Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지
DOI QR코드

DOI QR Code

The prevalence, distribution, and radiological evaluation of dentigerous cysts in a Lebanese sample

  • Noujeim, Ziad (Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University) ;
  • Nasr, Lara (Dental Departments, Lebanese Army Military Medicine)
  • Received : 2021.03.27
  • Accepted : 2021.05.05
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was performed to evaluate the prevalence, distribution, and radiological features (as per the Shear classification) of dentigerous cysts in a Lebanese sample. Materials and Methods: It was an epidemiological, cross-sectional, 5-year retrospective study of 137 dentigerous cysts treated at Lebanese Army Dental Departments. The collected data comprised demographic and radiological information corresponding to patients from July 2015 to July 2020. Syndromic cases were excluded. Demographic data and the radiological features of cases were studied and analyzed. Results: Dentigerous cysts were treated in 109 patients (58.7% males and 41.3% females; mean age: 28.3±16.3 years) out of 6,013 patients(52% males and 48% females), with a prevalence of 1.8%. Dentigerous cysts were more commonly found in patients in their second and third decades of life than in older age groups. Of the 109 patients, 22.9% had multiple dentigerous cysts. Of the 137 cysts, 71.5% were mandibular. The most prevalent anatomical location was the posterior mandible, followed by the posterior maxilla. The most commonly involved tooth was the mandibular third molar. Regarding radiological types, the central type was the most common (60.6%), followed by the lateral type (29.2%), and the circumferential type (10.2%). Conclusion: The results of this study were similar to studies of other populations in terms of distribution and features. Multiple non-syndromic dentigerous cysts were more common than reported in other studies, which warrants further clinical studies to reveal previously undetected factors.

Keywords

Acknowledgement

The authors are grateful to the Lebanese Army staff(the office of the Commander-in-Chief, the Military Medicine Directorate, and the Dental Departments Directors) for their help in data collection.

