Management of extensive dentigerous cysts

Motamedi, Mohammad Hosein Kalantar; Talesh, Koroush Taheri

doi:10.1038/sj.bdj.4812082

Cited by 126 publications

(112 citation statements)

References 7 publications

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“…When the maxillary sinus is invaded, symptoms usually occur late in the process; the cyst usually remains asymptomatic but may produce painless bony expansion or facial asymmetry if it becomes large 2,8 . If inflamed, however, it becomes symptomatic, exhibiting classic signs of sinus disease including swelling, facial pain, headache, and nasolacrimal obstruction 2,3,8,9 . A large maxillary cyst involved the whole sinus in the present case.…”

Section: Discussionmentioning

confidence: 99%

Expansile dentigerous cyst invading the entire maxillary sinus: a case report

Cho

Nam

2012

J Korean Assoc Oral Maxillofac Surg

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(J Korean Assoc Oral Maxillofac Surg 2012;38:245-8) Reported cases of a large dentigerous cyst involving the whole maxillary sinus are uncommon. A 22-year-old female patient suffering from swelling of the right infraorbital area and cheek with dull pain was referred to our department. Findings on computed tomography (CT) and magnetic resonance imaging (MRI) revealed a huge mass containing a displaced maxillary third molar involving the right maxillary sinus as a whole, with partial erosion of the posterior sinus cortical bone. Under general anesthesia, the mass was enucleated using the Caldwell-Luc approach, and, following histopathological analysis, was diagnosed as a dentigerous cyst. The case was followed for a period of seven years, and no evidence of sinus infection or recurring cyst formation was observed during that time.Key words: Dentigerous cyst, Maxillary sinus, Ectopic third molar [paper submitted 2012. 2. 9 / revised 2012. 2. 10 / accepted 2012. 5. 3] large and have the potential to develop into an odontogenic tumor such as ameloblastoma or to become malignant as in oral squamous cell carcinoma and mucoepidermoid carcinoma. The standard treatment for a dentigerous cyst involves surgical enucleation and extraction of the cyst-associated impacted or unerupted tooth 3,4 , but long time for followup is required to rule out postoperative recurrence and postoperative cystic development 5 . The present case of an extensive dentigerous cyst involving the whole maxillary sinus in a 22-year-old female is not common; the lesion was enucleated by the Caldwell-Luc approach supported by computed tomography (CT) and magnetic resonance imaging (MRI) scan. The case was followed for a period of 7 years, and there was no evidence of sinus infection or recurring cyst formation. Thus, we present the case with literature reviews. II. Case reportA 22-year-old female patient under orthodontic treatment at a local clinic was referred to our department for further evaluation. The patient suffered from swelling and dull pain around the right infraorbital area, with partial right-sided nasal obstruction and watering of the right eye. The intraoral

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Section: Discussionmentioning

confidence: 99%

Expansile dentigerous cyst invading the entire maxillary sinus: a case report

Cho

Nam

2012

J Korean Assoc Oral Maxillofac Surg

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“…On few studies the patients had chief complaint of pain most of these cases had non-inflammatory aetiology [17,18,20,30,33,35,37,40,44,46,48,59,61,76].…”

Section: Aetiologymentioning

confidence: 99%

“…The 100 studies consist of 96 case reports and four case series [35,59,71,93]. The included published data were from seventeen different countries, mainly from India.…”

Section: Sex/ Distributionmentioning

confidence: 99%

“…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].…”

Section: Treatment Modalitymentioning

confidence: 99%

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

Tuwirqi¹,

Khzam²

2017

J Res Med Den Sci

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“…A imagem radiográfica pode apresentar-se com limites mal definidos e com aspecto multilocular, respectivamente, nos cistos infectados e nos cistos de grande dimensão (BAJAJ;MAHINDRAKAR;PUSHKER, 2003;KAWAMURA et al, 2004;MOTAMEDI;TALESH, 2005 (2003), o tratamento cirúrgico para o cisto dentígero pode ser a enucleação com exodontia do dente incluso, ou preservação do dente, ou ainda a marsupilalização nos casos de lesões grandes.…”

Section: Introductionunclassified