Treatment of nonsyndromic dentigerous cysts in primary dentition

Abstract

Dentigerous cysts are benign odontogenic cysts that are associated with the crowns of permanent teeth. They usually occur singly and are located in the mandible. Nonsyndromic bilateral dentigerous cysts (NSBDC) are rarely seen during childhood. The aim of this study was to determine the long-term effects of the marsupialization technique in growing children with NSBDC. Study design: Seven patients with NSBDC (4 female, 3 male) ranging in age from 7 to 9 years (mean 8.35 years) were involved in the study. All the individuals were treated by marsupialization. Space-maintaining ap pliances were applied during permanent teeth eruption. Intraoral photographs, and panoramic and periapical films were taken before surgery and during healing. Results: The NSBDC were successfully treated by the marsupialization technique and rapid healing period was observed in the growing patients, without any loss of permanent teeth. No recurrence was seen in the long-term follow-up period (3-10 years). Conclusion: Our clinical and radiological results revealed that using the marsupialization technique in children with NSBDC provided safe healing of permanent teeth around the dentigerous cysts in a short period. However, treatment planning and regular clinical follow-ups are necessary to ensure clinical success.

Bilateral nonsyndromic dentigerous cyst in a 10-year-old child: A case report and literature review

“…Similarly, the seventeen reported cases of nonsyndromic bilateral dentigerous cysts in the mixed dentition stage, were also seen in the first decade. [ 6 7 8 9 ]…”

Histological analysis of 41 dentigerous cysts in a paediatric population

“…Dentigerous cysts are usually clinically asymptomatic and are frequently detected during routine radiographic examination or from delayed eruption of a permanent tooth . Occasionally, there may be acute inflammatory exacerbation leading to clinical symptoms . Subtle facial asymmetry may be observed as cysts increase in size, which may then prompt patients to seek professional assistance.…”

Treatment of Radicular and Dentigerous Cysts With Marsupialization: A Retrospective Study

“…Dentigerous cyst is the most common cyst after radicular cyst (5,6). Dentigerous cysts are associated with the crown of unerupted teeth (7).…”