References

  1. Shear M, Speight PM. Dentigerous cyst. In: Shear M, Speight PM. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Munksgaard; 2007. p. 59-75.
  2. Rajendra Santosh AB. Odontogenic cysts. Dent Clin North Am 2020; 64: 105-19. https://doi.org/10.1016/j.cden.2019.08.002
  3. Bilodeau EA, Collins BM. Odontogenic cysts and neoplasms. Surg Pathol Clin 2017; 10: 177-222. https://doi.org/10.1016/j.path.2016.10.006
  4. Benn A, Altini M. Dentigerous cysts of inflammatory origin. A clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996; 81: 203-9. https://doi.org/10.1016/S1079-2104(96)80416-1
  5. Narang RS, Manchanda AS, Arora P, Randhawa K. Dentigerous cyst of inflammatory origin - a diagnostic dilemma. Ann Diagn Pathol 2012; 16: 119-23. https://doi.org/10.1016/j.anndiagpath.2011.07.004
  6. Kalburge JV, Latti B, Kalburge V, Kulkarni M. Neoplasms associated with dentigerous cyst: an insight into pathogenesis and clinicopathologic features. Arch Med Health Sci 2015; 3: 309-13. https://doi.org/10.4103/2321-4848.171936
  7. Mourshed F. A roentgenographic study of dentigerous cysts. 3. Analysis of 180 cases. Oral Surg Oral Med Oral Pathol 1964; 18: 466-73. https://doi.org/10.1016/0030-4220(64)90392-5
  8. Allison JR, Garlington G. The value of cone beam computed tomography in the management of dentigerous cysts - a review and case report. Dent Update 2017; 44: 182-8. https://doi.org/10.12968/denu.2017.44.3.182
  9. Pinto AS, Costa AL, Galvao ND, Ferreira TL, Lopes SL. Value of magnetic resonance imaging for diagnosis of dentigerous cyst. Case Rep Dent 2016; 2016: 2806235.
  10. Struthers P, Shear M. Root resorption by ameloblastomas and cysts of the jaws. Int J Oral Surg 1976; 5: 128-32. https://doi.org/10.1016/S0300-9785(76)80061-0
  11. Lin HP, Wang YP, Chen HM, Cheng SJ, Sun A, Chiang CP. A clinicopathological study of 338 dentigerous cysts. J Oral Pathol Med 2013; 42: 462-7. https://doi.org/10.1111/jop.12042
  12. Zhang LL, Yang R, Zhang L, Li W, MacDonald-Jankowski D, Poh CF. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada. Int J Oral Maxillofac Surg 2010; 39: 878-82. https://doi.org/10.1016/j.ijom.2010.04.048
  13. Yeo JF, Rosnah BZ, Ti LS, Zhao YY, Ngeow WC. Clinicopathological study of dentigerous cysts in Singapore and Malaysia. Malays J Pathol 2007; 29: 41-7.
  14. Tortorici S, Amodio E, Massenti MF, Buzzanca ML, Burruano F, Vitale F. Prevalence and distribution of odontogenic cysts in Sicily: 1986-2005. J Oral Sci 2008; 50: 15-8. https://doi.org/10.2334/josnusd.50.15
  15. Sharifian MJ, Khalili M. Odontogenic cysts: a retrospective study of 1227 cases in an Iranian population from 1987 to 2007. J Oral Sci 2011; 53: 361-7. https://doi.org/10.2334/josnusd.53.361
  16. Meningaud JP, Oprean N, Pitak-Arnnop P, Bertrand JC. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci 2006; 48: 59-62. https://doi.org/10.2334/josnusd.48.59
  17. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006; 35: 500-7. https://doi.org/10.1111/j.1600-0714.2006.00455.x
  18. de Souza LB, Gordon-Nunez MA, Nonaka CF, de Medeiros MC, Torres TF, Emiliano GB. Odontogenic cysts: demographic profile in a Brazilian population over a 38-year period. Med Oral Patol Oral Cir Bucal 2010; 15: e583-90.
  19. Villasis-Sarmiento L, Portilla-Robertson J, Melendez-Ocampo A, Gaitan-Cepeda LA, Leyva-Huerta ER. Prevalence and distribution of odontogenic cysts in a Mexican sample. A 753 cases study. J Clin Exp Dent 2017; 9: e531-8.
  20. Acikgoz A, Uzun-Bulut E, Ozden B, Gunduz K. Prevalence and distribution of odontogenic and nonodontogenic cysts in a Turkish population. Med Oral Patol Oral Cir Bucal 2012; 17: e108-15.
  21. Avelar RL, Antunes AA, Carvalho RW, Bezerra PG, Oliveira Neto PJ, Andrade ES. Odontogenic cysts: a clinicopathological study of 507 cases. J Oral Sci 2009; 51: 581-6. https://doi.org/10.2334/josnusd.51.581
  22. Ochsenius G, Escobar E, Godoy L, Penafiel C. Odontogenic cysts: analysis of 2.944 cases in Chile. Med Oral Patol Oral Cir Bucal 2007; 12: 85-91.
  23. Nunez-Urrutia S, Figueiredo R, Gay-Escoda C. Retrospective clinicopathological study of 418 odontogenic cysts. Med Oral Patol Oral Cir Bucal 2010; 15: e767-73. https://doi.org/10.4317/medoral.15.e767
  24. Trimble LD, West RA, McNeill RW. Cleidocranial dysplasia: comprehensive treatment of dentofacial abnormalities. J Am Dent Assoc 1982; 105: 661-6. https://doi.org/10.14219/jada.archive.1982.0450
  25. Roberts MW, Barton NW, Constantopoulos G, Butler DP, Donahue AH. Occurrence of multiple dentigerous cysts in a patient with the Morateax-Lamy syndrome (mucopolysaccharidosis, type VI). Oral Surg Oral Med Oral Pathol 1984; 58: 169-75. https://doi.org/10.1016/0030-4220(84)90133-6
  26. Norris LH, Piccoli P, Papageorge MB. Multiple dentigerous cysts of the maxilla and the mandible:report of a case. J Oral Maxillofac Surg 1987; 45: 694-7. https://doi.org/10.1016/0278-2391(87)90310-7
  27. Pant B, Carvalho K, Dhupar A, Spadigam A. Bilateral nonsyndromic dentigerous cyst in a 10-year-old child: a case report and literature review. Int J Appl Basic Med Res 2019; 9: 58-61. https://doi.org/10.4103/ijabmr.IJABMR_205_18
  28. De Biase A, Ottolenghi L, Polimeni A, Benvenuto A, Lubrano R, Magliocca FM. Bilateral mandibular cysts associated with cyclosporine use: a case report. Pediatr Nephrol 2001; 16: 993-5. https://doi.org/10.1007/s004670100011
  29. Tamgadge A, Tamgadge S, Bhatt D, Bhalerao S, Pereira T, Padhye M. Bilateral dentigerous cyst in a non-syndromic patient: report of an unusual case with review of the literature. J Oral Maxillofac Pathol 2011; 15: 91-5. https://doi.org/10.4103/0973-029X.80017
  30. Crawford PJ, Aldred M, Bloch-Zupan A. Amelogenesis imperfecta. Orphanet J Rare Dis 2007; 2: 17. https://doi.org/10.1186/1750-1172-2-17