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Mandibular Dentigerous Cyst in a 10-Year-Old Child
Bindu Bhardwaj1, Sunil Sharma2, Punit Chitlangia3
1Professor, Department of Oral Surgery, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India.
International Journal of Clinical Pediatric Dentistry
|November 16, 2016
Summary
This case study highlights a dentigerous cyst in a 10-year-old boy. Marsupialization and a space maintainer successfully treated the mandibular lesion, showing good bone healing.
Area of Science:
- Dentistry
- Oral Surgery
- Pediatric Dentistry
Background:
- Dentigerous cysts are the most common odontogenic cysts, often presenting as unilocular radiolucent lesions.
- Clinical features typically include buccal bony expansion and a missing tooth, indicating developmental abnormalities.
- Management options for dentigerous cysts vary, necessitating tailored treatment approaches.
Observation:
- A rare case of a dentigerous cyst in the left mandible of a 10-year-old boy is presented.
- The cyst was characterized by a unilocular radiolucent appearance enclosing permanent tooth buds.
- Clinical presentation included buccal bony expansion and a missing mandibular tooth.
Findings:
- Marsupialization was selected as the primary treatment modality for the dentigerous cyst.
- A custom denture-like space maintainer was utilized post-marsupialization to preserve arch integrity.
- Long-term follow-up demonstrated successful healing of the mandibular bony lesion.
Implications:
- This case underscores marsupialization as an effective treatment for pediatric dentigerous cysts.
- The use of a space maintainer is crucial for managing developmental defects associated with these cysts.
- Successful management promotes normal tooth eruption and jaw development in young patients.
