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SURGICAL AND ORTHODONIC TREATMENT OF IMPACTED TEETH ASSOCIATED WITH DENTIGEROUS CYSTS : CASE REPORT  

Kim, Woo-Sung (Dept. of oral and maxillofacial surgery, Daegu catholic university hospital)
An, Kyoung-Mi (Dept. of oral and maxillofacial surgery, Daegu catholic university hospital)
Sohn, Dong-Seok (Dept. of oral and maxillofacial surgery, Daegu catholic university hospital)
Publication Information
Maxillofacial Plastic and Reconstructive Surgery / v.31, no.2, 2009 , pp. 173-179 More about this Journal
Abstract
Dentigerous cyst is an odontogenic cyst which occurs in unerupted tooth crown. After the crown formation, enamel epithelium remnants surrounded continuously proliferates and it forms effusionfluid cyst and expands due to increased internal osmotic pressure. Treatments of cysts are mainly enucleation, marsupialization and de-compression. When deciding the way of treatment, the age of a patient, the anatomical circumstances, the region of lesion and the size of cyst should be considered. Marsupialization is that some parts of internal cystic wall would be converted into oral mucosa if the cyst is large size and is concerned about neighboring anatomic structure. It can be accompanied by enucleation later and eruption of related tooth can be possible. If there is a limitation of spontaneous tooth eruption, eruption of tooth can be induced by orthodontic apparatus. There were 3 patients had dentigerous cyst and underwent marsupialization, their impacted teeth had preserved and had induced eruption, all showing satisfactory results.
Keywords
Dentigerous cyst; Marsupialization; Forced eruption; Delayed eruption;
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  • Reference
1 Kruger GO : Textbook of oral and maxillofacial surgery(ed 6). St. Louis, Toronto, The C. V. Mosby Company, 1984, p255-280
2 Thomas EH : Cysts of the jaws: Saving involved vital teeth by tube drainage. J Oral Surg 5 : 1-9, 1947   DOI   ScienceOn
3 Tucker WM, Pleasants JE, MacComb WS : Decompression and secondary enucleation of a mandibular cyst : report of case. J Oral Surg 30 : 669-673, 1972
4 Golden AL, Foote J, Lally E et al : Dentigerous cyst of the maxillary sinus causing elevation of the orbital floor. Oral Surg 52 : 133, 1981   DOI   ScienceOn
5 Conklin WW. Stagne EC : a study of odontogenic epithelium in the dental follicle. J Am Dent Assoc 39 :143, 1949   DOI
6 Bux P, Lisco V : Ectopic third molar associated with a dentigerous cyst in the subcondylar region: report of a case. J Oral Maxillofac Surg 52 : 630-2, 1994   DOI   ScienceOn
7 Kru¨ger GO : Textbook of Oral and Maxillofacial Surgery (ed. 5). St Louis, MO, Mosby, 1988, p503
8 Ohya N, Ohya T : Tooth movement of an impacted lower 2nd premolar in the root developmental stage-a follow-up radiographic observation on the root formation. Nippon Kyosei Shika Gakkai Zasshi. 49 : 379-391, 1990
9 Weinstein IR : Treatment of large cysts of the jaws, in consideration of potential neoplasia. J Oral Surg 23 : 489-496, 1965
10 Marti′nez-Pe′rez D and Varela-Morales M : Conservative treatment of dentigerous cysts in children : A report of 4 cases. J Oral Maxillofac Surg 59 : 331-333, 2001   DOI   ScienceOn
11 Shafer WG, Hine ML, Levy EM et al : A Textbook of Oral Pathology (ed 4). Philadelphia, PA, Saunders, 1983, p 271-273
12 Bryan RA, Cole BO, Welbury RR : Retrospective analysis of factors influencing the eruption of delayed permanent incisors after supernumerary tooth removal. Eur J Paediatr Dent 6: 84, 2005
13 Miyawaki S, Hyomoto M, Tsubouchi J et al : Eruption speed and rate of angulation change of a cyst-associated mandibular second premolar after marsupialization of a dentigerous cyst. Am J Orthod Dentofacial Orthop. 1999 Nov ; 116(5) : 578-84   DOI   ScienceOn
14 Bodner L and Bar-Ziv J : Characteristics of bone formation following marsupialization of jaw cysts. Dntomaxillofac Radiol 27 : 166-171, 1998   DOI   ScienceOn
15 Boyczuk MP, Berger JR : Identifying a deciduous dentigerous cyst. JADA 126 : 643-4, 1995   DOI
16 Fujii R, Kawakami M, Hyomoto M et al : Panoramic findings for predicting eruption of mandibular premolars associated with dentigerous cyst after marsupialization. J Oral Maxillofac Surg Feb 66(2) :272-6, 2008   DOI   ScienceOn
17 Scott H. Jeffrey D : Squamous cell carcinoma arising in a dentigerous cyst: in a 16-month-old girl. Otolarygology-Head and Neck surgery 127(5) : 463, 2002   DOI   ScienceOn
18 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 56 : 237, 1999   DOI   ScienceOn
19 Olson RE, Thomsen S, Lin LM : Odontogenic keratocyst treated by the Partch operation and delayed enucleation: report of case. JADA 94 : 321-325, 1977   DOI
20 Ertas U¨, Yavuz MS : Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxillofac Surg Jun 61(6) : 728-30, 2003   DOI   ScienceOn
21 Jena AK, Duggal R, Roychoudhury A et al : Orthodontic assisted tooth eruption in a dentigerous cyst: A case report. J Clin Pediatr Dent 29 : 33, 2004