Practice abstract
British Dental Journal 198, 203 - 206 (2005)
Published online: 26 February 2005 | doi:10.1038/sj.bdj.4812082
Management of extensive dentigerous cysts
- Experience gained through a study of a case series of 40 large dentigerous cysts treated during an 11-year period from 1991 to 2002 is presented along with the clinical presentations and treatment modalities.
- Several modalities were indicated based on criteria such as patient age, cyst site, cyst size, involvement of vital structures by the cyst, and the strategic significance of the impacted tooth involved.
- In this series, cyst enucleation along with extraction of the impaction(s) was indicated in 34 patients. Cyst enucleation with preservation of the impacted tooth was indicated in six patients and these teeth erupted normally when root formation was incomplete. Orthodontics was used in cases requiring forced eruption or alignment.
- Decompression and cyst enucleation with tooth preservation are two treatment modalities indicated in growing children and adolescents.
Abstract
Dentigerous cysts are usually easy to treat when small. However, extensive cysts are more difficult to manage requiring cyst enucleation and extraction of associated teeth. We advocate the use of assessment criteria to dictate the treatment modality indicated in each individual case such as cyst size and site, patient age, the dentition involved, and the involvement of vital structures. Cyst enucleation without extraction of the impaction, and decompression are two treatment modalities indicated in growing children and adolescents to salvage the involved dentition.
- Associate Professor of Oral and Maxillofacial Surgery, Trauma Research Center Faculty, Baqiyatallah Medical Sciences University, and Attending Surgeon, Department of OMS, Azad University of Medical Sciences, Tehran, Iran
- Assistant Professor of Oral and Maxillofacial Surgery, Attending Surgeon, Department of Oral and Maxillofacial Surgery, Tabriz University of Medical Sciences, Tabriz, Iran
Correspondence to: M H K Motamedi1
Africa Expressway, Golestan St, Giti Blvd. No. 11 Tehran, 19667, IR Iran
e-mail: motamedical@lycos.com