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Colnot N, Savoldelli C, Afota F, Latreche S, Lupi L, Lerhe B, Fricain M. Treatment of benign maxillomandibular osteolytic lesions larger than 4 cm: A systematic review. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2024:101933. [PMID: 38823480 DOI: 10.1016/j.jormas.2024.101933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 05/21/2024] [Accepted: 05/29/2024] [Indexed: 06/03/2024]
Abstract
OBJECTIVE This systematic review aimed to assess the different treatments of benign maxillo-mandibular radiolucent bone lesions over 4 cm to propose a management algorithm. STUDY DESIGN A literature search was conducted using MEDLINE/PubMed, Scopus, Google Scholar, Virtual Health Library databases, and gray literature. Randomized or non-randomized clinical trials and case series with 10 or more patients with a minimum follow up of 1 year, published in French or English until August 2023, were included. The risk of bias was assessed for all papers included. RESULTS Of 1433 records identified, 22 were included in this review, reporting data from 1364 lesions. Ameloblastoma was the most common lesion (51.22%) and mandible was the most common site (81.21%). Initial conservative treatment was prevalent (71.04%). Recurrence was higher after conservative (13.8%) than after radical treatments (6.5%). Multilocularity, cortical perforation, dental element preservation were linked to a higher recurrence risk. CONCLUSION This study has shown importance of understanding specific characteristics and recurrence risk in benign maxillomandibular osteolytic lesions. Multidisciplinary team approval, personalized approach based on lesion type and patient are crucial. The presence of at least one risk factor could lead to therapeutic decision. Despite limitations, the study informed lesion management and provided precise recommendations.
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Affiliation(s)
- Nathan Colnot
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France.
| | - Charles Savoldelli
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France
| | - Franck Afota
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France
| | - Sarah Latreche
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France
| | - Laurence Lupi
- Department of Oral Surgery, Oral and Dental Medicine Institute, University of Côte d'Azur, Nice 06300, France
| | - Barbara Lerhe
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France; Paediatric Maxillofacial Surgery and ENT Department, Lenval Hospital, University of Côte d'Azur, Nice 06200, France
| | - Margaux Fricain
- Department of Oral and Maxillo Facial Surgery, Head and Neck Institute, University of Côte d'Azur, Nice 06100, France
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2
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Kammoun R, Ghoul S, Chaabani I, Ben Salem K, Ben Alaya T. Dental and jawbone abnormalities linked to amelogenesis imperfecta: A retrospective and analytic study comparing panoramic radiographs. SPECIAL CARE IN DENTISTRY 2024; 44:878-885. [PMID: 37885117 DOI: 10.1111/scd.12935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Revised: 09/14/2023] [Accepted: 10/12/2023] [Indexed: 10/28/2023]
Abstract
BACKGROUND Amelogenesis Imperfecta (AI) is a disorder of tooth development characterized by abnormal enamel formation. In order to detect other dental and jawbone abnormalities that could be associated with AI, a retrospective and analytic study was conducted comparing panoramic radiographs of AI and non-AI patients. MATERIAL AND METHODS Digital panoramic radiographs of 60 AI and 60 non-AI patients were examined. Abnormalities in dental number, size, shape, eruption, and in the shape of the dental arches were checked and blindly recorded by two experimented observers. Descriptive statistics using percentages and chi-square test with .05 level of significance value was used. RESULTS Prevalence of supernumerary teeth, dental agenesis, microdontia, taurodontism, radicular dilacerations, dental inclusions, temporary teeth persistence, and pulp calcifications was significantly higher in AI patients compared to control patients. Prevalence of periapical images, cysts, and hypercementosis was lower in AI patients compared to control patients, with no statistically significant difference. A significant prevalence of mandibular hypoplasia was also noted in AI patients. CONCLUSION In addition to enamel defect, panoramic radiography was useful in detecting other dental abnormalities and mandibular hypoplasia associated with AI and should therefore be systematically indicated for AI patients' care.
