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Case Reports
. 2011 May-Aug;4(2):147-51.
doi: 10.5005/jp-journals-10005-1100. Epub 2010 Apr 15.

Management of a Dentigerous Cyst: A Two-Year Review

Anjana G  1 , Balagopal Varma  2 , Ushus P  3
Affiliations
Case Reports

Management of a Dentigerous Cyst: A Two-Year Review

Anjana G et al. Int J Clin Pediatr Dent. 2011 May-Aug.

Abstract

Dentigerous cyst is reported to be one of the most common odontogenic cysts of the jaws.(12) The most commonly involved teeth are mandibular third molars, maxillary canines, maxillary third molars and rarely maxillary anteriors.(23) This case report is about the management of a dentigerous cyst associated with a mandibular second molar (37) in a 9-year-old girl by a conservative treatment plan of marsupialization of the cyst. A 2-year postsurgical review reveals complete disappearance of the cystic lesion and normal alignment of 37 and 38.

Keywords: Dentigerous cyst; Marsupialization..

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Figures

Fig. 1
Fig. 1
Extraoral appearance of the lesion
Fig. 2
Fig. 2
Intraoral appearance of the lesion
Fig. 3
Fig. 3
Radiographic appearance
Fig. 4
Fig. 4
Intraoperative picture of the surgical window
Fig. 5
Fig. 5
Intraoperative picture of the surgical window and 37 in the cystic space
Fig. 6
Fig. 6
Postsurgical―10th postoperative day
Figs 7A and B
Figs 7A and B
Acrylic plate
Fig. 8
Fig. 8
Acrylic plate in position to keep the surgical window open
Fig. 9
Fig. 9
Two-month postoperative extraoral appearance. Facial asymmetry is absent
Fig. 10
Fig. 10
Two-month postoperative intraoral―37 erupting into the surgical opening
Fig. 11
Fig. 11
OPG―2-month postoperative lesion has reduced in size, tooth buds of 37 and 38 are moving to normal position
Fig. 12
Fig. 12
OPG―6-month postoperative size of the lesion reduced considerably and 37 shows normal and progressive root formation
Fig. 13
Fig. 13
OPG―1-year postoperative complete disappearance of the lesion with 37 and 38 in normal anatomic position
Fig. 14
Fig. 14
Two-year postoperative extraoral appearance
Fig. 15
Fig. 15
Two-year postoperative intraoral appearance
Fig. 16
Fig. 16
OPG―2-year postoperative permanent dentition with 37 achieving complete occlusion and root formation
See this image and copyright information in PMC

References

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    1. Daley TD, Wyscok GP. A small dentigerous cyst―a diagnostic dilemma. Oral Surg Oral Med Oral Path. 1995;79:77–81. - PubMed
    1. Shivaprakash P, Rizwanulla T, Baweja DK, Noorani HH. Save-a-tooth: Conservative surgical management of dentigerous cyst. J Indian Soc Pedod Prev Dent. 2009;27:52–57. - PubMed
    1. Rohilla M, Marwah N, Tyagi R. Anterior maxillary dentigerous cyst. International J Clinical Ped Dent. 2009;2(1):42–45. - PMC - PubMed
    1. Neville , Damm , Allen . Bouquot. Oral and maxillofacial pathology. (2nd ed) Saunders: 2002. pp. 590–93.

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