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Marelli S, Ghizzoni M, Pellegrini M, Scribante A, D'Ambrosio G, Sfondrini D. Lung Cancer Cells Infiltration into a Mandibular Follicular Cyst. Case Rep Dent 2023; 2023:7297821. [PMID: 37492277 PMCID: PMC10365922 DOI: 10.1155/2023/7297821] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2023] [Revised: 06/25/2023] [Accepted: 07/04/2023] [Indexed: 07/27/2023] Open
Abstract
Introduction The oral cavity is a rare site for other organs' tumor metastases. The incidence rate ranges from 1% to 3% of all oral malignancies. Metastases more frequently localize in the mandible, especially in the molar area. Metastases within odontogenic cysts are extremely rare, thus in the literature, only a few cases have been reported. The follicular cyst is one of the most frequent cysts of the jaws. Radiologically it shows as a unilocular lesion with a sclerotic border, characterized by a homogenous radiolucency that incorporates the crown of the unerupted tooth. Methods A 76-year-old female patient, affected by stage IV of lung adenocarcinoma, reported pain on the left mandible border, alongside lip dysesthesia. The ortho-panoramic radiograph showed a follicular cyst in the posterior left side of the mandible, with involvement of the ascending branch region. The cyst was surgically removed together with the impacted tooth. A histopathological examination of the specimen confirmed the diagnostic suspect of a follicular cyst, but in the cystic wall, focal infiltration of epithelial neoplastic cells was also found. The immunohistochemical analysis showed the presence of three different markers: CK 7+, TTF1+/-, and P40-. These markers identify the cells as metastatic lung carcinoma. Results Secondary tumor spreading in the jaws' area is rare (3% of all malignant lesions). Despite odontogenic cysts can undergo a dysplastic transformation (affecting the epithelial covering in ≤1% of the cases), infrequently these neoplastic cells can be related to secondary tumor spreading in a cystic wall. This report describes a metastatic localization within a mandibular follicular cyst. Conclusions Malignant cancers' metastasis in the oral district remains a rare and unexplored condition, especially when metastases are located in odontogenic cysts. In this circumstance, surgical removal and histopathological examination are strongly recommended.
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Affiliation(s)
- Stefano Marelli
- Maxillo-Facial Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia 27100, Italy
| | - Martina Ghizzoni
- Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia 27100, Italy
| | - Matteo Pellegrini
- Maxillofacial Surgery and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan 20122, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Via della Commenda 10, Milan 20122, Italy
| | - Andrea Scribante
- Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Pavia 27100, Italy
| | - Gioacchino D'Ambrosio
- Department of Molecular Medicine, Anatomic Pathology Unit, University of Pavia and Fondazione IRCCS San Matteo Hospital, Pavia 27100, Italy
| | - Domenico Sfondrini
- Maxillo-Facial Surgery Unit, Fondazione IRCCS Policlinico San Matteo, Pavia 27100, Italy
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Hadziabdic N, Balic A, Cengic E, Katana E, Duratbegovic D, Lazovic Salcin E. A Large Dentigerous Cyst in a Child as a Complication of Deciduous Molar Endodontic Treatment: An Interesting Case Report with Short Literature Review. Case Rep Dent 2023; 2023:4406854. [PMID: 37197380 PMCID: PMC10185418 DOI: 10.1155/2023/4406854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 04/09/2023] [Accepted: 04/26/2023] [Indexed: 05/19/2023] Open
Abstract
This study presents a case report of an inflammatory dentigerous cyst of tooth #35, associated with its previously endodontically treated deciduous predecessor. Cystic lesion growth caused impaction of the second premolar, displacing it closer to the lower border of the mandible. The lesion represents a typical dentigerous cyst that possibly arises in association with periapical inflammation of a deciduous molar involving the follicle of the premolars. This report highlights the inflammatory etiology of dentigerous cysts, which mainly occur in mixed dentition. A 12-year-old patient was referred to Oral Surgery Department regarding a sizeable radiolucent lesion in the unerupted mandibular second premolar region, detected on an Orthopantomagram (OPG) X-ray. A non-vital primary predecessor had been endodontically treated at least one year before an examination, with a control OPG X-ray showing no signs of pathology at the time. The patient did not report any symptoms. Clinical examination revealed an egg-like tumefaction of the alveolar bone in the left premolar region of the mandible. Cone-beam computed tomography analysis showed a sizeable translucent lesion surrounding the crown of the impacted tooth. The lesion was enucleated in its entirety, along with the impacted premolar, under local anesthesia. Clinical findings combined with radiographic and microscopic examinations confirmed the diagnosis of an inflammatory dentigerous cyst. The seventeen month follow-up revealed good bone healing. This case presented a rare complication of endodontic treatment of deciduous teeth and informed on possible complications of endodontic therapy in deciduous teeth, emphasizing the importance of early diagnosis of cysts in preventing extraction of permanent teeth.
