International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 12 , ISSUE 1 ( January-February, 2019 ) > List of Articles

CASE REPORT

Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases

Amol S Patil, Prasad N Jathar, Samhita R Bahutule, Raju U Patil

Keywords : Decompression, Infected dentigerous cyst, Mixed dentition, Radicular cyst, Stent

Citation Information : Patil AS, Jathar PN, Bahutule SR, Patil RU. Infected Dentigerous Cyst and its Conservative Management: A Report of Two Cases. Int J Clin Pediatr Dent 2019; 12 (1):68-72.

DOI: 10.5005/jp-journals-10005-1578

License: CC BY-NC 4.0

Published Online: 01-06-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: To check the efficacy of decompression technique in children with dentigerous cysts. Background: Most commonly occurring odontogenic cysts in the oral cavity are radicular cysts and dentigerous cysts.1 According to Kramer, a cyst is defined as a pathological cavity having fluid, semi-fluid, or gaseous contents, which is not created by the accumulation of pus. A cyst which is lined by epithelium is known as a true cyst and that which is not lined by epithelium known as a pseudocyst.2 The dictionary meaning of dentigerous is “structures resembling teeth”.3 A dentigerous cyst is found enveloping the crown of an unerupted, embedded, or submerged tooth by the expansion of its follicle till the neck of the tooth.1 It is not unusual for a dentigerous cyst to mimic a radicular cyst, especially when the cyst is associated with a pulpectomized or carious primary tooth and its unerupted permanent successor. This article presents two cases of infected dentigerous cysts. The first case was of a female patient associated with tooth 45; and another case was of a male patient associated with tooth 35. The infected dentigerous cyst in both the cases was treated with the most conservative option available, i.e., decompression technique. Case description: In this article, two cases of infected dentigerous cysts are discussed, in which one case deals with the female patient associated with tooth 45 and the other case deals with the male patient associated with tooth 35. The infected dentigerous cysts in both the cases were treated conservatively, i.e., with the decompression technique. Conclusion: The present case report states that the decompression technique may be the most conservative method available for managing dentigerous cysts in children.


PDF Share
  1. Yeo JF, Roshnah BZ, et al. Clinico-pathological study of dentigerous cysts in Singapore and Malaysia. Malays J Pathol 2007;29(1): 41–47.
  2. Shear M. A textbook of Cysts of the oral regions, 3rd edn. Oxford: Wright, 1992; pp. 75–98.
  3. Kasat VO, Karjodkar FR, et al. Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a case report and review of literature. Contemp Clin Dent 2012;3(3):373–376. DOI: 10.4103/0976- 237X.103642.
  4. Sannomiya EK, Nogueira MQ, et al. Trauma induced dentigerous cyst involving the anterior maxilla. J Dent Child 2007;74:161–164.
  5. Ghezta N. Case report surgical enucleation of large radicular cyst - case report. J Dentofacial Sci 2012;1(2):28–32. DOI: 10.1136/bcr-2014- 203678.
  6. Laskin DM. Textbook of Oral Surgery, 1985.
  7. Aslan M, Aras MH, et al. Large dentigerous and radicular cysts of the mandible (case report). Atatürk Univ Diş Hek Fak Derg 2006;16(1): 54–58.
  8. Nagaveni NB, Umashankara KV, et al. Archives of orofacial sciences inflammatory dentigerous cyst associated with an endodontically treated primary second molar: a case report. Arch Orofac Sci 2011;6(1):27–31.
  9. Ramakrishna A, Lambade P. Dentigerous cyst associated with ectopic canine and a supernumerary tooth: a rare occurrence. J Surg Tech Case Rep 2013 Jul–Dec;5(2):85–88. DOI: 10.4103/2006-8808. 128738.
  10. Maitin SN, Mukherjee CG, et al. Conservative management of a misdiagnosed infected dentigerous cyst in transition dentition. IJADS 2015;1(2):12–14.
  11. Aher V, Chander PM, et al. Dentigerous cysts in four quadrants: A rare and first reported case. J Surg Tech Case Rep 2013;5:21–26. DOI: 10.4103/2006-8808.118607.
  12. Carrera M, Dantas DB, et al. Conservative treatment of the dentigerous cyst: report of two cases. Braz J Oral Sci 2013;12(1):52–56.
  13. Teixeira RG, Moraes PC, et al. Decompression of a maxillary dentigerous cyst. RGO Rev Gaucha Odontol Porto Alegre 2011;59(2):299–303.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.