Conservative management of dentigerous cyst in children: Report of two clinical cases

Khalifa, Chaima; Garma, Maroua; Mabrouk, Rihab; Slim, Afef; Bouguezzi, Adel; Selmi, Jamil

doi:10.1002/ccr3.7051

Cited by 4 publications

(2 citation statements)

References 31 publications

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“…Age and stage of dental development appear to be predictive factors correlated with spontaneous dental eruption after marsupialization. Spontaneous eruption occurs at the beginning of the first decade and when root development is less than or equal to half of complete formation [14,15]. This finding could be partially explained by the greater potential for bone regeneration in younger individuals.…”

Section: Discussionmentioning

confidence: 99%

Management of Permanent Teeth in Dentigerous Cysts in Children: A Case Report

Antunes,

Albisetti,

Fricain

et al. 2023

Cureus

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Dentigerous cysts are the second most common odontogenic lesion, after radicular cysts. Dentigerous cysts mainly affect individuals in their second to fourth decades of life, with a slight male predominance. Because diagnosis is often late, surgical procedures like enucleation and removal of the impacted tooth misplaced are often necessary.However, if a dentigerous cyst is detected early in a child with delayed tooth eruption, the treatment goal is to preserve and properly position the permanent tooth within the arch. In such cases, conservative approaches like cyst decompression may be considered appropriate.We present a case of a dentigerous cyst in a 10-year-old child with delayed eruption of teeth 22 and 23. The condition was managed using decompression alone and orthosurgical traction, which facilitated the proper placement of the impacted teeth within the arch. This article emphasizes the significance of a multidisciplinary approach involving surgical and orthodontic management for dentigerous cysts in children, along with the importance of patient compliance with the treatment plan.

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Section: Discussionmentioning

confidence: 99%

Management of Permanent Teeth in Dentigerous Cysts in Children: A Case Report

Antunes,

Albisetti,

Fricain

et al. 2023

Cureus

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“…A dentigerous cyst (DC), also known as a follicular cyst, is an odontogenic cystic type with an epithelial lining connected to the cementoenamel junction associated with an unerupted tooth, preventing it from erupting and causing displacement to the inferior border [1]. It is the second-most frequent odontogenic cyst after radicular cyst and the most frequent developing cyst [2,3].…”

Section: Introductionmentioning

confidence: 99%

Conservative Management of Dentigerous Cysts Associated With Mixed Dentition: A Retrospective Cohort Study

Alqadi,

Jambi,

Abdullah

et al. 2023

Cureus

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The pediatric dentigerous cysts might vary by region and population group. Large cystic lesions are typically treated with marsupialization before enucleation in order to decompress the lesion and reduce its volume; however, in pediatric cystic lesions, conservative marsupialization and decompression can be used to manage the condition without additional enucleation. The current study's objectives were to present a case series of pediatric dentigerous cysts and discuss the conservative management of these cystic lesions associated with mixed dentition. MethodsA retrospective cohort analysis of patients diagnosed with cystic lesions between 2016 and 2023 was identified. Data on clinical, radiological, pathological, and odontogenic causes were collected. The marsupialization approach was performed in all cases. Patient demographic information was also examined, and a literature review was carried out to identify comparable cases. ResultsSixteen young patients were diagnosed with dentigerous cysts, and this was confirmed by clinical, radiological, and pathological examinations. Females comprised 56.2% of the cases, with the right side predominating (62.5%). Deciduous teeth related to the lesion could be extracted normally in all cases. All associated permanent teeth erupted rapidly after the intervention. ConclusionThe marsupialization technique used in the current cases of dentigerous cysts associated with mixed dentition was highly successful, and all permanent impacted teeth erupted without any cystic recurrence.

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Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects

Langă,

Nica,

Duma

et al. 2024

Medicina

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Background and Objectives: Dentigerous cysts are one of the most frequent pathologies associated with unerupted or impacted teeth. Such cysts show a male predilection and a preference for the mandibular region. Also, they commonly occur in the second and third decades of life, with only 9% occurring in the first decade. The aim of this work is to apply and study the therapeutic algorithms developed for dentigerous cysts and their outcomes, from the early diagnostic stage to the complete healing phase of pediatric patients diagnosed with this medical condition. Materials and Methods: The study included 19 pediatric patients diagnosed with dentigerous cysts who underwent the enucleation and extraction or conservative attitude of the associated tooth. The bony healing was also followed-up 9 months after the surgery. Results: A higher incidence in the posterior area of the mandible and maxilla was observed, as well as a higher incidence in boys. The 9 months postoperative radiographic assessment showed that the bony defects were completely healed. Conclusions: A thorough understanding of the nature of the lesion backed by a good clinical history and by state-of-the-art radiographic and radiologic examinations can go a long way in helping the surgeon to choose the correct therapeutic approach and to ameliorate the medical condition in the best long-term interest of the young patient. The considered dentigerous cyst cases demonstrated that an early diagnosis and treatment of this pathology is followed by a responsive treatment.

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Conservative management of dentigerous cyst in children: Report of two clinical cases

Cited by 4 publications

References 31 publications

Management of Permanent Teeth in Dentigerous Cysts in Children: A Case Report

Management of Permanent Teeth in Dentigerous Cysts in Children: A Case Report

Conservative Management of Dentigerous Cysts Associated With Mixed Dentition: A Retrospective Cohort Study

Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects

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