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Affiliation(s)
- Rym Kammoun
- Laboratory of Histology and Embryology, Faculty of Dental Medicine of Monastir, University of Monastir, Monastir, Tunisia
- ABCDF Laboratory for Biological Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
- Department of Radiology, University Dental Clinic, Monastir, Tunisia
| | - Sonia Ghoul
- Laboratory of Histology and Embryology, Faculty of Dental Medicine of Monastir, University of Monastir, Monastir, Tunisia
- ABCDF Laboratory for Biological Clinical and Dento-Facial Approach, University of Monastir, Monastir, Tunisia
- International Faculty of Dental Medicine, BioMed Unit, College of Health Sciences, International University of Rabat, Rabat, Morocco
| | - Imen Chaabani
- Department of Radiology, University Dental Clinic, Monastir, Tunisia
- Unity of Bioactive Natural Substances and Biotechnology, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
| | - Kamel Ben Salem
- Department of Community Medicine, Faculty of Medicine, University of Monastir, Monastir, Tunisia
| | - Touhami Ben Alaya
- Department of Radiology, University Dental Clinic, Monastir, Tunisia
- Unity of Bioactive Natural Substances and Biotechnology, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
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3
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Hankinson P, Brierley C, Brierley D. A review of oral pathology in orthodontics. Part 2: Pathology of the jaw bones. Am J Orthod Dentofacial Orthop 2024; 165:131-142. [PMID: 37999692 DOI: 10.1016/j.ajodo.2023.09.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Revised: 09/01/2023] [Accepted: 09/01/2023] [Indexed: 11/25/2023]
Abstract
For many patients, their first full jaw imagining will be requested and reported by an orthodontist. This may lead to the discovery of unexpected pathology in the jaws. In this review article, we discuss the clinical and radiological appearance as well as the pathologic features and treatment of the more common entities of the jaws. In addition, we will discuss the less common lesions which carry important consequences for the patient. Through the identification of these lesions, appropriate referral and management can be pursued.
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Affiliation(s)
- Paul Hankinson
- Unit of Oral and Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom.
| | - Catherine Brierley
- Orthodontic Department, Charles Clifford Dental Hospital, Sheffield, United Kingdom; Orthodontic Department, Chesterfield Royal Hospital, Chesterfield, United Kingdom
| | - Daniel Brierley
- Unit of Oral and Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, United Kingdom
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4
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Maltoni M, Maltoni I, Santucci G, Guiducci D, Cremonini F, Lombardo L. A non-invasive system to manage impacted teeth associated with a large dentigerous cyst. J Orthod 2023; 50:423-430. [PMID: 35323071 DOI: 10.1177/14653125221088341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A male patient aged 11 years presented a large dentigerous cyst in the lower left quadrant associated with retained deciduous lower lateral incisor and canine and impacted, unerupted corresponding permanent ones. The treatment consisted in marsupialisation and placement of a modified lingual arch that held a tube for decompression used for irrigation of the cystic cavity in a comfortable way for the patient and for the clinician.The same lingual arch was later used as an anchorage method for traction of the retained teeth. The final records showed complete resolution of the cyst and retained teeth were successfully Aligned into the oral cavity.
