Treatment of multiple dentigeral cysts associated with third molars: Case report
DOI:
https://doi.org/10.33448/rsd-v11i14.36697Keywords:
Dentigerous cyst; Third molar; Oral surgery.Abstract
The dentigerous cyst is the most common type of developmental cyst and the second in cysts affecting the jaws. It is a benign lesion in association with the odontogenic epithelium of the crown of an unerupted tooth, thus forming a cavity delimited by the reduced enamel epithelium filled with cystic fluid. It can be associated with any impacted tooth, however, it is more frequently found in lower third molars. The objective of the present study is to report a case of a 19-year-old normosistemic female patient who was referred to the Stomatology clinic at UFC- Sobral. Clinically, an increase in volume was observed in the region of teeth 25, 26, and 27. A panoramic radiographic examination was requested for analysis, in which a unilocular radiolucent area was observed in the region of the molars in the left maxilla. He also had teeth 18,28,38,37 and 48 included. In the region of the upper left molars, an incisional biopsy was performed followed by decompression. After the considerable reduction of the lesion, which resulted in a dentigerous cyst histopathologically, tooth 28 was extracted, and, subsequently, teeth 18 38, and 48 were removed. The cyst associated with tooth 48 caused external resorption of the distal root of 47, which showed vitality in the semiotechnical exams to detect pulp vitality and is undergoing clinical and radiographic follow-up. The patient resumed orthodontic treatment and a mini-implant was installed for the traction of tooth 37. Currently, the patient is at the end of orthodontic treatment without showing a recurrence of lesions associated with third molars.
References
Abramovitz, I., Zakopay, E., Zini, A., Chweidan, H., Balakirski, D., Protter, N. E., & Almoznino, G. (2021). Pre-operative oral health-related quality of life in patients attending surgical removal of mandibular third molar teeth. Healthcare (Switzerland), 9(1), 1–11. https://doi.org/10.3390/healthcare9010085.
Anyanechi, C. E., & Saheeb, B. D. (2015). Nerve Morbidity after Mandibular Third Molar Surgery: A Prospective Study of Two Cohorts of Patients. Journal of Neurology and Neuroscience, 06(04). https://doi.org/10.21767/2171-6625.100043.
Anyanechi, C. E., Saheeb, B. D., & Okechi, U. C. (2019). Is prophylactic removal of impacted mandibular third molar justified in all patients? A prospective clinical study of patients 50 years and above. African Health Sciences, 19(1), 1789–1794. https://doi.org/10.4314/ahs.v19i1.55.
Bastos, A. do C., de Oliveira, J. B., Mello, K. F. R., Leão, P. B., Artese, F., & Normando, D. (2016). The ability of orthodontists and oral/maxillofacial surgeons to predict eruption of lower third molar. Progress in Orthodontics, 17(1). https://doi.org/10.1186/s40510-016-0134-0.
Caliento, R., Mannarino, F. S., & Hochuli-Vieira, E. (2013). REVISTA DE ODONTOLOGIA DA UNESP Cisto dentígero: modalidades de tratamento Dentigerous cyst: modalities of treatment.
Cunha-Cruz, J., Rothen, M., Spiekerman, C., Drangsholt, M., McClellan, L., & Huang, G. J. (2014). Recommendations for third molar removal: A practice-based cohort study. American Journal of Public Health, 104(4), 735–743. https://doi.org/10.2105/AJPH.2013.301652.
Cutilli, T., Bourelaki, T., Scarsella, S., Fabio, D. di, Pontecorvi, E., Cargini, P., & Junquera, L. (2013). Pathological (late) fractures of the mandibular angle after lower third molar removal: A case series. Journal of Medical Case Reports, 7. https://doi.org/10.1186/1752-1947-7-121.
Damante, J. H., & Fleury, R. N. A contribution to the diagnosis of the small dentigerous cyst or the paradental cyst. Pesqui Odontol Bras. 2001 Jul./Set.;15(3):238-46.
De, A., Brito, R., Ribeiro, A., & Brito, A. R. (n.d.). Terceiros molares indicações clínicas para extraí-los. Revista Científica Multidisciplinar Núcleo do Conhecimento. Ano 06. 12, 183–191.
Dunsche, A., Babendererde, O., Èttges, J. L., Springer, I. N. G., & Springer, I. (n.d.). Dentigerous cyst versus unicystic ameloblastoma ± differential diagnosis in routine histology. J Oral Pathol Med.
Gavazzi, M., de Angelis, D., Blasi, S., Pesce, P., & Lanteri, V. (2014). Third molars and dental crowding: Different opinions of orthodontists and oral surgeons among Italian practitioners. Progress in Orthodontics, 15(1). https://doi.org/10.1186/s40510-014-0060-y.
