1
|
Pattabhi A, Pendem S, S D, Yuwanati M, Krishnan M. Cholesterol Granuloma From a Developmental Odontogenic Cyst: A Report of a Rare Case and a Literature Review. Cureus 2024; 16:e54545. [PMID: 38516497 PMCID: PMC10955371 DOI: 10.7759/cureus.54545] [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: 01/06/2024] [Accepted: 02/20/2024] [Indexed: 03/23/2024] Open
Abstract
Dentigerous cysts are the second most common developmental odontogenic cysts that develop around the crown of unerrupted teeth with the maxillary canine region being one of the common sites of occurrence. The cystic lining of this lesion has been shown to develop into ameloblastoma, Muco epidermoid carcinoma, and squamous cell carcinomas. However, the development of cholesterol granuloma (CG) in the cystic lining of a dentigerous cyst is extremely rare. CG is a histological observation distinguished by the presence of a conglomeration of connective tissue and granulation tissue. The condition is predominantly seen in the field of otolaryngology, with very few cases reported in the maxillofacial region, most of which are associated with the maxillary sinus. This article presents the findings of a CG in a 39-year-old male patient that developed within the dentigerous cyst and discusses the possible etiopathogenesis, surgical management, and histological presentation.
Collapse
Affiliation(s)
- Ashwin Pattabhi
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Sneha Pendem
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Dharini S
- Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Monal Yuwanati
- Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| | - Murugesan Krishnan
- Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND
| |
Collapse
|
2
|
Huopainen P, Virkkunen S, Snäll J, Tezvergil-Mutluay A, Hagström J, Apajalahti S. Periapical foreign body findings - histological and radiological comparison. Acta Odontol Scand 2023; 81:622-626. [PMID: 37470399 DOI: 10.1080/00016357.2023.2236213] [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: 03/07/2023] [Revised: 06/20/2023] [Accepted: 07/09/2023] [Indexed: 07/21/2023]
Abstract
OBJECTIVE This study aimed to clarify the perceptibility of periapical foreign materials in imaging compared with histopathology. We hypothesized that dentoalveolar imaging is sufficient to detect periapical foreign bodies. MATERIAL AND METHODS Radiological and histopathological records of patients diagnosed with periapical granuloma or radicular cyst from 2000 to 2013 were evaluated retrospectively. Patients with histologically verified foreign bodies were included in the study and their pathological samples and radiological images were reviewed. The outcome variable was radiologically detectable foreign material. The predictor variables were histopathological diagnosis, type of inflammation, type and number of foreign bodies, imaging modality, and site of foreign material. RESULTS Compared to the histopathological diagnosis of foreign bodies as the gold standard, the level of radiologic detectability was mild. Histologically verified foreign material could be detected by imaging in 32/59 (53.5%) patients. Histological diagnosis, type of inflammation, type or number of foreign bodies, imaging modality or site of foreign material had no association with radiological detectability (p > 0.05). CONCLUSIONS According to our results, histopathology is a more accurate diagnostic tool than radiology in periapical foreign bodies or foreign body reactions. Clinicians should keep in mind the limitations of imaging when setting the diagnosis and planning treatment.
Collapse
Affiliation(s)
- Piia Huopainen
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Sirke Virkkunen
- Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Johanna Snäll
- Department of Oral and Maxillofacial Diseases, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Arzu Tezvergil-Mutluay
- Department of Restorative Dentistry and Cariology, Adhesive Dentistry Research Group, Institute of Dentistry, University of Turku and Turku University Hospital, Turku, Finland
| | - Jaana Hagström
- Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
- Department of Oral Pathology and Radiology, University of Turku, Turku, Finland
| | - Satu Apajalahti
- HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| |
Collapse
|
3
|
Azariah ED, Ramalingam S, Harikrishnan T, Khodabux RJ. Massive Infected Dentigerous Cyst in a Young Child. Cureus 2023; 15:e39621. [PMID: 37388616 PMCID: PMC10300503 DOI: 10.7759/cureus.39621] [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: 05/21/2023] [Indexed: 07/01/2023] Open
Abstract
Dentigerous cysts are odontogenic cysts that form on the crown of an unerupted or partially erupted tooth. They are specifically anchored to the cementoenamel junction. Dentigerous cysts are known to rarely involve impacted deciduous teeth. Because of this rarity, this article reports a unique case of a five-year-old female patient who developed a dentigerous cyst in relation to a developing permanent left mandibular first molar tooth with its surgical treatment and histopathological features.
Collapse
Affiliation(s)
- Emmanuel D Azariah
- Oral and Maxillofacial Surgery, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Suganya Ramalingam
- Oral Pathology, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Thamizhchelvan Harikrishnan
- Oral Pathology, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| | - Rachael J Khodabux
- Oral Pathology, Sri Ramachandra Dental College & Hospital, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND
| |
Collapse
|
4
|
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.
Collapse
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
| |
Collapse
|
5
|
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.
Collapse
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
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
Alhashim FY, Almarhoon FS, Alhashim HY, Moumen A. Endonasal endoscopic management of different cases of dentigerous cysts and ectopic teeth. J Surg Case Rep 2021; 2021:rjab099. [PMID: 33897999 PMCID: PMC8055173 DOI: 10.1093/jscr/rjab099] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Accepted: 02/26/2021] [Indexed: 11/21/2022] Open
Abstract
Dentigerous cyst is a type of developmental odontogenic cysts that arises from the crown impacted, embedded or unerupted teeth that standardly managed by Caldwell-luc procedure, which is found to be associated with morbidities and complications. Endonasal endoscopic removal is a minimally invasive approach aiming to prevent morbidities and complications. The aim of this article is to study the advantages of the endonasal endoscopic approach in managing different cases of dentigerous cyst and ectopic teeth. In this article, we reported three different cases (two pediatric and one adult), one presenting with unilateral dentigerous cyst with traumatic ectopic teeth in the maxillary sinus, and one presenting with bilateral dentigerous cysts and ectopic teeth in the maxillary sinuses, the third case of unilateral ectopic intranasal canine tooth. All managed by endonasal endoscopic approach, with no complications and complete recovery. The endonasal endoscopic approach is a minimally invasive surgical approach. With the use of different angled endoscopes and instruments, this approach is preserving physiological function while minimizing morbidity and preventing complications.
Collapse
Affiliation(s)
| | | | | | - Ali Moumen
- ENT Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia
| |
Collapse
|
8
|
Value of Magnetic Resonance Imaging for Diagnosis of Dentigerous Cyst. Case Rep Dent 2016; 2016:2806235. [PMID: 27795861 PMCID: PMC5071551 DOI: 10.1155/2016/2806235] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 08/24/2016] [Accepted: 09/18/2016] [Indexed: 11/17/2022] Open
Abstract
Odontogenic cysts have a high prevalence in the dental clinic population, with dentigerous cyst being one of the most frequent ones and whose aetiology involves accumulation of fluid between the reduced enamel epithelium and the crown of an unerupted tooth. In the diagnostic process of these lesions, one should consider complementary imaging exams such as conventional radiography and computed tomography, which are commonly used for providing anatomical information on the tissues compromised by the lesion, but not on the nature of it. Magnetic resonance imaging (MRI) scans are noninvasive modalities which, due to their unique acquisition characteristics, can provide distinct information on the nature of the lesion. This study reports on a case of dentigerous cyst in the mandible of a 9-year-old patient, documented by means of different imaging modalities. MRI played an important role in both diagnosis of the lesion and differential diagnosis between neoplastic lesions presenting similar imagenological behaviour under other techniques of radiography.
Collapse
|