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Affiliation(s)
| | | | | | - Daniela Guiducci
- Postgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy
| | | | - Luca Lombardo
- Postgraduate School of Orthodontics, University of Ferrara, Ferrara, Italy
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5
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Alqadi S, Jambi SA, Abdullah AAB, Aljuhani FM, Elsayed SA. Conservative Management of Dentigerous Cysts Associated With Mixed Dentition: A Retrospective Cohort Study. Cureus 2023; 15:e47143. [PMID: 38021715 PMCID: PMC10651162 DOI: 10.7759/cureus.47143] [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] [Accepted: 10/16/2023] [Indexed: 12/01/2023] Open
Abstract
Objectives The pediatric dentigerous cysts might vary by region and population group. Large cystic lesions are typically treated with marsupialization before enucleation in order to decompress the lesion and reduce its volume; however, in pediatric cystic lesions, conservative marsupialization and decompression can be used to manage the condition without additional enucleation. The current study's objectives were to present a case series of pediatric dentigerous cysts and discuss the conservative management of these cystic lesions associated with mixed dentition. Methods A retrospective cohort analysis of patients diagnosed with cystic lesions between 2016 and 2023 was identified. Data on clinical, radiological, pathological, and odontogenic causes were collected. The marsupialization approach was performed in all cases. Patient demographic information was also examined, and a literature review was carried out to identify comparable cases. Results Sixteen young patients were diagnosed with dentigerous cysts, and this was confirmed by clinical, radiological, and pathological examinations. Females comprised 56.2% of the cases, with the right side predominating (62.5%). Deciduous teeth related to the lesion could be extracted normally in all cases. All associated permanent teeth erupted rapidly after the intervention. Conclusion The marsupialization technique used in the current cases of dentigerous cysts associated with mixed dentition was highly successful, and all permanent impacted teeth erupted without any cystic recurrence.
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Affiliation(s)
- Soha Alqadi
- Pediatric Dentistry and Orthodontics, College of Dentistry, Taibah University, Madinah, SAU
| | - Safa A Jambi
- Pediatric Dentistry and Orthodontics, Taibah University, Madinah, SAU
| | | | | | - Shadia A Elsayed
- Oral and Maxillofacial Surgery, Al-Azhar University, Cairo, EGY
- Oral and Maxillofacial Surgery, Taibah University, Madinah, SAU
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6
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Antunes D, Albisetti A, Fricain M, Cherqui A, Derruau S. Management of Permanent Teeth in Dentigerous Cysts in Children: A Case Report. Cureus 2023; 15:e44062. [PMID: 37746414 PMCID: PMC10517737 DOI: 10.7759/cureus.44062] [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] [Accepted: 08/24/2023] [Indexed: 09/26/2023] Open
Abstract
Dentigerous cysts are the second most common odontogenic lesion, after radicular cysts. Dentigerous cysts mainly affect individuals in their second to fourth decades of life, with a slight male predominance. Because diagnosis is often late, surgical procedures like enucleation and removal of the impacted tooth misplaced are often necessary. However, if a dentigerous cyst is detected early in a child with delayed tooth eruption, the treatment goal is to preserve and properly position the permanent tooth within the arch. In such cases, conservative approaches like cyst decompression may be considered appropriate. We present a case of a dentigerous cyst in a 10-year-old child with delayed eruption of teeth 22 and 23. The condition was managed using decompression alone and orthosurgical traction, which facilitated the proper placement of the impacted teeth within the arch. This article emphasizes the significance of a multidisciplinary approach involving surgical and orthodontic management for dentigerous cysts in children, along with the importance of patient compliance with the treatment plan.
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Affiliation(s)
- David Antunes
- Department of Oral Surgery, University Hospital of Reims Champagne-Ardenne, Reims, FRA
| | - Amelie Albisetti
- Department of Oral Surgery, Faculty of Dental Surgery, Strasbourg University, Strasbourg, FRA
| | - Margaux Fricain
- Department of Oral and Maxillofacial Surgery, Head and Neck Institute, University Hospital of Nice, Nice, FRA
| | - Adam Cherqui
- Department of Orthodontics, University Hospital of Reims Champagne-Ardenne, Reims, FRA
| | - Stephane Derruau
- Department of Oral Surgery, University Hospital of Reims Champagne-Ardenne, Reims, FRA
- BioSpecT EA7506, Faculty of Pharmacy, University Hospital of Reims Champagne-Ardenne, Reims, FRA
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7
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Ohta K, Yoshimura H. Large dentigerous cyst of the mandible. Am J Med Sci 2023; 366:e9-e10. [PMID: 36931468 DOI: 10.1016/j.amjms.2023.03.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Revised: 02/15/2023] [Accepted: 03/08/2023] [Indexed: 03/17/2023]
Affiliation(s)
- Keiichi Ohta
- Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan; Kobe University School of Medicine, Kobe, Japan.
