Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

A Long-term Follow-Up Case of Enucleation of Dentigerous Cyst in the Maxilla: Case Report

상악골에 발생한 거대 함치성낭종의 적출술 후 장기치료 결과: 증례보고

  • Lee, Eun-Young (Department of Oral & Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University) ;
  • Kim, Kyoung-Won (Department of Oral & Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University)
  • 이은영 (충북대학교 의과대학 구강악안면외과학교실, 의학연구소) ;
  • 김경원 (충북대학교 의과대학 구강악안면외과학교실, 의학연구소)
  • Received : 2010.09.07
  • Accepted : 2010.11.29
  • Published : 2011.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

A long-term follow-up study of a case of impacted teeth associated with a large dentigerous cyst in the left maxilla is presented. The patient was a 30-year-old man who had a large dentigerous cyst in the premaxilla and left posterior maxilla, which impacted the canine and supernumerary tooth. This is one of the most prevalent types of odontogenic cysts associated with an erupted or developing tooth, particularly the mandibular third molars. The other teeth commonly affected in order of frequency are the maxillary canines, maxillary third molars and rarely, the central incisor. Radiographically, the cyst appears as huge ovoid well-demarcated unilocular radiolucency with a sclerotic border and causes ectopic displacement of the inferior border of the maxillary sinus without destruction. Dentigerous cysts may grow unnoticed to such extensive sizes as to occupy a considerable portion of the maxillary sinus. These cysts appear to be associated with a supernumerary tooth in the maxillary anterior incisors region called the mesiodens and impacted canine. The present case report describes the surgical enucleation of a dentigerous cyst involving the permanent maxillary left canine and mesioden. After surgery, left maxillary sinus recovered their normal size and apposition of bone was observed around the apex of the posterior teeth. During the subsequent years, there was no recurrence of the cystic lesion but the inflammation was evoked in the anterior maxilla after 42 months. This complication appeared to have correlated with bony healing in the enucleation site of the cyst. We report the healing status of a huge dentigerous cyst in the maxilla for 5 years with a review of the relevant literature.

Keywords

References

  1. Ustuner E, Fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:632-5. https://doi.org/10.1067/moe.2003.123
  2. Takagi S, Koyama S. Guided eruption of an impacted second premolar associated with a dentigerous cyst in the maxillary sinus of a 6-year-old child. J Oral Maxillofac Surg 1998;56:237-9. https://doi.org/10.1016/S0278-2391(98)90876-X
  3. Edamatsu M, Kumamoto H, Ooya K, Echigo S. Apoptosis related factors in the epithelial components of dental follicles and dentigerous cysts associated with impacted third molars of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:17-23. https://doi.org/10.1016/j.tripleo.2004.04.016
  4. Avitia S, Hamilton JS, Osborne RF. Dentigerous cyst presenting as orbital proptosis. Ear Nose Throat J 2007;86:23-4.
  5. Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:67-71. https://doi.org/10.1016/j.tripleo.2009.07.043
  6. Freedland ES, Henneman PL. An unusual cause of headache: a dentigerous cyst in the maxillary sinus. Ann Emerg Med 1987;16:1174-6. https://doi.org/10.1016/S0196-0644(87)80481-X
  7. Litvin M, Caprice D, Infranco L. Dentigerous cyst of the maxilla with impacted tooth displaced into orbital rim and floor. Ear Nose Throat J 2008;87:160-2.
  8. Martinez-Perez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg 2001;59:331-3. https://doi.org/10.1053/joms.2001.21006
  9. Kim HW, Yoon KH, Park KS, Jung JK, Ban JH, You MS. Marsupialization in resolving dentigerous cysts. J Korean Maxillofac Plast Reconstr Surg 2005;27:76-80.
  10. Kim WO, AN KM, Shon DS. Srugical and orthodonic treatment of impacted teeth associated with dentigerous cysts. J Korean Maxillofac Plast Reconstr Surg 2009;31:173-9.
  11. Murakami A, Kawabata K, Suzuki A, Murakami S, Ooshima T. Eruption of an impacted second premolar after marsupialization of a large dentigerous cyst: case report. Pediatric Dentistry 1995;17:372-4.
  12. Miller CS, Bean LR. Pericoronal radiolucencies with and without radiopacities. Dent Clin North Am 1994;38:51-61.
  13. Park HS, Jung YS, Paek SH, Lee EW. A comparative clinical study on decompression and enucleation to treat cystic lesion of the jaws. J Korean Oral Maxillofac Surg 2004;30: 43-8.
  14. Kim YH, Lee EW. Comparison of clinico-histopathologic findings before and after decompression of odontogenic cyst in the jaw. J Korean Oral Maxillofac Surg 2005;31:150-60.
  15. Jena AK, Duggal R, Roychoudhury A, Parkash H. Orthodontic assisted tooth eruption in a dentigerous cyst: a case report. J Clin Pediatr Dent 2004;29:33-5.
  16. Bodner L, Bar-Ziv J. Characteristics of bone formation following marsupialization of jaw cysts. Dentomacillofac Radiol 1998;27:166-71. https://doi.org/10.1038/sj.dmfr.4600344
  17. Nakamura N, Higuchi Y, Mitsuyasu T, Sandra F, Ohishi M. Comparison of long results between different approaches to ameloblastoma. Oral Surg Oral Mrd Kral Pathol Oral Radiol Endod 2002;93:13-20. https://doi.org/10.1067/moe.2002.119517
  18. Cha SK, Kim IK, Oh SS, et al. Clinical study of cyst in the jaw. J Korea Assoc Oral Maxillofac Surg 2001;27:167-73.
  19. Lim SY, Yeo DS, Lee HJ, Kim HK, An KM, Sohn DS. A clinicostatical study of jaw cysts between 2001-2005. J Korean Oral Maxillofac Surg 2006;32:588-93.
  20. Tomford WW, Strakweather R, Goldman MH. A study of the clinical incidence of infection in the use of banked allograft bone. J Bone Joint Surg 1981;63:244-8. https://doi.org/10.2106/00004623-198163020-00010
  21. van Doorn ME. Enucleation and primary closure of jaw cysts. Int J Oral Surg 1972;1:17-25. https://doi.org/10.1016/S0300-9785(72)80032-2
  22. Chiapasco M, Rossi A, Motta JJ, Crescentini M. Spontaneous bone? regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg 2000;58:942-8; discussion 949. https://doi.org/10.1053/joms.2000.8732
  23. Yim JH, Lee JH. Panoramic analysis about spontaneous bone regeneration after enucleation of jaw cyst. J Korean Assoc Maxillofac Plast Reconstr Surg 2009;31:229-36.
  24. Kim TS, Lee JH. Spontaneous bone regeneration after enucleation of jaw cysts: a comparative study of panoramic radiography and computed tomography. J Korean Assoc Oral Maxillofac Surg 2010;36:100-7. https://doi.org/10.5125/jkaoms.2010.36.2.100