Giant dentigerous cyst occupying the right hemimandible

Abstract

Dentigerous cysts are the second most common odontogenic cysts of the mandible. They may vary in size from 2 cm to more than 10 cm. In the present report, a dentigerous cyst with massive involvement of the right half of the mandible in a young patient is presented. For cosmetic reasons and long term risks these cysts must be treated. Surgical removal is the preferred modality and a submandibular route should be chosen in large lesions. Bony cavities may be decreased in volume by using osteoperiosteal flaps, but there is no need for primary bone grafting, even for large defects.

Dentigerous Cyst Associated with an Ectopic Tooth in the Subcondylar Area: A Case Report and Literature Review

“…However, an ectopic eruption may result due to either developmental disturbances, iatrogenic activity, or pathological process such as dentigerous cysts (Pace et al, 2010;Buyukkurt et al, 2010;Shivashankara et al, 2012;Iglesias-Martin et al, 2012). Dentigerous cysts are the second most common odontogenic cysts after radicular cysts, accounting for approximately 24 % of all true cysts of the jaw and are the most common developmental cyst of the jaw (Kocer et al, 2002;McCrea, 2009). The third molar is the tooth most frequently involved and the posterior area of the mandible is the most common site of dentigerous cysts (Kocer et al, 2002;Ustuner et al, 2003).…”

“…Dentigerous cysts, also called follicular cyst, are the most common developmental odontogenic cysts, and second most common cystic lesions of the jaw next to radicular cysts (Kocer et al, 2002;McCrea, 2009). They account for approximately 24 % of all true cysts in the jaw (McCrea, 2009).…”

“…The mandible is likely to be the primarily affected site, as cysts are located in the mandible in 75 % of the cases (Ustuner et al, 2003). These cysts most commonly arise from mandibular third molars, followed by maxillary third molars and maxillary canines (Kocer et al, 2002;Buyukkurt et al, 2010). Clinical examinations reveal a missing tooth or teeth and an asymptomatic swelling that sometimes results in facial asymmetry and possible pathologic fracture (Kocer et al, 2002;McCrea, 2009).…”

“…These cysts most commonly arise from mandibular third molars, followed by maxillary third molars and maxillary canines (Kocer et al, 2002;Buyukkurt et al, 2010). Clinical examinations reveal a missing tooth or teeth and an asymptomatic swelling that sometimes results in facial asymmetry and possible pathologic fracture (Kocer et al, 2002;McCrea, 2009). Dentigerous cysts surrounding impacted teeth often displace these teeth into ectopic positions (McCrea, 2009;Buyukkurt et al, 2010).…”

“…The standard treatment for a dentigerous cyst is enucleation and extraction of the tooth involved (Martinez-Perez and Varela-Morales, 2001;Kocer et al, 2002;Buyukkurt et al, 2010;Bowman et al, 2014). In large cysts, an initial marsupialization to diminish the size of the osseous defect followed by enucleation and tooth extraction has been advocated (Martinez-Perez and Varela-Morales, 2001).…”