| | - Hitoshi Yoshimura
- Department of Dentistry and Oral Surgery, Unit of Sensory and Locomotor Medicine, Division of Medicine, Faculty of Medical Sciences, University of Fukui, Fukui, Japan
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Ahmadian M, Maleki Kambakhsh S, Einollahi N, Babazadeh S, Tofangchiha M, D'Amato G, Patini R. Salivary Protein and Electrolyte Profiles during Primary Teeth Eruption: A Cross-Sectional Study. Diagnostics (Basel) 2023; 13:diagnostics13071335. [PMID: 37046552 PMCID: PMC10093475 DOI: 10.3390/diagnostics13071335] [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: 02/28/2023] [Revised: 03/26/2023] [Accepted: 03/28/2023] [Indexed: 04/14/2023] Open
Abstract
This study aimed to assess the qualitative changes in the saliva during the process of primary teeth eruption. This cross-sectional study was conducted on 147 children from 2 to 48 months, of which 49 were in group A (no erupted primary teeth), 53 were in group B (at least one active erupting primary tooth), and 45 were in group C (eruption of all 20 primary teeth was completed). Salivary proteins were evaluated by sodium dodecyl sulfate electrophoresis with polyacrylamide gel, while the concentrations of salivary sodium, potassium, chloride, and calcium ions were evaluated by ion selective electrodes. The data were analyzed using ANOVA and Bonferroni tests (alpha = 0.05). The concentration of proteins with molecular weights of 20-30 KDa was significantly higher in group A, and it gradually decreased with age. The concentration of proteins with molecular weights of 50-60 KDa in group B was significantly lower than those of groups A and C. The calcium ion concentration in group A was significantly higher than that of the other groups. The concentration of potassium ions was minimal in group C. The proteins and electrolyte profiles of the subjects' saliva changed in the process of primary tooth eruption. The highest concentrations of proteins such as statherin, histatin, P-B peptide, and cystatin and the lowest concentrations of proteins such as amylase were present in group B.
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Affiliation(s)
- Mina Ahmadian
- School of Dentistry, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Sara Maleki Kambakhsh
- School of Dentistry, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
- Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Nahid Einollahi
- Department of Clinical Laboratory Sciences, Faculty of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran 14197-33141, Iran
| | - Saber Babazadeh
- Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
- Department of Community Oral Health, School of Dentistry, Mashhad University of Medical Sciences, Mashhad 91779-48959, Iran
| | - Maryam Tofangchiha
- Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin 34199-15315, Iran
| | - Giuseppe D'Amato
- Unicamillus International University of Health and Medical Sciences, 00131 Rome, Italy
| | - Romeo Patini
- Department of Head, Neck and Sense Organs, School of Dentistry, Catholic University of Sacred Heart, 00135 Rome, Italy
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9
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Khalifa C, Garma M, Mabrouk R, Slim A, Bouguezzi A, Selmi J. Conservative management of dentigerous cyst in children: Report of two clinical cases. Clin Case Rep 2023; 11:e7051. [PMID: 37064731 PMCID: PMC10090943 DOI: 10.1002/ccr3.7051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 02/15/2023] [Accepted: 02/16/2023] [Indexed: 04/18/2023] Open
Abstract
The dentigerous cyst is the second most common odontogenic. The prevalence rates ranging from 0.8% to 3.6% in the general population. It affects people especially at the second and third decade of life with a male predilection. It presents a preference for the mandibular region particularly for the second lower premolar. Surgical marsupialization or decompression are the most conservative treatment modalities as it prevents the risks of cyst removal as nerve injuries and preserves the unerupted tooth. Two clinical cases of two young patients presenting a dentigerous cyst involving impacted teeth, which were successfully treated by decompression will be reported in order to highlight the benefits and limits of cyst decompression as well as detailing its operating protocol and its instructions.
