Browse > Article
http://dx.doi.org/10.5933/JKAPD.2014.41.1.85

Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds  

Park, Chanyoung (Department of Pediatric Dentistry, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Park, Kitae (Department of Pediatric Dentistry, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.41, no.1, 2014 , pp. 85-92 More about this Journal
Abstract
Dentigerous cyst is the most common developmental odontogenic cyst of the jaw which is associated with unerupted teeth. Treatment modalities range from enucleation to marsupialization. Enucleation is the process in which the cyst is completely removed, and this is usually indicated for smaller lesions. Larger cysts can be treated by marsupialization, which is a process that consists of making a surgical cavity on the wall of the cyst, emptying its content and maintaining the continuity between the cyst and the oral cavity. This procedure allows decompression of the cyst, regeneration of the bone-defected area, and also lets the wall of the cyst change into normal mucosa. This technique will protect adjacent structures and will promote spontaneous eruption of succedaneous teeth previously surrounded by the cyst. These are two case reports of a 5-year-old and an 11-year-old boy with dentigerous cysts found regarding supernumerary tooth and pulpotomized mandibular primary molars, respectively. Due to the large size of the cysts, both cases were treated with marsupialization. This case report shows that in cases regarding large-sized dentigerous cysts, marsupialization can be an effective surgical technique that promotes spontaneous eruption of cyst-involved succedaneous teeth and the preservation of adjacent teeth.
Keywords
Dentigerous cyst; Marsupialization; Supernumerary tooth; Spontaneous eruption; Preservation of permanent teeth;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Benn A, Altini M : Dentigerous cysts of inflammatory origin. A clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 81:203-209,1996.   DOI   ScienceOn
2 Sapp J, Eversole L, Wysocki G : Contemporary Oral and Maxillofacial Pathology. Daehan Publishing, 49-51, 2005.
3 Neville B, Damm D, Allen C, Bouquot J : Oral & Maxillofacial Pathology. 2nd ed., Saunders, 590-592,2002.
4 Kirtaniya BC, Sachdev V, Singla A, Sharma AK : Marsupialization: A conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent, 28:203-208,2010.   DOI
5 Delbem AC, Cunha RF, Afonso FL, Bianco KG, et al. : Dentigerous cysts in primary dentitions: Report of two cases. Pediatr Dent, 28:269-272, 2006.
6 Bozdogan E, Cankaya B, Gencay K, Aktoren O : Conservative management of a large dentigerous cyst in a 6-year-old girl: a case report. J Dent Child,78:163-167, 2011.
7 Asia′n-Gonza′lez E, Pereira-Maestre M, Conde- Ferna′ndez D, Vilchez I, et al. : Dentigerous cyst associated with a formocresol pulpotomized deciduous molar. J Endod, 33:488-492, 2007.   DOI   ScienceOn
8 Ziccardi VB, Eggleston TI, Schneider RE : Using fenestration technique to treat a large dentigerous cyst. J Am Dent Assoc, 128:201-205, 1997.   DOI
9 Scariot R, da Costa DJ, Rebellato NL, Muller PR, et al. : Treatment of a large dentigerous cyst in a child. J Dent Child, 78:111-114, 2011.
10 Hupp JR, Ellis E, Tucker M : Contemporary Oral and Maxillofaical Surgery. 5th ed., Mosby Elsevier,455-456, 2008.
11 Lustmann J, Bodner L : Dentigerous cysts associated with supernumerary teeth. Int J Oral Maxillofac Surg, 17:100-102, 1988.   DOI   ScienceOn
12 Most DS, Roy EP : A large dentigerous cyst associated with a supernumerary tooth. J Oral Maxillofac Surg, 40:119-120, 1982.   DOI
13 Ahn BJ, Chang CH, Lee DH : Dentigerous cysts in the child. J Korean Soc Plast Reconstru Surg,20:597-603, 1993.
14 McCrea S : Adjacent dentigerous cysts with the ectopic displacement of a third mandibular molar and supernumerary (fourth) molar: a rare occurrence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107:e15-20, 2009.   DOI
15 Lee IY, Kim TW, Kim YJ, Kim HJ et al. :Dentigerous cyst of a maxillary mesiodens: Case Reports. J Korean Acad Pediatr Dent, 35:548-555,2008.   과학기술학회마을
16 Shun Y : Dentigerous cyst associated with an impacted anterior maxillary supernumerary tooth. J Dent Child, 75:104-107, 2008.
17 Serra e Silva FM, Sawazaki R, de Moraes M : Eruption of teeth associated with a dentigerous cyst by only marsupialization treatment: a case report. J Dent Child, 74:228-230, 2007.
18 Jun EM, Kim TW, Kim HJ, et al. : A case report of a dentigerous cyst treated by marsupialization. J Korean Acad Pediatr Dent, 34:473-480, 2007.   과학기술학회마을
19 Song HJ, Kim JG, Yang YM, et al. : Spontaneous eruption of permanent teeth after marsupialization associated with dentigerous cysts. J Korean Acad Pediatr Dent, 38:194-201, 2011.   과학기술학회마을   DOI
20 Berti Sde A, Pompermayer AB, Couto Souza PH, Tanaka OM, et al. : Spontaneous eruption of a canine after marsupialization of an infected dentigerous cyst. Am J Orthod Dentofacial Orthop,137:690-693, 2010.   DOI
21 Kozelj V, Sotosek B : Inflammatory dentigerous cysts of children treated by tooth extraction and decompression-report of four cases. Br Dent J, 187:587-590, 1999.
22 Torres-Lagares D, Segura-Egea JJ, Rodrl′guez- Caballero A, Llamas-Carreras JM, et al.. : Treatment of a large maxillary cyst with marsupialization, decompression, surgical endodontic therapy and enucleation. J Can Dent Assoc, 77:b87, 2011.
23 Koca H, Esin A, Aycan K : Outcome of dentigerous cysts treated with marsupialization. J Clin Pediatr Dent, 34:165-168, 2009.   DOI
24 The Korean Association of Oral and Maxillofacial Surgeons : Text of Oral and Maxillofacial Surgery. Medical and Dental Publishing Co, 395-396, 2005.