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Inflammatory Dentigerous Cyst in a 10-year-old Child Treated by Marsupialization: A Case Report
Cheranjeevi Jayam1, Navaneeth Yerragudi1, Neeraj Kumar2
1Department of Dentistry, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India.
International Journal of Clinical Pediatric Dentistry
|February 12, 2024
Summary
Marsupialization successfully treated an unerupted premolar in a child with an inflammatory dentigerous cyst. This conservative approach allowed spontaneous tooth eruption without appliances, resolving the cyst.
Area of Science:
- Pediatric Dentistry
- Oral Surgery
- Craniofacial Biology
Background:
- Inflammatory dentigerous cysts arise from inflammation of a developing permanent tooth's enamel epithelium, often in the mixed dentition stage.
- Marsupialization is a preferred treatment for inflammatory dentigerous cysts, aiming to preserve the associated permanent tooth.
Observation:
- A 10-year-old patient presented with a tender swelling in the left mandibular body, indicative of a dentigerous cyst.
- Imaging confirmed the cyst, and marsupialization was performed, involving excision of the overlying mucosa and cystic lining.
Findings:
- Following marsupialization, the patient exhibited spontaneous eruption of the permanent premolar into occlusion.
- The procedure led to the resolution of the dentigerous cyst without the need for orthodontic appliances.
Implications:
- Marsupialization along the crest is a viable conservative treatment for inflammatory dentigerous cysts, promoting natural tooth eruption.
- Careful preoperative assessment and diligent follow-up are crucial for successful outcomes, including complete cyst resolution and proper tooth eruption.
