı ve tedavisi anlatılmaktadır.
References
- 1. Takagi S, Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6- year-old child. J Oral Maxillofac Surg. 1998;56(2); 237-9
- 2. Küçükkurt S, Tükel C, Barış E. "Çocuk hastalarda dentigeröz kistin konservatif tedavisi: İki olgu sunumu." 7tepe Klinik Dergisi, 2017; 13.3: 71-75.
- 3. Chi AC, Nevılle, BW. Odontogenic cysts and tumors. Surgical pathology clinics, 2011; 4.4: 1027-1091.
- 4. Johnson NR, Gannon OM, Savage NW, Batstone MD. Frequency of odontogenic cysts and tumors: a systematic review. J Investig Clin Dent 2014; 5: 9-14.
- 5. Srinivasa Prasad T, Sujatha G, Niazi TM, et al. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a rare entity. Indian J Dent Res 2007;18(3):141-3.
- 6. Tournas AS, Tewfik MA, Chauvin PJ, et al. Multiple unilateral maxillary dentigerous cysts in a nonsyndromic patient: a case report and review of the literature. Int J Pediatr Otorhinolaryngol Extra 2006; 1: 100-6 .
- 7. Astekar M, Manjunatha BS, Kaur P, Singh J. Histopathological insight of complex odontoma associated with a dentigerous cyst. BMJ Case Rep 2014.
- 8. Wanjari SP, Tekade SA, Parwani RN, Managutti SA. Dentigerous cyst associated with multiple complex composite odontomas. Contemp Clin Dent 2011; 2: 215-217.
- 9. Ikeshima A, Tamura Y. Differential diagnosis between dentigerous cyst and benign tumor with an embedded tooth. J Oral Sci 2002; 44: 13-17.
- 10. Prabhusankar K., et al. CBCT cyst leasions diagnosis imaging mandible maxilla. Journal of clinical and diagnostic research: JCDR, 2014; 8.4: ZD03.
- 11. Yetkıner E, Tekın U, Atagün Ç.Dentijeröz kist tedavisinde ortodontik traksiyon: olgu bildirimi. Acta Odontologica Turcica, 2015; 32: 149-52.
- 12. Werkmeister R, Fillies T, Joos U, Smolka K. Relationship between lower wisdom tooth position and cyst development, deep abcess formation and mandibular fracture. J Craniomaxillofac Surg 2005; 33: 164- 8.
- 13. Eliasson S, Heimdahl A, Nordenram A. Pathological changes related to long-term impaction of third molars. A radiographic study. Int J Oral Maxillofac Surg 1989;18:210-2.
- 14. Dimitroulis George and John Curtin. "Massive residual dental cyst: Case report." Australian dental journal. 1998; 43.4: 2-4.
- 15. Costa V, Caris AR, Leon JE, Ramos CJ, Jardini V, Kaminagakura E. Cystic Odontoma in a Patient with Hodgkin's Lymphoma. Case Rep Dent 2015.
- 16. Sivri D, Öztürk K, Çetiner S. Çenelerdeki Kistik Lezyonların Dekompresyonunda Kullanılan Stentler Çenelerde Kullanılan Dekompresyon Stentleri. Aydın Dental Journal. 2019; 6.1: 23-29.
- 17. Enislidis G, Fock N, Sulzbacher I, Ewers R. Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J oral Maxillofac Surg. 2004;42(6):546–50
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Oral and Maxillofacial Surgery |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 19, 2021 |
| Published in Issue | Year 2021 Volume: 2 Issue: 2 |
