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Dentigerous cysts presenting as head and neck infections
Joseph L Smith1, Robert M Kellman
1Department of Otolaryngology and Communication Sciences, Upstate Medical University, Syracuse, NY 13210, USA.
Summary
Dentigerous cysts, often overlooked, can cause head and neck infections. This study found them to be a more common underlying pathology than previously thought, highlighting their importance in diagnosis.
Area of Science:
- Oral and Maxillofacial Surgery
- Infectious Diseases
- Dentistry
Background:
- Dentigerous cysts are developmental odontogenic cysts.
- They are typically asymptomatic but can become infected.
- Infections can present as deep neck space infections.
Purpose of the Study:
- To describe dentigerous cysts presenting as head and neck infections.
- To determine the incidence of dentigerous cysts as a cause of head and neck infections.
Main Methods:
- Retrospective analysis of 327 patient charts.
- Inclusion criteria: head and neck infection, deep neck space infection, or dentigerous cysts.
- Study period: 1975–2004 at a tertiary care hospital.
Main Results:
- Seven patients (2.1%) had dentigerous cysts presenting as head and neck infections.
- Six patients experienced recurrent infections at the same site.
- One patient was diagnosed with a submasseteric space abscess.
Conclusions:
- Dentigerous cysts are a more common cause of head and neck infections than previously recognized.
- These cysts should be considered in the differential diagnosis of head and neck infections.
- Early identification and management are crucial to prevent recurrent infections.