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Upper lip swelling caused by a large dentigerous cyst.
Paolo Scolozzi1, Tommaso Lombardi, Michel Richter
1Department of Otolaryngology and Head and Neck Surgery, Division of Oral and Maxillofacial Surgery, CHUV (Centre Hospitalier Universitaire Vaudois), 1011 Lausanne, Switzerland. scolozzi@hotmail.com
Summary
A large dentigerous cyst associated with an impacted mesiodens caused unusual upper lip swelling in a 42-year-old male. This case highlights a rare dental anomaly presenting as a slow-growing facial mass.
Area of Science:
- Oral and Maxillofacial Surgery
- Dentistry
- Pathology
Background:
- Upper lip swelling can stem from various pathologies, including cysts.
- Dentigerous cysts are developmental odontogenic cysts, often linked to unerupted teeth.
- Mesiodens are supernumerary teeth commonly found in the anterior maxilla.
Observation:
- A 42-year-old male presented with a slow-growing swelling of the upper lip.
- Imaging revealed a large cystic lesion in the maxillary anterior region.
- The cyst was associated with an impacted mesiodens, a type of supernumerary tooth.
Findings:
- The case involved a large dentigerous cyst originating from an impacted mesiodens.
- This association is uncommon, particularly presenting as significant upper lip enlargement.
- Histopathological examination confirmed the diagnosis of a dentigerous cyst.
Implications:
- This case underscores the importance of considering dental anomalies in the differential diagnosis of facial swellings.
- Early detection and management of dentigerous cysts associated with supernumerary teeth are crucial.
- Understanding rare presentations of common pathologies aids clinical practice and patient outcomes.