Rigid internal fixation after excision of an odontogenic cyst in the mandible

Authors

DOI:

https://doi.org/10.33448/rsd-v12i6.42285

Keywords:

Dentigerous Cyst; Enucleation; Oral health.

Abstract

The dentigerous cyst is an alteration originated by the separation of the pericoronal follicle from any non-erupted dental elements, being the most common type of developmental odontogenic cysts. These cysts can acquire considerable volume resulting in facial asymmetry, and may or may not be septic. Radiographically, dentigerous cysts have a unilocular radiolucent aspect with well-defined margins associated with the crown of the included element, which may give the impression of multilocular aspects in large cysts. The dentigerous cyst has 3 radiographic variations: Central (most common), Lateral and Circumferential. Its treatment ranges from enucleation to marsupialization, with an excellent prognosis for the overwhelming majority of cysts and with rare recurrence, however it can undergo a neoplastic transformation to an ameloblastoma. The objective of this study is to present a case report of the enucleation of a dentigerous cyst in the mandible, of great extension, in the posterior region of the left side, associated with tooth 38, with the need for rigid internal fixation after removal of the lesion, in a patient 59-year-old male with leucoderma, showing its clinical, imaging and histopathological properties and its form of treatment. It is concluded that surgical excision of the dentigerous cyst is the main treatment choice and, associated with rigid internal fixation, when indicated, results in a better prognosis for the patient.

References

Austin, R. P., Nelson, B. L. et al (2021). Sine Qua Non: Dentigerous Cyst. Head and Neck Pathol 15, 1261–1264. https://.org/10.1007/s12105-021-01327-3

Bertolo-Domingues, N., Girotto-Bussaneli, D., Jeremias, F., Aparecida-Giro, E. M., & Aguiar-Pansani, C. et al (2018). Diagnóstico e tratamento conservador em cisto dentígero: acompanhamento de 3 anos. CES Odontología, 31(1), 57-65. https://.org/10.21615/cesodon.31.1.6.

Cakarer, S., Selvi F., Isler S. C. & Keskin C. (2011). Decompression, enucleation, and implant placement in the management of large dentogerous cyst. J Craniofac Surg. 22(3):922-4. 10.1097/SCS.0b013e31820fe233.

Chouchene, F., Ameur, W. B., Hamdi, H., Bouenba, M., Masmoudi, F., Baaziz, A., Maatouk, F., & Ghedira, H. (2021). Conservative Approach of a Dentigerous Cyst. Case reports in dentistry, 2(45), 22-8. 10.1155/2021/5514923.

Contar C. M. M., Thomé, C. A., Pompermayer, A., Sarot J. R., Vinagre, R. O., Machado, M. A. N. (2011). Marsupialization of dentigerous cyst: Report of a case. J Maxillofac Oral Surg, 26(3), 1-3. 10.1007/s12663-011-0172-6

Lima, V. N., Figueiredo, C. M. B. F., Momesso, G. A. C., Queiroz, S. B. F. & Faverani, L. P. (2017). Fratura mandibular associada à remoção de terceiro molar inferior: revisão de literatura. Arch Health Invest, 6(9):414-417. http://dx..org/10.21270/archi.v6i9.2227.

Martorelli, S. B. D. F., Leite, C. L. C. D., Leite, D. S. G., Barbosa, M. R., & Holanda, L. A. L. D. (2021). Volumoso cisto dentígero de mandíbula tratado em duas etapas cirurgicas-relato de caso. Odontoestomatología, 23(37). https://.org/10.22592/ode2021n37a11.

Neville, B.W., Damm, D. D., Allen, C. M., & Bouquot, J. E. (2016). Patologia oral e maxilofacial. (4a ed.) Elsevier.

Önay, Ö., Süslü, A. E., & Yılmaz T. (2019). Huge dentigerous cyst in the maxillary sinus: a rare case in childhood.Turk Arch Otorhinolaryngol, 57(1), 54-56. 10.5152/tao.2019.1920.

Pereira, A.S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM.https://repositorio.ufsm.br/bitstream/handle/1/15824/LicComputacao_MetodologiaPesquisa-Cientifica.pdf?sequence=1

Rajae, E. G., Karima, E. H. (2021). Dentigerous cyst: enucleation or marsupialization? (a case report). Pan African Medical Journal, 40(149). https://www.panafrican-med-journal.com/content/article/40/149/full.

Salama, A. A., & Abou-ElFetouh, A. (2020). Marsupialization and functional obturator placement for treatment of dentigerous cyst in child: A successful blend. Oral and Maxillofacial Surgery Cases, 2(34) 19-23. 10.1016/j.omsc.2020.100200

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. Brazilian Journal of Health Review, 4(3), 10606-10619. https://.org/10.34119/bjhrv4n3-081

Silva, I. D., Lobo, F., Silva, B. G., Souza Tolentino, E., Iwaki, L. C. V., & da Silva, M. C. (2020). Cistos odontogênicos inflamatórios e de desenvolvimento: estudo observacional e retrospectivo de 23 anos. Revista da Faculdade de Odontologia de Porto Alegre, 61(1), 4. http://orcid.org/0000-0002-8322-9235

Soares, R. P., Stefanini, A. R., Fabris, A. L. S., Bortoluzo, P. H., & Simonato, L. E. (2019). Cisto dentígero: diagnóstico e tratamento. Arch Health Invest, 7(11):461-464. https://.org/10.21270/archi.v7i11.3034.

Stringhini J. E., Galvani E. C., Zenatti R., Stang B. & Becker G. A. (2018). Opções cirúrgicas para tratamento de cisto dentígero: série de casos. Rev Assoc Paul Cir Dent, 72(4), 624-30.

Swantek J. J., Reyes M. I., Grannum R. I. & Ogle O. E. (2012). A technique for long term decompression of large mandibular cysts. J Oral Maxillofac Surg, 70, 856-859. 10.1016/j.joms.2011.03.029

Thompson L.D. (2018). Dentigerous cyst. Ear Nose Throat J, 97(3):57. 10.1177/014556131809700317

Vaz, L. G. M., Rodrigues, M. T. V., & Júnior, O. F. (2010). Cisto dentígero: características clínicas,radiográficas e critérios para o plano de tratamento. Rgo, Porto Alegre, 1(58), 127-130.

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Published

28/06/2023

How to Cite

CUSTÓDIO, G. P.; COSTA , C. F. B. .; CARVALHO, H. F. .; D’DALARPONIO, P. de A. T. .; PAVOSKI, L.; KARNIKOWSKI, D. .; CONCEIÇÃO , R. de O. .; LIBARINO, A. de S. .; CLEMENTE, M. S. .; ALMEIDA, M. de C. .; DIAS, G. V. . Rigid internal fixation after excision of an odontogenic cyst in the mandible. Research, Society and Development, [S. l.], v. 12, n. 6, p. e25812642285, 2023. DOI: 10.33448/rsd-v12i6.42285. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/42285. Acesso em: 3 may. 2024.

Issue

Vol. 12 No. 6

Section

Health Sciences

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Copyright (c) 2023 Gustavo Paiva Custódio; Cesar Feitoza Bassi Costa ; Hugo Figueiredo Carvalho; Pedro de Alcantara Torquette D’Dalarponio; Luana Pavoski; Damiana Karnikowski; Rafaela de Oliveira Conceição ; Alex de Sousa Libarino; Mylena Souza Clemente; Marcelo de Carvalho Almeida; Gabriel Vieira Dias

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