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Affiliation(s)
- Chaima Khalifa
- Department of Oral medicine and Oral SurgeryDental Clinic of MonastirMonastirTunisia
- Faculty of Dental Medicine, Laboratory of Oral Health and Maxillofacial Rehabilitation (LR12ES11)University of MonastirMonastirTunisia
| | - Maroua Garma
- Department of Oral medicine and Oral SurgeryDental Clinic of MonastirMonastirTunisia
- Faculty of Dental Medicine, Laboratory of Oral Health and Maxillofacial Rehabilitation (LR12ES11)University of MonastirMonastirTunisia
| | - Rihab Mabrouk
- Department of Pediatric and Preventive DentistryDental Clinic of MonastirMonastirTunisia
| | - Afef Slim
- Department of Oral medicine and Oral SurgeryDental Clinic of MonastirMonastirTunisia
- Faculty of Dental Medicine, Laboratory of Oral Health and Maxillofacial Rehabilitation (LR12ES11)University of MonastirMonastirTunisia
| | - Adel Bouguezzi
- Department of Oral medicine and Oral SurgeryDental Clinic of MonastirMonastirTunisia
- Faculty of Dental Medicine, Laboratory of Oral Health and Maxillofacial Rehabilitation (LR12ES11)University of MonastirMonastirTunisia
| | - Jamil Selmi
- Department of Oral medicine and Oral SurgeryDental Clinic of MonastirMonastirTunisia
- Faculty of Dental Medicine, Laboratory of Oral Health and Maxillofacial Rehabilitation (LR12ES11)University of MonastirMonastirTunisia
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10
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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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11
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de Almeida Francisquini I, de Lima Medeiros Y, Campos HN, Marlière DAA, Assis NMSP. Orthosurgical Treatment of Impacted Canines with the Presence of Bilateral Dentigerous Cysts: A Case Report with Five-Year Follow-Up. J Maxillofac Oral Surg 2022. [DOI: 10.1007/s12663-022-01811-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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12
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Lešin A, Galić I, Tadin A, Vilović K, Jerković D. Treatment of Inflammatory Dentigerous Cyst Using a Surgical T Drain in a Child. Eur J Dent 2022. [PMID: 36220112 DOI: 10.1055/s-0042-1756688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Abstract
Dentigerous cysts are rarely reported in young children. They are usually asymptomatic and only identified when becoming significantly large. Treatment by enucleation may damage structures like the inferior alveolar nerve, maxillary sinus, or permanent teeth, thus reducing the child's quality of life. Therefore, conservative surgical treatment such as decompression is indicated. This case report describes the treatment and subsequent complete regression of an inflammatory dentigerous cyst based on the decompression method using a customized surgical tube in a 10-year-old girl. The innervation was preserved, and permanent teeth erupted.
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Affiliation(s)
- Antonella Lešin
- Department of Maxillofacial Surgery, University Hospital of Split, Split, Croatia
| | - Ivan Galić
- Department of Maxillofacial Surgery, University Hospital of Split, School of Medicine, University of Split, Split, Croatia
| | - Antonija Tadin
- Department of Restorative Dental Medicine and Endodontics, School of Medicine, University of Split, Split, Croatia
| | - Katarina Vilović
- Department of Anatomy, Department of Pathology, University Hospital of Split, School of Medicine, University of Split, Split, Croatia
| | - Daniel Jerković
- Department of Maxillofacial Surgery, University Hospital of Split, School of Medicine, University of Split, Split, Croatia
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13
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Perez A, Lenoir V, Lombardi T. Dentigerous Cysts with Diverse Radiological Presentation Highlighting Diagnostic Challenges. Diagnostics (Basel) 2022; 12:diagnostics12082006. [PMID: 36010356 PMCID: PMC9407358 DOI: 10.3390/diagnostics12082006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 08/16/2022] [Accepted: 08/16/2022] [Indexed: 11/16/2022] Open
Abstract
Dentigerous cyst is an odontogenic developmental cyst arising from the pericoronal tissue of an impacted tooth, and that may exhibit various radiological aspects. The aim of this article is to present four cases of histologically confirmed mandibular dentigerous cysts to highlight diverse radiological presentations: one of classical appearance (well-limited unilocular radiolucent lesion surrounding the crown) and three which have shown radiological peculiarities (one cyst displacing the adjacent tooth, with bone but no root resorption, one cyst presenting hallmarks of infection and one multilocular cyst with thin septa). Such radiologic diversity may, on occasion, suggest a clinical aggressive lesion such as an odontogenic keratocyst or ameloblastoma. The diagnosis of dentigerous cyst requires a thorough evaluation of the clinical presentation and accurate radiological studies.
