Preservation of teeth involved with an odontogenic cyst

Abstract

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.

References

  1. 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.

    PubMed  Google Scholar 

  2. 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.

    PubMed  Article  Google Scholar 

  3. Farah CS, Savage NW. Pericoronal radiolucencies and the significance of early detection. Aust Dent J. 2002;47:262–65.

    PubMed  Article  Google Scholar 

  4. Gupta M, Kaste SC, Hopkins KP. Radiologic appearance of primary jaw lesions in children. Pediatr Radiol. 2002;32:153–68.

    PubMed  Article  Google Scholar 

  5. 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.

    PubMed  Article  Google Scholar 

  6. 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.

    PubMed  Article  Google Scholar 

  7. Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofac Radiol. 2004;33:17–20.

    PubMed  Article  Google Scholar 

  8. 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.

    PubMed  Article  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Dr D. J. Manton.

Rights and permissions

Reprints and Permissions

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

Download citation

Key words

  • cyst
  • odontogenic
  • dentigerous