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Affiliation(s)
- Naida Hadziabdic
- Department for Oral Surgery and Dental Implantology, Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Amila Balic
- Department for Oral Surgery and Dental Implantology, Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Emina Cengic
- Department for Preventive and Pediatric Dentistry, Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Elma Katana
- Department for Preventive and Pediatric Dentistry, Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Damir Duratbegovic
- Department for Preventive and Pediatric Dentistry, Faculty of Dentistry with Dental Clinical Center, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | - Edina Lazovic Salcin
- Department of Pathology, Faculty of Medicine, University of Sarajevo, Sarajevo, Bosnia and Herzegovina
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Sohn C, Ryu J, Nam I, Shin SH, Lee JY. Cystic lesion between a deciduous tooth and the succeeding permanent tooth: a retrospective analysis of 87 cases. J Korean Assoc Oral Maxillofac Surg 2022; 48:342-347. [PMID: 36579905 PMCID: PMC9807379 DOI: 10.5125/jkaoms.2022.48.6.342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/20/2022] [Accepted: 09/24/2022] [Indexed: 12/30/2022] Open
Abstract
Objectives The purpose of this study is to investigate the characteristics of dentigerous and radicular cysts that occur between deciduous and succeeding permanent teeth and to propose considerations for differential diagnosis of cysts at the treatment planning stage in the outpatient clinic. Materials and Methods A total of 87 patients with a cystic lesion located between a deciduous tooth and the succeeding permanent tooth participated in the study. Twelve variables were analyzed to diagnose such a cyst. For data analysis, Fisher's exact test was used to determine the statistical significance of the variables. Results Of the total 87 patients who participated in this study, 69 were diagnosed with dentigerous cysts and 18 were diagnosed with radicular cysts. Seven of the 12 differential factors analyzed in this study were statistically significant: age, location, symptoms, dental caries, endodontic treatment, delayed eruption, and size. Conclusion Several criteria can be considered for diagnosis of dentigerous cysts or radicular cysts. Age, location, presence of symptoms and dental caries, previous endodontic treatment, cystic size, and delayed eruption of impacted permanent teeth are reliable factors that should be considered when diagnosing dentigerous and radicular cysts.
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Affiliation(s)
- Changmo Sohn
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea
| | - Jihye Ryu
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea
| | - Inhye Nam
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea
| | - Sang-Hun Shin
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea
| | - Jae-Yeol Lee
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea,Jae-Yeol Lee, Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, 49 Busandaehak-ro, Mulgeum-eup, Yangsan 50612, Korea, TEL: +82-55-360-5100, E-mail: , ORCID: https://orcid.org/0000-0003-0678-2499
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Benavides-Guzmán OJ, Pineda Méndez A, Rodríguez-Cárdenas YA, Castillo AAD, Ruíz-Mora GA. Dentigerous cyst and the importance of early detection. report of a pediatric case. REVISTA CIENTÍFICA ODONTOLÓGICA 2022; 10:e111. [PMID: 38389654 PMCID: PMC10880702 DOI: 10.21142/2523-2754-1002-2022-111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/08/2022] [Indexed: 02/24/2024] Open
Abstract
Dentigerous cysts are a common cystic pathology that develop between the first and third decade of life and are mainly associated with impacted or erupted mandibular third molars followed by maxillary canines and maxillary third molars. These kinds of cysts are the result of the proliferation of enamel epithelium after its formation, the pathogenesis of which is not clear. Few of these cysts have been reported in pediatric patients. The following case report presents the rare occurrence of a dentigerous cyst in a 6-year-old boy and describes the treatment administered.
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Affiliation(s)
- Olger Jesús Benavides-Guzmán
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur. Lima, Peru. , , Universidad Científica del Sur Division of Oral and Maxillofacial Radiology, School of Dentistry Universidad Científica del Sur Lima Peru
| | - Alejandro Pineda Méndez
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur. Lima, Peru. , , Universidad Científica del Sur Division of Oral and Maxillofacial Radiology, School of Dentistry Universidad Científica del Sur Lima Peru
| | - Yalil Augusto Rodríguez-Cárdenas
- Division of Oral and Maxillofacial Radiology, School of Dentistry, Universidad Científica del Sur. Lima, Peru. , , Universidad Científica del Sur Division of Oral and Maxillofacial Radiology, School of Dentistry Universidad Científica del Sur Lima Peru
| | - Arón Aliaga-Del Castillo
- Department of Orthodontics, Bauru Dental School. Universidade of Sao Paulo, Brazil. Universidade Federal de São Paulo Department of Orthodontics, Bauru Dental School Universidade of Sao Paulo Brazil
| | - Gustavo Armando Ruíz-Mora
- Division of Orthodontics, Faculty of Dentistry, Universidad Nacional de Colombia. Bogota, Colombia. Universidad Nacional de Colombia Division of Orthodontics, Faculty of Dentistry Universidad Nacional de Colombia Bogota Colombia
