Bilateral dentigerous cyst in a non-syndromic patient: Report of an unusual case with review of the literature

Abstract

Dentigerous cysts are the most common developmental cysts of the jaws, most frequently associated with impacted mandibular third molar teeth and impacted canines. Bilateral dentigerous cysts are rare and occur typically in association with a developmental syndrome. The occurrence of bilateral dentigerous cysts is rare and, to date, only 21 cases have been reported in literature till 2009. Here, we report a case of bilateral dentigerous cysts in maxillae of non-syndromic 10-year-old patient with brief review of literature.

Cone Beam Computed Tomography Finding of Unusual Bilateral Dentigerous Cysts in a Nonsyndromic Patient: A Case Report

“…However, the bilateral type of DC is extremely rare, and is usually associated with such developmental syndromes as cleidocranial dysplasia, basal cell nevus syndrome, and mucopolysaccharidosis (type VI); it may also be associated with drugs, such as cyclosporine and calcium canal blockers (1,3,6). Gingival hyperplasia and impaired dentition are the most common complications shared by most of these syndromes (3).…”

“…Some DCs may cause fractures and may result from a secondary infection. DCs are usually unilateral; the occurrence of multiple DCs is rare and is usually associated with such syndromes as mucopolysaccharidosis and cleidocranial dysplasia (1,3,6).…”

“…After radicular cysts, a dentigerous cyst (DC) is the most common odontogenic cyst (1,2), originating from a reduced enamel epithelial after crown formation (1). DCs account for approximately 24% of all true cysts in the jaw (3).…”

What Do We Know About Dentigerous Cysts in Children, A Review of Literature

“…Only one case reported the use of nitrous oxide with general and local anaesthesia [96]. Some of the included clinical studies did not mention the type of anaesthetic technique used [10,14,16,17,21,35,36,39,42,44,46,49,50,51,54,55,57,59,66,68,70,74,78,79,81,82,85,89,90,93,98,102,103]. In one study the extracted tooth was re-planted after the marsupialization, however there was no enough long term follow-up [16].…”

Conservative management of dentigerous cyst in a child

“…Dentigerous cyst (DC), also known as follicular cyst, is an odontogenic cyst with fluid accumulation between the crown and enamel organ of an unerupted tooth [4]. Buccal bony expansion is the most common clinical feature [5] related to epithelial proliferation, release of boneresorbing factors and an increase in cyst fluid osmolality [6].…”