BACKGROUND: Odontogenic cysts are often encountered in the paediatric and adolescent population, dentigerous cyst being the most common. The current report aims to raise the awareness of paediatric dentists about the management of this condition. CASE REPORT: The current report presents a case of a healthy 14 year-old boy with an odontogenic cyst involving two displaced mandibular premolars. TREATMENT: The cyst was enucleated surgically and the two premolars were preserved. The diagnosis was a dentigerous cyst. FOLLOW-UP: At 4, 12 and 20 months there was substantial bone healing and non-assisted eruption of the premolars. CONCLUSION: A less invasive approach when treating odontogenic cysts in children and adolescents is recommended when possible to preserve the permanent teeth involved.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent. 2006;28:269–72.
Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma-differential diagnosis in routine histology. J Oral Pathol Med. 2003;32:486–91.
Farah CS, Savage NW. Pericoronal radiolucencies and the significance of early detection. Aust Dent J. 2002;47:262–65.
Gupta M, Kaste SC, Hopkins KP. Radiologic appearance of primary jaw lesions in children. Pediatr Radiol. 2002;32:153–68.
Hisatomi M, Asaumi J, Konouchi H, et al. MR imaging of epithelial cysts of the oral and maxillofacial region. Eur J Radiol. 2003; 48:178–82.
Martinez-Perez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg, 2001;59:331–33.
Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofac Radiol. 2004;33:17–20.
Stoll C, Stollenwerk C, Riediger D, Mittermayer C, Alfer J. Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts. J Oral Pathol Med. 2005;34:558–64.
About this article
Cite this article
Alkhatib, A., Manton, D.J. Preservation of teeth involved with an odontogenic cyst. Eur Arch Paediatr Dent 11, 146–148 (2010). https://doi.org/10.1007/BF03262731