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Ozturk G, Dogan S, Gumus H, Soylu E, Bahadir A, Yilmaz S. Consequences of Decompression Treatment with a Special-Made Appliance of Non-Syndromic Odontogenic Cysts in Children. J Oral Maxillofac Surg 2022; 80:1223-1237. [DOI: 10.1016/j.joms.2022.03.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2021] [Revised: 03/13/2022] [Accepted: 03/14/2022] [Indexed: 11/17/2022]
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Kurup RJ, Gomes S, Sodhi A, Telkar SR, Shetty PN. Dentigerous cyst accompanied by a calcifying epithelial odontogenic tumor: a case report. JOURNAL OF ORAL MEDICINE AND ORAL SURGERY 2022. [DOI: 10.1051/mbcb/2022005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Calcifying epithelial odontogenic tumor (CEOT) is a rare benign, but locally infiltrating neoplasm which accounts for less than 1% of all other odontogenic tumors. The tumor is often associated with impacted teeth and is twice as prevalent in the mandible. Dentigerous cysts are developmental odontogenic cysts, commonly manifesting in the second and third decades of life. A greater incidence in men than in women with a ratio of 1.6:1 and 61.4% associated with impacted or unerupted teeth. Observation: A 17-year-old Indian male reported to the hospital with an asymptomatic lesion associated to an impacted lower first molar with the presence of radiopaque entity inside. The radiological differential diagnosis was calcifying odontogenic tumor, adenomatoid odontogenic tumor and dentigerous cyst. The lesion was completely enucleated under general anesthesia and was sent for histopathologic examination. Discussion: Calcifying epithelial odontogenic tumor (CEOT) is a rare benign odontogenic neoplasm derived from epithelial tissue, forming 0.4–3.0% of all intraosseous odontogenic tumors. A dentigerous (follicular) cyst is a developmental odontogenic cyst usually attached to the crown of an unerupted tooth lined by reduced enamel epithelium. Conclusion: The patient is still under follow-up and has not shown any signs of recurrence in past 8 months after surgery.
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Role of reduced enamel epithelium in root resorption. J Oral Biosci 2021; 64:43-48. [PMID: 34757032 DOI: 10.1016/j.job.2021.10.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 10/21/2021] [Accepted: 10/22/2021] [Indexed: 11/21/2022]
Abstract
BACKGROUND The precise mechanism of root resorption in human primary teeth is unclear. However, research has suggested that the enamel organ and dental follicle of the successive (permanent) teeth are important for this process. This review focuses on the mechanism of root resorption. HIGHLIGHT Impaction of the maxillary permanent canines is occasionally seen. Computer tomography studies have shown that these canines cause root resorption in 12.5% of the neighboring central and lateral incisors. In such cases, enlargement of the radiolucent areas around the canine crowns is frequently seen. These radiolucent areas include dental follicles and reduced enamel epithelium, which are composed of degraded ameloblasts and cells of the papillary layer. Root resorbing factors, expressed from the reduced enamel epithelium, are likely to induce the odontoclastic root resorption. Physiological root resorption of the primary teeth is generally milder than this pathological root resorption, but involvement of the reduced enamel epithelium of the permanent tooth can be also proposed. CONCLUSION This review highlights the role of the reduced enamel epithelium in root resorption under both pathological and physiological conditions.
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Noujeim Z, Nasr L. The prevalence, distribution, and radiological evaluation of dentigerous cysts in a Lebanese sample. Imaging Sci Dent 2021; 51:291-297. [PMID: 34621656 PMCID: PMC8479438 DOI: 10.5624/isd.20210075] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2021] [Revised: 04/22/2021] [Accepted: 05/05/2021] [Indexed: 11/23/2022] Open
Abstract
Purpose This study was performed to evaluate the prevalence, distribution, and radiological features (as per the Shear classification) of dentigerous cysts in a Lebanese sample. Materials and Methods It was an epidemiological, cross-sectional, 5-year retrospective study of 137 dentigerous cysts treated at Lebanese Army Dental Departments. The collected data comprised demographic and radiological information corresponding to patients from July 2015 to July 2020. Syndromic cases were excluded. Demographic data and the radiological features of cases were studied and analyzed. Results Dentigerous cysts were treated in 109 patients (58.7% males and 41.3% females; mean age: 28.3±16.3 years) out of 6,013 patients (52% males and 48% females), with a prevalence of 1.8%. Dentigerous cysts were more commonly found in patients in their second and third decades of life than in older age groups. Of the 109 patients, 22.9% had multiple dentigerous cysts. Of the 137 cysts, 71.5% were mandibular. The most prevalent anatomical location was the posterior mandible, followed by the posterior maxilla. The most commonly involved tooth was the mandibular third molar. Regarding radiological types, the central type was the most common (60.6%), followed by the lateral type (29.2%), and the circumferential type (10.2%). Conclusion The results of this study were similar to studies of other populations in terms of distribution and features. Multiple non-syndromic dentigerous cysts were more common than reported in other studies, which warrants further clinical studies to reveal previously undetected factors.
