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Dentigerous cyst associated with a mesiodens: a case report.
Sepideh Vosough Hosseini1, Monir Moradzadeh, Mehrdad Lotfi
1Associate Professor, Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
Journal of Dental Research, Dental Clinics, Dental Prospects
|September 29, 2012
Summary
Dentigerous cysts, often linked to third molars, can rarely affect supernumerary teeth like mesiodens. This case highlights a painless swelling caused by a dentigerous cyst and mesiodens in an 18-year-old female, successfully treated surgically.
Area of Science:
- Dentistry
- Oral Pathology
- Surgical Dentistry
Background:
- Dentigerous cysts are the second most common odontogenic cysts.
- They typically develop around unerupted third molars and maxillary canines.
- Involvement of supernumerary teeth is rare, accounting for only 5% of cases, with mesiodens being the most frequent type.
Observation:
- An 18-year-old female presented with a painless swelling in her upper lip.
- Clinical and radiographic examination revealed a dentigerous cyst associated with a mesiodens.
- The cyst caused significant expansion of the maxillary bone.
Findings:
- Surgical enucleation of the dentigerous cyst was performed.
- Surgical extraction of the associated mesiodens was successfully completed.
- Histopathological examination confirmed the diagnosis of dentigerous cyst.
Implications:
- This case underscores the importance of considering supernumerary teeth, particularly mesiodens, in the differential diagnosis of dentigerous cysts.
- Early diagnosis and surgical management are crucial for preventing complications and ensuring favorable outcomes.
- The successful treatment highlights the efficacy of surgical intervention for complex odontogenic cyst presentations.
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