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

Tuwirqi, Amani; Khzam, Nabil

doi:10.5455/jrmds.20175211

Cited by 9 publications

(7 citation statements)

References 40 publications

(62 reference statements)

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“…Although this surgical method decreased the possibility of postoperative infection in the lesion area, it also destroys the anatomical structure and pulp activity of the teeth, consequently reducing the stability and physiological function of involved teeth, despite that the pulp vitality of involved teeth generally does not have in ammation. We also found that growth of the bone around the involved teeth in the cavity is accompanied by the reconstruction of bone around the root apex and recovery of pulp activity after the fenestration [10] . Therefore, if the involved teeth apex is properly preserved and treated, the integrity of tooth and pulp activity of the involved teeth will be well protected and restored [10,12] .…”

Section: Discussionmentioning

confidence: 53%

“…We also found that growth of the bone around the involved teeth in the cavity is accompanied by the reconstruction of bone around the root apex and recovery of pulp activity after the fenestration [10] . Therefore, if the involved teeth apex is properly preserved and treated, the integrity of tooth and pulp activity of the involved teeth will be well protected and restored [10,12] .…”

Section: Discussionmentioning

confidence: 53%

“…If the pathogenic tooth root canal therapy and apicectomy are not performed, it may lead to abnormal healing or postoperative cyst recurrence [7] . But there are some scholars [8] found that the recurrence of the cyst has nothing to do with the involved tooth and with the wide application of fenestration decompression in the treatment of jaw giant cystic lesions, we found that the pulp of many involved teeth, which normally require root canal therapy and apicoectomy, was effectively preserved [9,10] .If these teeth can be retained, it will effectively preserve oral function; If the pulp activity of these teeth can be preserved reasonably, the service life of these teeth will be greatly improved [11] .…”

Section: Introductionmentioning

confidence: 99%

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Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

Niu

Tang³

et al. 2021

Preprint

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Background: Jaw cyst is the most common disease of the oral and maxillofacial region. In addition to the pathogenic tooth, the roots of some teeth are often located in the cavity of the cystic capsule. Whether these involved teeth require root canal therapy and apicoectomy is still inconclusive. In the present study, we aimed to preserve the pulp activity of involved teeth in jaw cyst by improved operation.Methods: In our improved surgical method, the root canal therapy was not performed on the involved teeth, and no apical excision was performed during the operation. 63 involved teeth in 20 cases of jaw cyst treated by our department were selected between September 2015 and October 2017. The involved teeth were diagnosed by X-ray, CBCT, and a pulp vitality test before surgery. We observed the pulps' activity in the involved teeth and the efficacy of surgery for 12-36 months.Results: Electrical activity test of 63 involved teeth pulp in 20 patients with jaw cyst was normal or insensitively before operation. The involved teeth were preserved by improved surgical method. After 12-36 months’ follow-up, the pulp activity of 53 involved teeth (84.1%) were preserved, whereas 10 teeth (15.9%) showed adverse symptoms such as redness and swelling in the apical area, fistula, and pain. These symptoms resolved after postoperative root canal therapy. Chewing function was restored well. There was no recurrence and the bone cavity gradually reduced and finally disappeared, and bone density returned to normal after long term follow-up.Conclusion: Our results showed that to preserve the activity of the involved teeth for the treatment of jaw cyst by performing an improved operation method was effective.

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Section: Discussionmentioning

confidence: 53%

Section: Discussionmentioning

confidence: 53%

Section: Introductionmentioning

confidence: 99%

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Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

Niu

Tang³

et al. 2021

Preprint

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“…The circumferential variety presents radiographically as the cyst surrounding the crown yet extending forsome distance vertically along the root, appearing that a portion of the root is within the cystic lumen.5,6 Large dentigerous cysts may appear multilocular, resulting in a radiographic appearance comparable to other pathologies. (5) In the case of an inflammatory Dentigerous cyst, radiographically the cystic lesion would most often be observed in relation to an overlying necrotic primary tooth. (2) To receive a true diagnosis, radiographic appearance along with an incisional biopsy are necessary to rule out other lesions that may require more aggressive treatments.…”

Section: Introductionmentioning

confidence: 99%

Dentigerous cyst enucleation

Gokhale¹,

Kunte²,

Patil³

et al. 2022

ijhs

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Dentigerous cyst is a type of odontogenic cysts and generally occurs in the ages of twenties or thirties. Dentigerous cyst always includes a tooth which cannot complete the eruption process and occurs around the crown by the fluid accumulation between the layers of enamel organ. In rare cases, dentigerous cyst occurs in the first decade of life and develops in an immature permanent tooth as a result of a chronic inflammation of overlying nonvital primary tooth. In this report, a case of dentigerous cyst in primary dentition in a 9-year-old child patient and its treatment were presented. The standardized treatment for a dentigerous cyst is enucleation and extraction of the involved tooth. In cases of larger cysts, an initial marsupialization to diminish the size of the osseous defect, followed by enucleation and tooth extraction, has been advocated. However, if the patient is a child and the cyst is small, removal of cystic lining followed by extraction of deciduous tooth usually results in disappearance of the cyst and preservation of the permanent tooth. When dealing with larger lesions, enucleation and tooth extraction have been favored. This can lead to functional, cosmetic, and psychologic consequences for the child.

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“…They are more common in second and third decades of life and are rare in the fi rst decade [4,5] . In recent review the substantial majority of DC in children involve the mandibular second premolar and the mandibular second molar, followed by the maxillary canines and rarely the mandibular incisors [7] . Dentigerous cysts are treated by enucleation or marsupialization/decompression methods.…”

Section: Introductionmentioning

confidence: 99%

Wait or Intervene: Dentigerous Cyst Associated with Permanent Mandibular Canine

Tuwirqi

Khzam²

2018

JKAU Med Sci

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Dentigerous cysts are developmental odontogenic jaw cysts. Dentigerous cysts require early detection and prompt treatment ranging from marsupialization to complete enucleation. Few of these cysts have been reported in children younger than 12 years of age. The purpose of this case report was to describe the case of an 11-year-old boy with a dentigerous cyst associated with unerupted right mandibular canine. The clinical, radiographic and histopathologic features are discussed. This case report also describes the diagnosis of a mandibular dentigerous cyst using cone beam computed tomography, successful use of conservative enucleation and explains the need for such a radical treatment approach.

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

Abstract: Dentigerous cysts (DCs

Cited by 9 publications

References 40 publications

Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

Preservation the Pulp Activity of the Involved Teeth in Jaw Cyst: an Observational Study

Dentigerous cyst enucleation

Wait or Intervene: Dentigerous Cyst Associated with Permanent Mandibular Canine

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