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Large Dentigerous Cyst Associated to Maxillary Canine
João Paulo Bonardi1, Pedro Henrique Silva Gomes-Ferreira, Leonardo de Freitas Silva
1Department of Surgery and Integrated Clinic, Araçatuba Dental School, UNESP, São Paulo, Brazil.
The Journal of Craniofacial Surgery
|December 13, 2016
Summary
This case study presents a large dentigerous cyst in an 8-year-old, successfully treated with enucleation. Follow-up confirmed no recurrence and eruption of associated unerupted teeth.
Area of Science:
- Dentistry
- Oral Pathology
- Surgical Oncology
Background:
- Dentigerous cysts arise from unerupted teeth, often developmental but sometimes inflammatory.
- Large cystic lesions in the maxilla require careful diagnosis and management.
Purpose of the Study:
- To present a case of a large dentigerous cyst in a pediatric patient.
- To highlight the diagnostic and therapeutic approach for such lesions.
Main Methods:
- Clinical examination and computed tomography (CT) scans for diagnosis.
- Surgical enucleation under local anesthesia.
- Histopathological examination for confirmation.
Main Results:
- A large, well-defined hypodense lesion associated with unerupted teeth was identified.
- Complete enucleation was performed successfully.
- Three-year follow-up showed no recurrence and successful eruption of the associated teeth.
Conclusions:
- Combined clinical, radiographic, and surgical findings are crucial for diagnosing and treating dentigerous cysts.
- Enucleation is an effective treatment, leading to favorable outcomes and tooth eruption.
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