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Affiliation(s)
- Ziad Noujeim
- Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.,Dental Departments, Lebanese Army Military Medicine, Beirut, Lebanon
| | - Lara Nasr
- Dental Departments, Lebanese Army Military Medicine, Beirut, Lebanon
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9
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Quiroz-Quiroga MJ, González Valdivia H, Palazón Cabanes A, Rubio Palau J, Prat Bartomeu J. Amblyopia due a dentigerous cyst. Case report and literature review. J Fr Ophtalmol 2021; 44:1249-1255. [PMID: 34353662 DOI: 10.1016/j.jfo.2021.01.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Revised: 01/17/2021] [Accepted: 01/22/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE The goal of this article is to present an infrequent clinical case and to review the available literatura, with an emphasis on ophthalmological symptoms. METHODS We present the case of a 4-year-old girl with a large dentigerous cyst on the maxillary bone, who had long-standing unilateral epiphora associated with progressive ocular dystopia, facial asymmetry and ipsilateral amblyopia. A multidisciplinary approach was taken by the maxillofacial surgery, ophthalmology and optometry teams. This included systemic antibiotic administration, surgical cyst drainage and amblyopia treatment. The literature review was carried out in the MEDLINE database through the free electronic access to PubMed in March 2020. RESULTS At the 6-month follow-up, the patient was asymptomatic. The most common symptoms of dentigerous cysts are epiphora 36.8%, ocular dystopia 31.2%, diplopia 21.1%, proptosis, nasolacrimal duct obstruction and blurred vision at 10.5%. Amblyopia has not been reported. CONCLUSIONS Dentigerous cysts are benign odontogenic cysts, which can be found in the jaw and less frequently on the maxillary bone. They are usually asymptomatic, and the occurrence of ophthalmic complications is very infrequent. Multidisciplinary management is essential to avoiding long-term morbidity of maxillary dentigerous cysts and should include an ophthalmologist.
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Affiliation(s)
- M J Quiroz-Quiroga
- Ophthalmology Department, Hospital de l'Esperanza-Consorci Parc de Salut MAR, Sant Josep de la Muntanya 12, 08024 Barcelona, Spain.
| | - H González Valdivia
- Pediatric Oculoplastic and Orbital Surgery Department, Hospital Sant Joan de Déu, Barcelona, Spain.
| | - A Palazón Cabanes
- Ophthalmology Department, Hospital Universitario Los Arcos del Mar Menor, Murcia, Spain.
| | - J Rubio Palau
- Head of Maxillofacial Unit, Pediatric Surgery Department, Hospital Sant Joan de Déu, Barcelona, Spain.
| | - J Prat Bartomeu
- Head of Pediatric Ophthalmology Department, Hospital Sant Joan de Déu, Barcelona, Spain.
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Abstract
Dentigerous cysts, also known as follicular cysts, are among the most common developmental cysts of the gnathic bones. The majority of cases are clinically asymptomatic and discovered incidentally on panographic radiographs during routine dental care. The cyst appears as a radiolucency, classically unilocular, associated with the crown of an unerupted or impacted tooth. Usually diagnosed in the 2nd-3rd decade, third molars of the mandible are the most commonly affected teeth. Histologically, dentigerous cysts demonstrate a fibrous or fibromyxoid connective tissue wall lined by squamous epithelium, classically lacking rete ridges. Inflammation may introduce histologic changes, however. The differential diagnosis includes hyperplastic dental follicle, periapical or radicular cyst, unicystic ameloblastoma, odontogenic keratocyst, and other odontogenic cysts and tumors. While the findings are generally classic and pose no diagnostic dilemma, the diagnosis is best made in the context of the appropriate clinical and radiographic setting. Submitted tissue with a lack of history, to include a detailed relationship with the affected tooth, may result in misdiagnosis and subsequent confusion for the clinician. So, despite its simple features, dentigerous cysts are not uncommonly mischaracterized. Therefore a review of a classic case of dentigerous cyst is presented.
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Uehara K, Hisatomi M, Munhoz L, Kawazu T, Yanagi Y, Okada S, Takeshita Y, Saito EA, Asaumi J. Assessment of Hounsfield unit in the differential diagnosis of odontogenic cysts. Dentomaxillofac Radiol 2020; 50:20200188. [PMID: 32783633 DOI: 10.1259/dmfr.20200188] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
OBJECTIVES The purpose of this study was to evaluate the usefulness of Hounsfield unit (HU) assessment with multislice-CT in the differentiation of radicular cysts (RCs), dentigerous cysts (DCs) and odontogenic keratocysts (OKCs). METHODS In total, 307 odontogenic cysts (RCs, DCs and OKCs) were included in this study. Cysts with lesion diameter <10 mm, cysts with artefacts affecting measurement of HU values, cysts involving infection and recurrent cysts were regarded as exclusion criteria. Images were acquired in three different types of CT scanners: Aquilion ONE, Discovery CT750 HD and SOMATOM Definition Flash. Differences in HU values among scanners and among types of odontogenic cysts were assessed using one-way analysis of variance; multiple comparisons were performed post hoc, using the Tukey-Kramer honestly significant difference test. RESULTS In total, 164 cysts were analysed in this study (64 RCs, 57 DCs and 43 OKCs). Regardless of the type of lesion, the Aquilion ONE scanner demonstrated a significant difference in HU value, compared with the Discovery CT750 HD scanner. Regardless of CT scanner model, HU values significantly differed between DCs and OKCs (p < 0.0001), as well as between OKCs and RCs (p < 0.0001). CONCLUSIONS HU values were found to vary among CT scanners and should always be associated with other lesion imaging features while interpreting and elaboration diagnostic hypothesis. Notably, the results suggested that OKCs might be able to be differentiated from DCs and RCs by using HU values.