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Affiliation(s)
- Alexandre Perez
- Unit of Oral Surgery and Implantology, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Geneva & University Hospitals of Geneva, 1205 Geneva, Switzerland
- Correspondence:
| | - Vincent Lenoir
- Division of Radiology, Diagnostic Department, Geneva University Hospitals, University of Geneva, 1205 Geneva, Switzerland
| | - Tommaso Lombardi
- Unit of Oral Medicine and Oral Maxillofacial Pathology, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Geneva & University Hospitals of Geneva, 1205 Geneva, Switzerland
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14
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Abdelazez AKH, Hany HED, El Din MEG, El Meregy MMM, Abdelhameed AMF, El-Kabany IM, Abdelraouf AM, Salah M, El Hadidi YN, El Abdien MDZ. The evaluation of the effect of performing guided lid surgery with enucleation of a cystic lesion; a case report. Int J Surg Case Rep 2022; 97:107385. [PMID: 35868132 PMCID: PMC9403024 DOI: 10.1016/j.ijscr.2022.107385] [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: 05/28/2022] [Revised: 06/27/2022] [Accepted: 06/30/2022] [Indexed: 02/07/2023] Open
Abstract
INTRODUCTION AND IMPORTANCE Dentigerous cysts are benign odontogenic cysts of developmental origin. Enucleation and marsupialization are still considered the blueprint of cystic lesion treatment. CASE PRESENTATION A 23-year-old male patient presented complaining of a minimal swelling in his upper jaw with slight tenderness in his upper anterior teeth. Cone Beam Computed Tomography (CBCT) on the maxilla was requested. The cystic lesion was found to be minimally expansile with intact cortical plates of the maxilla in the affected area. The CBCT was used to fabricate a cutting guide to determine the exact location of the bony window to fully access the lesion. Root canal treatment was done for the affected non-vital teeth. The cuts were done using a piezo-electric device. Complete enucleation was done for the lesion followed by fixation of the cortical bone lid using micro-plates and screws. The case was followed up after 6 months for new bone deposition using CBCT and 1 week, 1 month, and 6 months postoperatively for postoperative pain using the Visual Analogue Scale (VAS). CLINICAL DISCUSSION Piezo-electric surgery was used due to the selective cutting merit to cut through bone while preserving the cystic lining intact. Lid surgery aims to maximize the volume of bone deposited in place of the defect by converting the cavity of the cystic lesion into a contained defect. CONCLUSION Guided lid surgery using a piezo-electric device could be a useful technique for cystic enucleation regarding the new bone formation and pain level.
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Affiliation(s)
- Aly Khaled Hussein Abdelazez
- Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Egypt,Faculty of Dentistry, Ain Shams University, Egypt,Corresponding author at: Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Egypt.