Guilherme, L., Vaz, M., Tadeu, M., Rodrigues, V., & Ferreira, O. (2010). Cisto dentígero : características clínicas , radiográficas e critérios para o plano de tratamento. Rgo, 58(1), 127–130.
Huang, G. J., Cunha-Cruz, J., Rothen, M., Spiekerman, C., Drangsholt, M., Anderson, L., & Roset, G. A. (2014). A prospective study of clinical outcomes related to third molar removal or retention. American Journal of Public Health, 104(4), 728–734. https://doi.org/10.2105/AJPH.2013.301649.
Lee, C. T. Y., Zhang, S., Leung, Y. Y., Li, S. K. Y., Tsang, C. C., & Chu, C. H. (2015). Patients’ satisfaction and prevalence of complications on surgical extraction of third molar. Patient Preference and Adherence, 9, 257–263. https://doi.org/10.2147/PPA.S76236.
Lindauer, S. J., Laskin, D. M., Tüfekçi, E., Taylor, R. S., Cushing, B. J., & Best, A. M. (2007). Orthodontists’ and surgeons’ opinions on the role of third molars as a cause of dental crowding. American Journal of Orthodontics and Dentofacial Orthopedics, 132(1), 43–48. https://doi.org/10.1016/j.ajodo.2005.07.026.
Matos, A. F. S., Vieira, L. E., & Barros, L. de. (2017). Terceiros Molares Inclusos: revisão de literatura. Psicologia e Saúde Em Debate, 3(1), 34–49. https://doi.org/10.22289/2446-922x.v3n1a4.
Miclotte, A., van Hevele, J., Roels, A., Elaut, J., Willems, G., Politis, C., & Jacobs, R. (2014). Position of lower wisdom teeth and their relation to the alveolar nerve in orthodontic patients treated with and without extraction of premolars: a longitudinal study. Clinical Oral Investigations, 18(7), 1731–1739. https://doi.org/10.1007/s00784-013-1148-3.
Phillips, C., & White, R. P. (2012). How predictable is the position of third molars over time? Journal of Oral and Maxillofacial Surgery, 70(9 SUPPL. 1). https://doi.org/10.1016/j.joms.2012.04.024.
Sigron, G. R., Pourmand, P. P., Mache, B., Stadlinger, B., & Locher, M. C. (2014). The most common complications after wisdom-tooth removal: part 1: a retrospective study of 1,199 cases in the mandible. Swiss dental journal, 124(10), 1042–1056.
Silva, M. P., Zenatti, R., Conci, R., Junior, E. Á. G., Magro, N. E., & Griza, G. L. (2021). Enucleação de extenso cisto dentígero em ambiente ambulatorial: relato de caso/ Enucleation of extensive dental cyst in ambulatory environment: case report. Brazilian Journal of Health Review, 4(3), 10606–10619. https://doi.org/10.34119/bjhrv4n3-081.
Staderini, E., Patini, R., Guglielmi, F., Camodeca, A., & Gallenzi, P. (2019). How to manage impacted third molars: Germectomy or delayed removal? A systematic literature review. Medicina (Lithuania), 55(3), 1–14. https://doi.org/10.3390/medicina55030079.
Stathopoulos, P., Mezitis, M., Kappatos, C., Titsinides, S., & Stylogianni, E. (2011). Cysts and tumors associated with impacted third molars: Is prophylactic removal justified? Journal of Oral and Maxillofacial Surgery, 69(2), 405–408. https://doi.org/10.1016/j.joms.2010.05.025.
Toscano Ribeiro, E., das Posses Bridi, M., Cristina Rangel Pereira, T., Regina Grão Velloso, T., Alayde Alcântara Salim, M., Motta Bertollo, R., Maria Lourenço Carlos Maia, R., Aparecida Pimenta de Barros, L., & Nascimento Silva, D. (2015). |Dentes inclusos associados a cistos e tumores odontogênicos: condutas terapêuticas. In 78|Rev. Bras. Pesq. Saúde (17(2)).
Stringhini Junior, E., Galvani, E. C., Zenatti, R., Stang, B., & Becker, G. A. Opções cirúrgicas para tratamento de cisto dentígero: série de casos. REV ASSOC PAUL CIR DENT. 72(4):624-30, 2018.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Samuel Rocha França; Jefferson Douglas Lima Fernandes ; Priscilla Parente Viana; Filipe Nobre Chaves; Denise Hélen Imaculada Pereira Oliveira; Marcelo Bonifácio da Silva Sampieri
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