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Affiliation(s)
- Kyonori Uehara
- Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Miki Hisatomi
- Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital, Okayama, Japan
| | - Luciana Munhoz
- Department of Stomatology, School of Dentistry, São Paulo University, São Paulo, Brazil
| | - Toshiyuki Kawazu
- Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Yoshinobu Yanagi
- Department of Dental Informatics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Shunsuke Okada
- Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital, Okayama, Japan
| | - Yohei Takeshita
- Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
| | - Emiko Arita Saito
- Department of Stomatology, School of Dentistry, São Paulo University, São Paulo, Brazil
| | - Junichi Asaumi
- Department of Oral and Maxillofacial Radiology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
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Outcome of Mandibular Dentigerous Cysts 1 to 10 Years After Decompression Using a Custom-Made Appliance. J Oral Maxillofac Surg 2020; 79:152-163. [PMID: 32730758 DOI: 10.1016/j.joms.2020.06.036] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2020] [Revised: 06/29/2020] [Accepted: 06/29/2020] [Indexed: 11/20/2022]
Abstract
PURPOSE The aim of this study was to examine the long-term results of mandibular dentigerous cysts treated with decompression using a custom-made appliance. PATIENTS AND METHODS This retrospective study included 34 patients with dentigerous cysts who were treated as outpatients at the Faculty of Dentistry, Marmara University. Medical history, complaints, intraoral and extraoral clinical findings, treatment time, and complications of these patients were collected. RESULTS The average age of the patients was 7.94 years. Three tooth buds (canine, first permanent premolar [P1], and second permanent premolar) in 2 cases, two tooth buds in 7 cases (P1 and second permanent premolar in 6 cases and P1 and canine in 1 case), and one tooth bud in 25 cases were related to the cyst. The mean decompression time was 5.97 months (range, 3 to 9 months). No major complications occurred during or after decompression. No evidence of infection, breakdown and/or dehiscence of the soft tissue, or inferior alveolar nerve paresthesia was observed. The complications and complaints were minor and straightforward to resolve. CONCLUSIONS Decompression is a very effective and successful method for the treatment of mandibular dentigerous cysts.
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Hauer L, Seidlová P, Merglová V, Hrusak D, Böhmová H, Posta P, Gencur J, Netolicky J. Complete removal of dentigerous cysts with preservation of associated teeth as an alternative to marsupialization in children and preadolescents. J Craniomaxillofac Surg 2020; 48:808-814. [PMID: 32593630 DOI: 10.1016/j.jcms.2020.05.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/15/2020] [Accepted: 05/31/2020] [Indexed: 11/25/2022] Open
Abstract
The aim of this study is to evaluate the results of dentigerous cysts enucleation with preservation of cyst-associated teeth as a single procedure in a group of children and preadolescents. A retrospective case series of seven patients with 15 unerupted developing teeth associated with or adjacent to dentigerous cysts was conducted. Patients were treated using the uniform surgical protocol (cystectomy, preservation of cyst-associated teeth, without use of orthodontic traction, primary wound closure). The metric analysis of the cysts and unerupted teeth on CBCT and an evaluation of the state of involved teeth after the treatment was performed. The mean age of patients was 9.0 ± 2.1 years (range 5-12 years, median = 9 years). All teeth erupted spontaneously. No serious postoperative complications or recurrences of lesions were detected. The mean follow-up was 53.1 ± 15.7 months (range 25-71 months, median = 52 months). The cystectomy of dentigerous cysts with preservation of associated teeth may be considered an alternative to marsupialization in children and preadolescents.
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Affiliation(s)
- Lukas Hauer
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic.
