Citation Information :
Gaur G, Agarwal P, Goyal G, Sharma S. Management of a Large Dentigerous Cyst with Enucleation and Packing Open with BIPP in 9-year-old Child: A Case Report. Int J Clin Pediatr Dent 2023; 16 (3):515-517.
Dentigerous cyst is also known as follicular cyst. It is an odontogenic cyst of developmental origin. The dentigerous cyst involves impacted, embedded or submerged tooth by expansion of its follicle. The normal follicular space is mostly 3-4 mm but with dentigerous cyst it can be 5 mm or more. These are second most commonly occurring odontogenic cysts and literature shows occurrence of 24% among true cysts of jaw. It is most commonly associated with mandibular 3rd molar followed by maxillary canine and third molar. Radiographically occurring as unilocular radiolucency around an impacted tooth. In our case the cyst was a large dentigerous cyst occurring in 9-year-old child having mixed dentition. Complete enucleation of the cystic lesion and packing open with bismuth iodoform paraffin paste (BIPP) was done. BIPP dressing was changed at regular intervels and more than 60% of bone formation was complete in around 5 months which was evident on the radiograph.
Conclusion: Methods employed for elimination include enucleation, decompression marsupialization but the treatment modality also depends upon age, existing dentition, location and size of the lesion.
Hajj R, Dagher J, Nasseh I. Infrequent radiological features of a dentigerous cyst–a case report. Int Dent Med J Adv Res 2019;5:1–5. DOI: 10.15713/ins.idmjar.105
Gupta K, Kohli A, Verma A, et al. Management of dentigerous cyst in mixed dentition with successful eruption of permanent tooth: a case report with long term follow up. Rama Univ J Dent Sci 2015;2(1):67–72.
Scerri E, Azzopardi A. Management of inflammatory dentigerous cyst in children: report of two cases. Malta Med J 2010;22(3):18–20.
Kalasar RR, Tiku A, Damle SG. Dentigerous cyst in anterior maxilla in young child: a case report. J Indian Soc Pedod Prevent Dent 2007.
Patil AS, Jathar PN, Panse AM, et al. 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
Subramanyam D. Surgical management of dentigerous cyst of maxillary region in non-syndromic patient–a case report. Int J Sci Res 2019;8(9):1–2.
G A, Verma B, P U. Management of a dentigerous cyst: a two-year review. Int J Clin Pediatr Dent 2011;4(2):147–151. DOI: 10.5005/jp-journals-10005-1100
Jain N, Gaur G, Chaturvedy V, et al. Dentigerous cyst associated with maxillary premolar: a rare site occurrence and a rare coincidence. Int J Clin Pediatr Dent 2018;11(1):50–52. DOI: 10.5005/jp-journals-10005-1483
Sadhwani S, Patil S, Karpe H, et al. Lateral dentigerous cyst: a case report. IOSR J Dent Med Sci 2019;18(4):64–67. DOI: 10.9790/0853-1804146467
Pant B, Carvalho K, Dhupar A, et al. Bilateral nonsyndromic dentigerous cyst in a 10-year-old child: a case report and literature review. Int J Appl Basic Med Res 2021;9(1):58–61. DOI: 10.4103/ijabmr.IJABMR_205_18
Klay MCP, Martinelli CR, Martinelli C, et al. Unusual imaging features of dentigerous cyst: a case report. Dent J 2009;7(76).
Singh G, Kumar D, Kapoor S, et al. Assets of marsupialization over enucleation in the treatment of large odontogenic cysts: report of two cases. Dent J Adv Stud 2017;5(3):116–123. DOI: 10.1055/s-0038-1672094
Kumar VG, Ambati NG. Management of large dentigerous cyst involving ramus and body of mandible in a child – a case report. J Res Adv Dent 2013;2(3):21–23.
Hasan S, Ahmed SA, Reddy LB. Dentigerous cyst in association with Inverted mesiodense: report of rare case with brief review of literature. Int J Appl Basic Med Res 2014;4(1):61–64. DOI: 10.4103/2229-516X.140748
Gaur G, Agarwal A, Jindal P, et al. Dentigerous cyst: management in mixed dentition. J Res Adv Dent 2019;10(1):75–79.
