Treatment of nonsyndromic dentigerous cysts in primary dentition

Abstract

ObjectiveDentigerous 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 designSeven 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 appliances were applied during permanent teeth eruption. Intraoral photographs, and panoramic and periapical films were taken before surgery and during healing.ResultsThe 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).ConclusionOur 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.

Single visit apexification of a permanent maxillary molar using bio dentine: A case report

“…But large cystic lesions can expand the cortical bone to such an extent that they cause displacement of teeth and root resorption in the adjacent teeth. The recurrent rate of dentigerous cysts according to the literature is less, however, periodic evaluation is needed [4,5] . The open apex in the palatal canal of the maxillary molar was left untreated by the previous hospital and the patient was unaware of the necessity of treatment.…”

Long-term results after treatment of extensive odontogenic cysts of the jaws: a review

“…Akay et al [26] reported successful healing after marsupialization of dentigerous cysts in all subjects without tooth loss or recurrence. However, they did not comment on sensory disturbances.…”

“…Results varied from 60 % [4] to 100 % [26]. Only the minority of authors gave the mean preoperative cyst diameter: Richter [18] (at least 3 cm), Van Doorn [3] (average diameter between 2 and 3 cm), Wakolbinger and Beck-Mannagetta [10] (mean 2.7 cm, 1.5-11 cm).…”