| | - Petra Seidlová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Vlasta Merglová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Daniel Hrusak
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Hana Böhmová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Petr Posta
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Jiri Gencur
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Jan Netolicky
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
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14
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Bellei E, Ferro S, Zini E, Gracis M. A Clinical, Radiographic and Histological Study of Unerupted Teeth in Dogs and Cats: 73 Cases (2001-2018). Front Vet Sci 2019; 6:357. [PMID: 31788479 PMCID: PMC6856145 DOI: 10.3389/fvets.2019.00357] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 09/27/2019] [Indexed: 11/22/2022] Open
Abstract
Lack of dental eruption may be accompanied by development of dentigerous cysts and has also been rarely associated with neoplasia. However, little information is available on prevalence of unerupted teeth and associated lesions in dogs and cats. The main objective of this study was to describe the epidemiologic data of canine and feline dental patients with unerupted teeth, and assess the prevalence of associated dentigerous cysts and tumors. Secondary aims included the evaluation of possible factors implicated in cystic development, and description of the histological features of dentigerous cysts. Medical and dental records, intraoral photographs, intraoral radiographs of client-owned dogs and cats with clinically missing teeth examined between 2001 and March 2018 were reviewed. Collected data included signalment, reason for presentation, number, type, depth of inclusion and angulation of unerupted teeth, presence of cystic lesions or tumors, abnormalities affecting involved teeth, histopathological findings, performed treatment and outcome. Seventy-three animals (69 dogs and 4 cats) with 113 unerupted teeth were included. The most frequent unerupted tooth in dogs was the first premolar teeth (78%), followed by the canine and third molar teeth. Dentigerous cysts were diagnosed associated with 48 (44.4%) teeth in dogs and one out of five unerupted teeth in cats. The affected teeth in dogs were predominantly in horizontal inclination (40%) and in soft tissue inclusion (77%). Brachycephalic canine breeds were overrepresented. The only unerupted tooth in boxer dogs was the first premolar tooth (32 teeth). Ninety percentage of boxers with unerupted teeth developed associated lesions (25 dentigerous cysts and one tumor). Two ameloblastomas (one in a dog and one in a cat) and one osteosarcoma (in a dog) were diagnosed in association with three unerupted teeth. Histology was essential in diagnosing two odontogenic cysts not evident on radiographs. In all cases that were followed-up, treatment (i.e., extraction, extraction and surgical curettage, or operculectomy) appeared successful. Untreated dentigerous cysts showed progression at re-examination. None of the unerupted teeth without evidence of cyst at the time of diagnosis showed incipient cystic development. None of the evaluated factors were associated with lack of eruption and/or development of associated lesions.
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Affiliation(s)
- Emma Bellei
- Department of Veterinary Medical Science, Alma Mater Studiorum-Bologna University, Bologna, Italy.,"I Portoni Rossi" Veterinary Hospital, Bologna, Italy
| | - Silvia Ferro
- Department of Comparative Biomedicine and Food Science, University of Padova, Padova, Italy
| | - Eric Zini
- Clinic for Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.,Department of Animal Medicine, Production and Health, University of Padova, Padova, Italy.,Department of Internal Medicine, Istituto Veterinario di Novara, Novara, Italy
| | - Margherita Gracis
- Department of Dentistry and Oral Surgery, Istituto Veterinario di Novara, Novara, Italy.,Department of Dentistry and Oral Surgery, San Siro Veterinary Clinic, Milan, Italy
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Abstract
Odontogenic cysts are epithelial-lined pathologic cavities and surrounded by fibrous connective tissue that originate from odontogenic tissues that occur in tooth-bearing regions of maxilla and mandible. Cystic conditions of the jaw cause bony destruction and may cause resorption or displacement of adjacent teeth. Odontogenic cysts have developmental or inflammatory origins. More cases have been published in the adult age group than the pediatric population. Periapical cyst and dentigerous cysts are frequently reported conditions in dental practice. Histopathologic examination remains the gold standard investigation. Odontogenic cysts are managed with enucleation or marsupialization procedures. Early recognition and referral to oral surgery minimize the extent of jaw bone destruction.
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Affiliation(s)
- Arvind Babu Rajendra Santosh
- School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, Mona campus, Kingston 7, Jamaica, West Indies.
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16
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Gamoh S, Akiyama H, Furukawa C, Matsushima Y, Iseki T, Wato M, Tanaka A, Morita S, Shimizutani K. Calcifying cystic odontogenic tumor accompanied by a dentigerous cyst: A case report. Oncol Lett 2017; 14:5785-5790. [PMID: 29113208 PMCID: PMC5661555 DOI: 10.3892/ol.2017.6993] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2015] [Accepted: 07/05/2017] [Indexed: 11/26/2022] Open
Abstract
A calcifying cystic odontogenic tumor (CCOT) is a proliferation of odontogenic epithelium and scattered nests of ghost cells and calcifications that may form the lining of a cyst, or present as a solid mass. It was previously described by Gorlin et al in 1962 as a calcifying odontogenic cyst. Dentigerous cysts are developmental odontogenic jaw cysts, commonly manifesting in the second and third decades of life. The present study reports an asymptomatic case in a 13-year-old boy who was referred to the outpatient clinic of the Osaka Dental University Hospital (Osaka, Japan) for additional investigation of an area of radiolucency in the lower right jaw. X-ray demonstrated a unilocular, well-circumscribed, radiolucent lesion in the mandible, which measured 30×20 mm, with radiopaque structures within it. Enucleation of the lesion with tooth extraction was performed, which histopathologically revealed features of a CCOT and a cyst. To the best of our knowledge, the occurrence of such a lesion has not been previously identified. The present study examined the significance of the case with a brief review of the literature.
