Browse > Article
http://dx.doi.org/10.5125/jkaoms.2022.48.6.342

Cystic lesion between a deciduous tooth and the succeeding permanent tooth: a retrospective analysis of 87 cases  

Changmo, Sohn (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Jihye, Ryu (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Inhye, Nam (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Sang-Hun, Shin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Jae-Yeol, Lee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.48, no.6, 2022 , pp. 342-347 More about this Journal
Abstract
Objectives: The purpose of this study is to investigate the characteristics of dentigerous and radicular cysts that occur between deciduous and succeeding permanent teeth and to propose considerations for differential diagnosis of cysts at the treatment planning stage in the outpatient clinic. Materials and Methods: A total of 87 patients with a cystic lesion located between a deciduous tooth and the succeeding permanent tooth participated in the study. Twelve variables were analyzed to diagnose such a cyst. For data analysis, Fisher's exact test was used to determine the statistical significance of the variables. Results: Of the total 87 patients who participated in this study, 69 were diagnosed with dentigerous cysts and 18 were diagnosed with radicular cysts. Seven of the 12 differential factors analyzed in this study were statistically significant: age, location, symptoms, dental caries, endodontic treatment, delayed eruption, and size. Conclusion: Several criteria can be considered for diagnosis of dentigerous cysts or radicular cysts. Age, location, presence of symptoms and dental caries, previous endodontic treatment, cystic size, and delayed eruption of impacted permanent teeth are reliable factors that should be considered when diagnosing dentigerous and radicular cysts.
Keywords
Dentigerous cyst; Radicular cyst; Deciduous tooth; Unerupted tooth;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 Johnson NR, Gannon OM, Savage NW, Batstone MD. Frequency of odontogenic cysts and tumors: a systematic review. J Investig Clin Dent 2014;5:9-14. https://doi.org/10.1111/jicd.12044   DOI
3 Shear M. Developmental odontogenic cysts. An update. J Oral Pathol Med 1994;23:1-11. https://doi.org/10.1111/j.1600-0714.1994.tb00246.x   DOI
4 Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:77-81. https://doi.org/10.1016/s1079-2104(05)80078-2   DOI
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   DOI
6 Boudaoud Z, Maou S, Badi Y. Radicular cyst on deciduous molar or dentigerous cyst on permanent tooth? Int J Dent Oral Sci 2016;3:331-5. https://doi.org/10.19070/2377-8075-1600066   DOI
7 Aoki N, Ise K, Inoue A, Kosugi Y, Koyama C, Iida M, et al. Multidisciplinary approach for treatment of a dentigerous cyst - marsupialization, orthodontic treatment, and implant placement: a case report. J Med Case Rep 2018;12:305. https://doi.org/10.1186/s13256-018-1829-2   DOI
8 Matijevic S, Jovivic B, Bubalo M, Dukic S, Cutovic T. Treatment of a large radicular cyst-enucleation or decompression? Vojnosanit Pregl 2015;72:372-4. https://doi.org/10.2298/vsp1504372m   DOI
9 Rajae EG, Karima EH. Dentigerous cyst: enucleation or marsupialization? (a case report). Pan Afr Med J 2021;40:149. https://doi.org/10.11604/pamj.2021.40.149.28645   DOI
10 Verma N, Bansal A, Tyagi P, Jain A, Tiwari U, Gupta R. Eruption chronology in children: a cross-sectional study. Int J Clin Pediatr Dent 2017;10:278-82. https://doi.org/10.5005/jp-journals-10005-1450   DOI
11 Kammer PV, Mello FW, Rivero ERC. Comparative analysis between developmental and inflammatory odontogenic cysts: retrospective study and literature review. Oral Maxillofac Surg 2020;24:73-84. https://doi.org/10.1007/s10006-019-00816-8   DOI
12 Soluk Tekkesin M, Tuna EB, Olgac V, Aksakalli N, Alatli C. Odontogenic lesions in a pediatric population: review of the literature and presentation of 745 cases. Int J Pediatr Otorhinolaryngol 2016;86:196-9. https://doi.org/10.1016/j.ijporl.2016.05.010   DOI
13 Arjona-Amo M, Serrera-Figallo MA, Hernandez-Guisado JM, Gutierrez-Perez JL, Torres-Lagares D. Conservative management of dentigerous cysts in children. J Clin Exp Dent 2015;7:e671-4. https://doi.org/10.4317/jced.52248   DOI
14 Bhardwaj B, Sharma S, Chitlangia P, Agarwal P, Bhamboo A, Rastogi K. Mandibular dentigerous cyst in a 10-year-old child. Int J Clin Pediatr Dent 2016;9:281-4. https://doi.org/10.5005/jp-journals-10005-1378   DOI
15 Kajjari S, Gowtham A, Meharwade P, Uppin C, Hugar SM, Badakar C. Infected radicular cyst of deciduous second molar mimicking dentigerous cyst of second premolar in a young child: a rare entity. Int J Clin Pediatr Dent 2021;14:434-7. https://doi.org/10.5005/jp-journals-10005-1954   DOI
16 Kozelj V, Sotosek B. Inflammatory dentigerous cysts of children treated by tooth extraction and decompression--report of four cases. Br Dent J 1999;187:587-90. https://doi.org/10.1038/sj.bdj.4800339a   DOI
17 Sivapathasundharam B, Biswas PG, Preethi S. The World Health Organization classification of odontogenic and maxillofacial bone tumors: an appraisal. J Oral Maxillofac Pathol 2019;23:178-86. https://doi.org/10.4103/jomfp.JOMFP_211_19   DOI
18 Nahajowski M, Hnitecka S, Antoszewska-Smith J, Rumin K, Dubowik M, Sarul M. Factors influencing an eruption of teeth associated with a dentigerous cyst: a systematic review and metaanalysis. BMC Oral Health 2021;21:180. https://doi.org/10.1186/s12903-021-01542-y   DOI
19 Vasiapphan H, Christopher PJ, Kengasubbiah S, Shenoy V, Kumar S, Paranthaman A. Bilateral dentigerous cyst in impacted mandibular third molars: a case report. Cureus 2018;10:e3691. https://doi.org/10.7759/cureus.3691   DOI
20 Weber M, Ries J, Buttner-Herold M, Geppert CI, Kesting M, Wehrhan F. Differences in inflammation and bone resorption between apical granulomas, radicular cysts, and dentigerous cysts. J Endod 2019;45:1200-8. https://doi.org/10.1016/j.joen.2019.06.014   DOI
21 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   DOI
22 Monteiro L, de la Pena J, Fonseca L, Paiva A, Amaral B. Odontogenic cysts - a descriptive clinicopathological study. Braz J Oral Sci 2015;4:670-5. https://doi.org/10.20396/bjos.v4i12.8641795   DOI
23 Mosqueda-Taylor A, Irigoyen-Camacho ME, Diaz-Franco MA, Torres-Tejero MA. Odontogenic cysts. Analysis of 856 cases. Med Oral 2002;7:89-96.