| | - Hossam El-Dien Hany
- Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Egypt,Faculty of Dentistry, Ain Shams University, Egypt
| | | | | | | | | | | | - Mohamed Salah
- Department of Endodontics, Faculty of Dentistry, Ain Shams University, Egypt
| | | | - Mohammed Diaa Zein El Abdien
- Oral and Maxillofacial Surgery, Faculty of Dentistry, Ain Shams University, Egypt,Faculty of Dentistry, Ain Shams University, Egypt
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15
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Evaluation of the Relationship between the BMI and the Sequence and Chronology of Eruption in Permanent Dentition in Spanish Population. Healthcare (Basel) 2022; 10:healthcare10061046. [PMID: 35742098 PMCID: PMC9222528 DOI: 10.3390/healthcare10061046] [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: 04/29/2022] [Revised: 05/31/2022] [Accepted: 06/02/2022] [Indexed: 11/17/2022] Open
Abstract
The aim was to analyze the relationship between BMI (body mass index) and the sequence and chronology of the eruption of permanent teeth in a sample of Spanish children. Methods: The study design was descriptive, cross-sectional, observational, and epidemiological. Patients of pediatric age were included. Emerged teeth, and patient’s age, race, and sex were recorded. The nutritional status of the child was assessed by calculating the BMI, according to the WHO parameters. Statistical analysis was carried out with a confidence interval of 95%. A prediction model with logistic regression models was obtained. Results: A total of 725 pediatric patients between 4 and 14 years old were analyzed. BMI acts as a predictor variable for eruption symmetry, as it was most frequent in overweight children (p < 0.001). The probability of symmetry in dental eruption increases for South American children, for an extra month of age, and each meter of height. BMI had an influence in the first tooth to appear only in the fourth quadrant. BMI did not seem to influence present teeth, and the sequence of permanent dental eruption was not influenced by the BMI category. Conclusions: Age, weight, height, and BMI act as significant predictors for eruption symmetry. BMI does not produce alterations in the eruption sequence of the permanent dentition.
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16
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Bijle MN, Mallineni SK, Tsoi J. Qualitative and Quantitative Micro-CT Analysis of Natal and Neonatal Teeth. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9040560. [PMID: 35455604 PMCID: PMC9024662 DOI: 10.3390/children9040560] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/12/2022] [Accepted: 04/12/2022] [Indexed: 11/28/2022]
Abstract
The objective of this study was to characterize natal and neonatal teeth using micro-computed tomography. A total of 4 natal and 11 neonatal teeth were used for the analysis. The reconstructed scans were assessed for the maximum enamel/dentin thickness and mineral density (MD). The scanned specimens were 3D reconstructed to qualitatively determine the surface topography. The dentin thickness was two-fold greater than enamel thickness for both natal and neonatal teeth (p < 0.05). The cervical third enamel MD remained undetermined in natal and neonatal teeth. The dentin MD at the cervical third for neonatal teeth was significantly lower than the incisal and middle third dentin (p < 0.05). Similarly, the dentin MD at the cervical third of neonatal teeth was significantly lower than the cervical third dentin MD of natal teeth (p < 0.05). Our qualitative analysis suggests that the cervical thirds of both natal and neonatal teeth are peculiar of an anomalous structure, with neonatal teeth showing an irregular outline. Under the conditions of the present study, it can be concluded that the neonatal teeth studied exhibited a distinguishable aberrant structure compared to the natal teeth. Therefore, the natal teeth unfold as a more organized, three-dimensional structure compared to the neonatal teeth.
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Affiliation(s)
- Mohammed Nadeem Bijle
- Paediatric Dentistry, Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman 346, United Arab Emirates; or
- Center of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman 346, United Arab Emirates
| | - Sreekanth Kumar Mallineni
- Paediatric Dentistry, Department of Preventive Dental Science, College of Dentistry, Majmaah University, Al-Majmaah 11952, Saudi Arabia
- Center for Transdisciplinary Research (CFTR), Saveetha Institute of Medical and Technical Sciences, Saveetha Dental College, Saveetha University, Chennai 600077, Tamil Nadu, India
- Correspondence: or (S.K.M.); (J.T.)
| | - James Tsoi
- Dental Materials Science, Discipline of Applied Oral Sciences and Community Dental Care, The University of Hong Kong, Hong Kong SAR, China
- Correspondence: or (S.K.M.); (J.T.)
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17
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Abu-Mostafa N. Marsupialization of Dentigerous Cysts Followed by Enucleation and Extraction of Deeply Impacted Third Molars: Two Case Reports. Cureus 2022; 14:e23772. [PMID: 35530855 PMCID: PMC9067614 DOI: 10.7759/cureus.23772] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/01/2022] [Indexed: 11/05/2022] Open
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