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Affiliation(s)
- Shoko Gamoh
- Department of Oral Radiology, Osaka Dental University, Osaka 540-0008, Japan
| | - Hironori Akiyama
- Department of Oral Radiology, Osaka Dental University, Osaka 540-0008, Japan
| | - Chisato Furukawa
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
| | - Yuki Matsushima
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
| | - Tomio Iseki
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
| | - Masahiro Wato
- Department of Oral Pathology, Osaka Dental University, Osaka 573-1121, Japan
| | - Akio Tanaka
- Department of Oral Pathology, Osaka Dental University, Osaka 573-1121, Japan
| | - Shosuke Morita
- First Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
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Marques NP, Marques NCT, Sakai VT, Hanemann JAC. Inflammatory follicular cysts associated to necrotic primary teeth. Eur Arch Paediatr Dent 2017; 18:279-285. [PMID: 28707233 DOI: 10.1007/s40368-017-0297-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Accepted: 07/08/2017] [Indexed: 11/28/2022]
Abstract
BACKGROUND Cysts are pathological cavities lined by epithelium and supported by connective tissue, containing fluid or semi-fluid substances and presenting developmental or inflammatory origins. CASE REPORT This study aimed to evaluate a case series of inflammatory follicular cysts in children to clarify their nomenclature, diagnosis, clinical implications and treatment outcomes. Prevalence, aetio-pathogenesis, clinical, radiographic and microscopic findings, treatments and sequelae of this condition were assessed by using the records of patients treated between 2000 and 2015. Data were analysed and presented descriptively. FOLLOW-UP This was performed periodically for 2 years to monitor lesion regression and complete eruption of impacted permanent teeth. All of the involved permanent teeth erupted naturally. Twelve cases of asymptomatic lesions with volumetric bone expansion were identified through radiographic findings or delayed tooth eruption in patients aged between 8 and 14 years. After establishing the diagnosis of inflammatory follicular cyst, necrotic primary teeth extraction was followed by decompression of the cystic lesions. CONCLUSIONS The investigated cases were consistent with inflammatory follicular cyst diagnoses. The proposed treatment was considered to be appropriate, that was revealed by the maintenance of the permanent teeth involved during the patients follow-up.
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Affiliation(s)
- N P Marques
- Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, Minas Gerais, 37130-000, Brazil.
| | - N C T Marques
- Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, Minas Gerais, 37130-000, Brazil
| | - V T Sakai
- Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, Minas Gerais, 37130-000, Brazil
| | - J A C Hanemann
- Department of Clinics and Surgery, School of Dentistry, Federal University of Alfenas, Rua Gabriel Monteiro da Silva, 700, Alfenas, Minas Gerais, 37130-000, Brazil
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18
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Trattamento chirurgico conservativo di una grossa lesione endodontica associata a dislocazione dentaria in dentizione mista: caso clinico. DENTAL CADMOS 2014. [DOI: 10.1016/s0011-8524(14)70249-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Guven Y, Kasimoglu Y, Soluk Tekkesin M, Ulug D, Cankaya AB, Tuna EB, Gencay K, Aktoren O. Preservation of Involved Teeth Associated with Large Dentigerous Cysts. INTERNATIONAL SCHOLARLY RESEARCH NOTICES 2014; 2014:289463. [PMID: 27355026 PMCID: PMC4897412 DOI: 10.1155/2014/289463] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2014] [Accepted: 10/07/2014] [Indexed: 11/17/2022]
Abstract
Dentigerous cysts (DCs) are benign odontogenic cysts that are associated with the crowns of permanent teeth. The purpose of this study is to describe the management of DCs in four children. Four boys aged between 7 and 9 years were referred to our clinics with the complaints of intraoral alveolar swelling or facial asymmetry on the affected area. The panoramic radiographies showed large, well-defined radiolucent lesions associated with the deciduous teeth and displaced tooth buds. The treatment consisted of the extraction of the involved deciduous tooth and marsupialization of the cyst to allow eruption of the permanent tooth. Permanent teeth displaced by the DCs in three cases erupted spontaneously within one-year period. The case with horizontally displaced permanent tooth was managed by replantation. This is the first time that underlying permanent tooth in a DC case was intentionally replanted.
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Affiliation(s)
- Yeliz Guven
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
| | - Yelda Kasimoglu
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
| | - Merva Soluk Tekkesin
- Department of Tumour Pathology, Institute of Oncology, Istanbul University, 34093 Istanbul, Turkey
| | - Dicle Ulug
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
| | | | - Elif Bahar Tuna
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
| | - Koray Gencay
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
| | - Oya Aktoren
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Capa, 34093 Istanbul, Turkey
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20
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MacGee S. Endodontic therapy of a mandibular canine tooth with irreversible pulpitis secondary to dentigerous cyst. J Vet Dent 2014; 31:30-9. [PMID: 24902411 DOI: 10.1177/089875641403100104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Dentigerous cysts are uncommon, yet are being reported with increasing frequency in the veterinary literature. Dentigerous cysts are a type of benign odontogenic cyst associated with impacted teeth, most commonly the mandibular first premolar tooth. Significant bone destruction can occur secondary to the expansion of a dentigerous cyst. The expanding cyst can lead to pathology of neighboring teeth, which can include external root resorption or pulpitis. Intraoral dental radiographs are imperative to properly assess the presence and extent of a dentigerous cyst, as well as the status of the neighboring teeth. This case report describes treatment for dentigerous cyst including cyst lining curettage, mandibular bone regeneration, and endodontic therapy for a canine tooth with irreversible pulpitis.
