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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
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The dentigerous cyst: two different treatment options illustrated by two cases
Mario A. Bassetti1, Johannes Kuttenberger1, Jan Novak1
1Klinik für Mund-, Kiefer- und Gesichtschirurgie/Oralchirurgie, Luzerner Kantonsspital, Luzern, Schweiz
Swiss Dental Journal
|April 2, 2019
Summary
Dentigerous cysts, common in the jaw, are often found incidentally. Histological examination is crucial for diagnosis, guiding treatment decisions between cystostomy and cystectomy.
Area of Science:
- Dentistry
- Oral Pathology
- Oral Surgery
Background:
- Dentigerous cysts are the second most common odontogenic cysts.
- They are typically asymptomatic and discovered incidentally.
- Slow, expansive growth can lead to tooth dislocation, root resorption, and jaw fractures.
Purpose of the Study:
- To illustrate the examination and diagnosis of dentigerous cysts.
- To present decision-making for cystostomy versus cystectomy.
- To provide a step-by-step surgical guide for both procedures.
Main Methods:
- Review of two clinical cases of dentigerous cysts.
- Clinical and radiological examination.
- Histopathological analysis for differential diagnosis.
Main Results:
- Dentigerous cysts require histological confirmation to rule out other pathologies.
- Treatment choice depends on cyst characteristics and patient factors.
- Both cystostomy and cystectomy are viable surgical options.
Conclusions:
- Accurate diagnosis of dentigerous cysts relies on clinical, radiological, and histological evaluation.
- Surgical management should be tailored to the individual case.
- Understanding surgical techniques like cystostomy and cystectomy is essential for oral surgeons.
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