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Dentigerous Cysts with Diverse Radiological Presentation Highlighting Diagnostic Challenges.
Alexandre Perez1, Vincent Lenoir2, Tommaso Lombardi3
1Unit of Oral Surgery and Implantology, Division of Oral and Maxillofacial Surgery, Department of Surgery, University of Geneva & University Hospitals of Geneva, 1205 Geneva, Switzerland.
Diagnostics (Basel, Switzerland)
|August 26, 2022
Summary
Dentigerous cysts, developmental jaw cysts, can appear unusually on X-rays. Recognizing these diverse radiological presentations is key for accurate diagnosis and distinguishing them from aggressive lesions.
Area of Science:
- Dentistry
- Oral Pathology
- Radiology
Background:
- Dentigerous cysts are common developmental odontogenic cysts.
- They originate from the reduced enamel epithelium of unerupted teeth.
- Radiological appearance can vary, sometimes mimicking aggressive jaw lesions.
Observation:
- Presents four cases of histologically confirmed mandibular dentigerous cysts.
- Highlights diverse radiological findings beyond the classical unilocular presentation.
- Includes cases with tooth displacement, signs of infection, and multilocular features.
Findings:
- Demonstrates that dentigerous cysts exhibit varied radiological presentations.
- One case showed a classical well-defined unilocular radiolucent lesion.
- Three cases presented atypical features: tooth displacement without resorption, signs of infection, and multilocular appearance.
Implications:
- Diverse radiological presentations can lead to misdiagnosis, potentially suggesting aggressive lesions like odontogenic keratocysts or ameloblastomas.
- Accurate radiological interpretation and clinical correlation are crucial for diagnosing dentigerous cysts.
- Understanding the spectrum of radiographic appearances aids in appropriate patient management.
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