Skip to main content
Log in

Diagnostic ability of cone beam computed tomography in the management of dentigerous cysts

  • case study
  • Published:
international journal of stomatology & occlusion medicine

Abstract

A dentigerous cyst is an odontogenic cyst that develops from reduced enamel epithelium and is associated with the crown of an impacted tooth. It is the second most common cyst after radicular cysts. It is mostly seen in the second and third decades of life and is rarely encountered in children. Dentigerous cysts are most common in mandibular molars, and are rare in premolars and canines. They are usually asymptomatic, unless they are secondarily infected. Cone beam computed tomography (CBCT) is a state-of-the-art three-dimensional imaging modality used in all areas of dentistry specifically for maxillofacial imaging. Because of its features, the role of CBCT has been extended from diagnosis to surgical management. This report describes a case of a dentigerous cyst in a 12-year-old patient involving an impacted right mandibular second premolar, a rare entity. Using CBCT, canal mapping was performed to extricate the extension of the cyst with the mandibular canal, helping the surgeon during surgical management. The present report also highlights the role of CBCT in the preoperative assessment and management of dentigerous cysts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Shear M, Speight P. Cysts of the oral and maxillofacial regions. 4th edn. New York: John Wiley & Sons; 2008.1 p.

    Google Scholar 

  2. Carrera M, Dantas DB, Marchionni AM, Oliveira MG de, Andrade MGS. Conservative treatment of the dentigerous cyst: report of two cases. Braz J Oral Sci. 2013;12(1):52–6.

    Google Scholar 

  3. Shetty R, Sandler PJ. Keeping your eye on the ball. Dent Update. 2004;31(7):398–402.

    PubMed  Google Scholar 

  4. Robb RA. The dynamic spatial reconstructor: an x-ray video-fluoroscopic CT scanner for dynamic volume imaging of moving organs. IEEE Trans Med Imaging. 1982;1:22–33.

    Article  CAS  PubMed  Google Scholar 

  5. Machado GL. CBCT imaging—A boon to orthodontics. Saudi Dent J. 2015;27(1):12–21.

    Article  PubMed Central  PubMed  Google Scholar 

  6. Zhang LL, Yang R, Zhang L, Li W, MacDonald Jankowski D, Poh CF. Dentigerous cyst: A retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada. Int J Oral Maxillofac Surg. 2010;39:878–82.

    Article  CAS  PubMed  Google Scholar 

  7. Ko KS, Dover DG, Jordan RC. Bilateral dentigerous cysts—report of an unusual case and review of the literature. J Can Dent Assoc. 1999;65:49–51.

    CAS  PubMed  Google Scholar 

  8. Yücel O, Yildirim G, Tosun G, Baka ZM, Göyenç YB, Günhan O. Eruption of impacted permanent teeth after treatment of a dentigerous cyst: a case report. J Dent Child. 2013;80(2):92–6.

    Google Scholar 

  9. Nagaveni NB, et al. Inflammatory dentigerous cyst associated with endodontically treated molar. Arch Orofac Sci. 2011;6(1):27–31.

    Google Scholar 

  10. Tilakraj TN, Kiran NK, Mukunda KS, Rao S. Non syndromic unilateral dentigerous cyst in a 4 year old child: a rare case report. Contemp Clin Dent. 2011;2:398–401.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  11. Amin ZA, Amran M, Khairudin A. Removal of extensive maxillary dentigerous cyst via a Caldwell- Luc procedure. Arch Orofac Sci. 2008;3(2):48–51.

    Google Scholar 

  12. Scarfe WC, Farman AG. What is cone-beam CT and how does it work? Dent Clin N Am. 2008;52:707–30.

    Article  PubMed  Google Scholar 

  13. Loubele M, Bogaerts R, Van Dijck E, Pauwels R, Vanheusden S, Suetens P, et al. Comparison between effective radiation dose of CBCT and MSCT scanners for dentomaxillofacial applications. Eur J Radiol. 2009;71(3):461–8.

    Article  CAS  PubMed  Google Scholar 

  14. Angelopoulos C, Thomas SL, Hechler S, Parissis N, Hlavacek M. Comparison between digital panoramic radiography and cone-beam computed tomography for the identification of the mandibular canal as part of presurgical dental implant assessment. J Oral Maxillofac Surg. 2008;66:2130–5.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ch. Sai Kiran.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kiran, C., Ramaswamy, P., Mahitha, G. et al. Diagnostic ability of cone beam computed tomography in the management of dentigerous cysts. J. Stomat. Occ. Med. 8, 105–110 (2015). https://doi.org/10.1007/s12548-015-0136-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12548-015-0136-4

Keywords

Navigation