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21
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Jayam C, Mitra M, Bandlapalli A, Jana B. Aggressive dentigerous cyst with ectopic central incisor. BMJ Case Rep 2014; 2014:bcr-2013-201041. [PMID: 24913076 DOI: 10.1136/bcr-2013-201041] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Dentigerous cysts form from accumulation of fluid between reduced enamel epithelium and the crown of an unerupted tooth. They cause several difficulties such as swelling, non-eruption of the involved teeth, and displacement of adjacent teeth, and thus require early detection and prompt treatment. Treatment ranges from marsupialisation to enucleation. Enucleation is rarely used in children compared with marsupialisation. This paper discusses successful use of enucleation for treating a dentigerous cyst and explains the need for such a radical procedure.
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Affiliation(s)
- Cheranjeevi Jayam
- Department of Paediatric Dentistry, College of Dental Science & Research Center, Ahmedabad, Gujarat, India
| | - Malay Mitra
- Department of Pedodontics & Preventive Dentistry, Dr R Ahmed Dental College & Hospital, Kolkata, West Bengal, India
| | - Anila Bandlapalli
- Department of Conservative Dentistry & Endodontics, AECS Maruti Dental College, Kolkata, West Bengal, India
| | - Biswanath Jana
- Department of Pedodontics & Preventive Dentistry, Dr R Ahmed Dental College & Hospital, Kolkata, West Bengal, India
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22
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An inflammatory dentigerous cyst shows rim uptake on bone scan: a case report. Nucl Med Mol Imaging 2014; 48:79-81. [PMID: 24900143 DOI: 10.1007/s13139-013-0242-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2013] [Revised: 08/29/2013] [Accepted: 10/04/2013] [Indexed: 10/26/2022] Open
Abstract
Dentigerous cysts are developmental odontogenic jaw cysts, commonly manifesting in the 2nd and 3rd decades of life. This article presents an extremely rare case of dentigerous cyst showing increased uptake in the peripheral rim on bone scan. Herein, we discuss the clinical, radiographic, and histologic features of dentigerous cysts as well as the pathological mechanism underlying their activities on the bone scan. Bone scan was a sensitive tool for detecting the biologic activity of dentigerous cyst in our case.
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Meleti M, van der Waal I. Clinicopathological evaluation of 164 dental follicles and dentigerous cysts with emphasis on the presence of odontogenic epithelium in the connective tissue. The hypothesis of "focal ameloblastoma". Med Oral Patol Oral Cir Bucal 2013; 18:e60-4. [PMID: 23085710 PMCID: PMC3548646 DOI: 10.4317/medoral.18372] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Accepted: 08/28/2012] [Indexed: 12/20/2022] Open
Abstract
Objectives: Some ameloblastomas presumably originate from odontogenic epithelium within the connective tissue of dental follicles and dentigerous cysts. Therefore, it would seem reasonable to discuss as whether odontogenic epithelium proliferations, frankly displaying ameloblastomatous features (“focal ameloblastoma”), should be considered as an “early” ameloblastoma.
Study Design: Histopathological reports from 164 dental follicles and dentigerous cysts from the Department of Oral and Maxillofacial Surgery/Oral Pathology of the VU Free University medical center in Amsterdam, The Ne-therlands, were reviewed. Histopathological slides from 39 cases reporting the presence of odontogenic epithelium within the connective tissue were re-evaluated in order to assess the possible presence of focal ameloblastomas.
Results: Focal ameloblastomas were detected in one dental follicle and in two dentigerous cysts. During a follow-up period of 6, 8 and 22 years, respectively, no clinical signs of (recurrent) ameloblastoma have occurred in these patients.
Conclusions: Focal ameloblastoma possibly represents the early stage of ameloblastoma development.
Key words:Ameloblastoma, odontogenic epithelium, dentigerous cyst, dental follicle.
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Affiliation(s)
- Marco Meleti
- Unit of Oral Pathology and Laser-assisted Surgery, Department of Otolaryngological/Dental/ Ophthalmological and Cervico-Facial Sciences, University of Parma, Italy
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Prabhu S, Adyanthaya S, Jose M, Kadar N. Inflammatory cystic odontogenic lesions. Ann Diagn Pathol 2012; 16:541-2. [PMID: 23041247 DOI: 10.1016/j.anndiagpath.2012.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2012] [Accepted: 09/04/2012] [Indexed: 10/27/2022]
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