24 Noujeim Z, Nasr L. The prevalence, distribution, and radiological evaluation of dentigerous cysts in a Lebanese sample. Imaging Sci Dent 2021;51:291-7. https://doi.org/10.5624/isd.20210075   DOI
25 Mohan KR, Natarajan B, Mani S, Sahuthullah YA, Kannan AV, Doraiswamy H. An infected dentigerous cyst associated with an impacted permanent maxillary canine, inverted mesiodens and impacted supernumerary teeth. J Pharm Bioallied Sci 2013;5(Suppl 2):S135-8. https://doi.org/10.4103/0975-7406.114307   DOI
26 Talukdar M, Kumar A, Goenka S, Mahajani M, Ambhore MP, Tattu VD. Management of radicular cyst in deciduous molar: a case report. J Family Med Prim Care 2020;9:1222-5. https://doi.org/10.4103/jfmpc.jfmpc_1147_19   DOI
27 Manekar VS, Chavan A, Wadde K, Dewalwar V. Cysts in periradicular region of deciduous molars in mixed dentition: retrospective study of five cases. Int J Clin Pediatr Dent 2014;7:229-35. https://doi.org/10.5005/jp-journals-10005-1273   DOI
28 McKinney SL, Lukes SM. Dentigerous cyst in a young child: a case report. Can J Dent Hyg 2021;55:177-81.
29 Patil AS, Jathar PN, Panse AM, Bahutule SR, Patil RU, Patil M. Infected dentigerous cyst and its conservative management: a report of two cases. Int J Clin Pediatr Dent 2019;12:68-72. https://doi.org/10.5005/jp-journals-10005-1578   DOI
30 Rajendra Santosh AB. Odontogenic cysts. Dent Clin North Am 2020;64:105-19. https://doi.org/10.1016/j.cden.2019.08.002   DOI
31 Huh JK, Yang DK, Jeon KJ, Shin SJ. Progression of periapical cystic lesion after incomplete endodontic treatment. Restor Dent Endod 2016;41:137-42. https://doi.org/10.5395/rde.2016.41.2.137   DOI
32 Khan AS, Nagar P, Singh P, Bharti M. Changes in the sequence of eruption of permanent teeth; correlation between chronological and dental age and effects of body mass index of 5-15-year-old schoolchildren. Int J Clin Pediatr Dent 2020;13:368-80. https://doi.org/10.5005/jp-journals-10005-1797   DOI
33 Tsesis I, Krepel G, Koren T, Rosen E, Kfir A. Accuracy for diagnosis of periapical cystic lesions. Sci Rep 2020;10:14155. https://doi.org/10.1038/s41598-020-71029-3   DOI
34 Correa-Faria P, Paixao-Goncalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Braz Oral Res 2016;30:S1806-83242016000100254. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0059   DOI
35 Batra P, Roychoudhury A, Balakrishan P, Parkash H. Bilateral dentigerous cyst associated with polymorphism in chromosome 1qh+. 1qh+. J Clin Pediatr Dent 2004;28:177-81. https://doi.org/10.17796/jcpd.28.2.m21q8vx78084374v   DOI
36 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   DOI
37 Kubota Y, Yamashiro T, Oka S, Ninomiya T, Ogata S, Shirasuna K. Relation between size of odontogenic jaw cysts and the pressure of fluid within. Br J Oral Maxillofac Surg 2004;42:391-5. https://doi.org/10.1016/j.bjoms.2004.02.032   DOI
38 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   DOI
39 Mass E, Kaplan I, Hirshberg A. A clinical and histopathological study of radicular cysts associated with primary molars. J Oral Pathol Med 1995;24:458-61. https://doi.org/10.1111/j.1600-0714.1995.tb01134.x   DOI
40 Sumer M, Bas B, Yildiz L. Inferior alveolar nerve paresthesia caused by a dentigerous cyst associated with three teeth. Med Oral Patol Oral Cir Bucal 2007;12:E388-90.