European Archives of Paediatric Dentistry

, Volume 11, Issue 3, pp 140–145 | Cite as

Treatment of large dentigerous cysts in children

  • J. Berdén
  • G. Koch
  • C. UllbroEmail author
Case Series


AIM: To present a series of clinical cases of children treated for large dentigerous cysts with a conservative and tissue preserving surgical approach. METHODS: A follow-up study of 11 children aged 5–11 years old treated for large dentigerous cysts with decompression. The children were followed from the first appointment when the cysts were diagnosed until the full eruption of the involved and displaced teeth. The treatment procedure is described step by step. Three of the 11 cases are presented in detail. RESULTS: All permanent teeth displaced by the dentigerous cysts, except a wisdom tooth and a maxillary canine, erupted in a correct position and in good occlusion. No facial disfigurations or defects of oral tissues occurred. CONCLUSIONS: A decompression approach, as described in this paper, is rewarding for the patient and the surgeon. It would be unethical and destructive to the maxillofacial bone structure not to treat large dentigerous cysts in children by decompression.

Key words

Dentigerous cysts children surgical treatment 


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  1. Ahlqwist M, Gröndahl HG. Prevalence of impacted teeth and associated pathology in middle-aged and older Swedish women. Community Dent Oral Epidemiol 1991;19:116–119.PubMedCrossRefGoogle Scholar
  2. Bernick S. Dentigerous cyst of the jaw. Oral Surg Oral Med Oral Pathol 1949;2:914–921.PubMedCrossRefGoogle Scholar
  3. Browne RM. The patogenesis of odontogenic cysts: a review. J Oral Pathol 1975;4:31–46.PubMedCrossRefGoogle Scholar
  4. Chew YS, Aghabeigi B. Spontaneous regression of bilateral dentigerous cysts: a case report. Dent Update 2008;35:63–65.PubMedGoogle Scholar
  5. Daley TD, Wysoki G P, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 1994;77:276–280.PubMedCrossRefGoogle Scholar
  6. Daley T D, Wysocki G P. The small dentigerous cyst. A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:77–81.PubMedCrossRefGoogle Scholar
  7. Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent 2006;28:269–272.PubMedGoogle Scholar
  8. Ericson S, Bjerklin K, Falahat B. Does the canine dental follicle cause resorption of permanent incisor roots? Acomputed tomographic study of erupting maxillary canines. Angle Orthod 2002;72:95–104.PubMedGoogle Scholar
  9. Ertas U. Yavus S. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialisation. J Oral Maxillofacial Surg 2003;61:728–730.CrossRefGoogle Scholar
  10. Fujii R, Kawakami M, Hyomoto M, Ishida J, Kirita T. Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialisation. J Oral Maxillofac Surg 2008;66:272–276.PubMedCrossRefGoogle Scholar
  11. Kim J, Ellis GL. Dental follicular tissue: misinterpretation as odontogenic tumors. J Oral Maxillofac Surg 1993;51:762–767.PubMedCrossRefGoogle Scholar
  12. Martinez-Pérez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J of Oral Maxillofac Surg 2001; 59:331–334.CrossRefGoogle Scholar
  13. Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Brit Dent J 2005;198:203–206.PubMedCrossRefGoogle Scholar
  14. Ochsenius G, Escobar E, Godoy L, Peñafiel C. Odontogenic cysts: analysis of 2,944 cases in Chile. Med Oral Patol Oral Cir Bucal 2007,12:E85–91.PubMedGoogle Scholar
  15. Shear M. Cysts of the oral region. 2nd ed. Bristol: Wright; 1983. p. 56–75.Google Scholar
  16. Ziccardi VB, Eggleston TI, Schneider RE. Using fenestration technique to treat a large dentigerous cyst. J Am Dent Assoc 1997;128:201–205.PubMedGoogle Scholar

Copyright information

© Adis International 2010

Authors and Affiliations

  1. 1.Dept. of Paediatric DentistryInstitute for Postgraduate Dental EducationJönköpingSweden

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