International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 2 ( March-April, 2021 ) > List of Articles


Success in Conservative Treatment of an Inflammatory Follicular Cyst: A 5-year Follow-up

Guilherme AA de Oliveira, Mariana C Limongi, Helmar Santos Garcia, Luciana C Fonseca, Flavio R Manzi

Keywords : Mixed dentition, Odontogenic cysts, Panoramic radiography, Pediatric dentistry

Citation Information : de Oliveira GA, Limongi MC, Garcia HS, Fonseca LC, Manzi FR. Success in Conservative Treatment of an Inflammatory Follicular Cyst: A 5-year Follow-up. Int J Clin Pediatr Dent 2021; 14 (2):327-330.

DOI: 10.5005/jp-journals-10005-1924

License: CC BY-NC 4.0

Published Online: 30-07-2021

Copyright Statement:  Copyright © 2021; The Author(s).


The inflammatory follicular cysts are cystic lesions associated with non-erupted permanent teeth and involve devitalized deciduous teeth. Products resulting from the necrotic pulp of deciduous teeth stimulate crown hood growth of successor permanent tooth radiographically shown as a unilocular, radiolucent area, associated with an impacted permanent crown. Treatment based on cyst decompression and maintenance of the deciduous tooth is a conservative approach to space maintenance. This case report describes the diagnosis, treatment, and post-surgery follow-up after 5 years of an extensive inflammatory follicular cyst in the mandible, in the region of tooth 75, with marsupialization being the method of treatment and emphasizing the importance of clinical and radiographic follow-up.

  1. Kramer LR, Pindborg JJ, Shear M. International histological classification of tumors. Histological typing of odontogenic tumors. 2nd ed., Geneva, Switzerland: World Health Organization; 1992. pp. 34–36.
  2. Ochsenius G, Escobar E, Godoy L, et al. Odontogenic cysts: analysis of 2.944 cases in Chile. Med Oral Patol Oral Cir Bucal 2007;12:85–91.
  3. Shear M, Speight PM. Cysts of the oral and maxillofacial regions. Blackwell Publishing; 2007. pp 59–pp 76.
  4. Benn MA. Dentigerous cysts of inflammatory origin - a clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81(2):203–209. DOI: 10.1016/s1079-2104(96)80416-1.
  5. Lautenschläger GAC, Gallina MC, Ferreira Júnior O, et al. Primary failure of tooth eruption associated with secondarily inflamed dental follicle: inflammatory follicular cyst? Braz Dent J 2007;18(2):144–147. DOI: 10.1590/S0103-64402007000200011.
  6. Scholl RJ, Kellett HM, Neumann DP, et al. Cysts and cystic lesions of the mandible: clinical and radiologic – histopathologic review. Radiographics 1999;19(5):1107–1124. DOI: 10.1148/radiographics.19.5.g99se021107.
  7. Ackermann G, Cohen MA, Altini M. The paradental cyst: a clinicopathologic study of 50 cases. Oral Surg Oral Med Oral Pathol 1987;64(3):308–312. DOI: 10.1016/0030-4220(87)90010-7.
  8. Main DMG. Epithelial jaw cysts: 10 years of the WHO classification. J Oral Pathol 1985;14(1):1–7. DOI: 10.1111/j.1600-0714.1985. tb00459.x.
  9. Shaw W, Smith M, Hill F. Inflammatory follicular cysts. J Dent Child 1980;47:288–290.
  10. Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofac Radiol 2004;33(1):17–20. DOI: 10.1259/dmfr/24148363.
  11. Kozelj V, Sotosek B. Inflammatory dentigerous cysts of children treated by tooth extraction and decompression--report of four cases. Br Dent J 1999;187(11):587–590. DOI: 10.1038/sj.bdj. 4800339a.
  12. Janas A, Stelmach R, Osica P. Large dentigerous cyst caused by retained tooth 25. Dev Period Med 2014;18(3):356–359.
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