Vojnosanitetski pregled 2023 Volume 80, Issue 1, Pages: 78-81
https://doi.org/10.2298/VSP211025105S
Full text (
557 KB)
Decompression procedure as a successful initial approach to large maxillary dentigerous cyst in 12- year-old boy - a case report
Stevanović Momir 
(University of Kragujevac, Faculty of Medical Sciences, Department of Oral Medicine and Periodontology, Kragujevac, Serbia)
Vujović Sanja (University of Kragujevac, Faculty of Medical Sciences, Department of Oral Medicine and Periodontology, Kragujevac, Serbia)
Mladenović Raša (University of Kragujevac, Faculty of Medical Sciences, Department of Pediatric and Preventive Dentistry, Kragujevac, Serbia), rasa.mladenovic@med.pr.ac.rs
Mikić Mirko (University of Montenegro, Faculty of Medicine, Department for Dentistry, Podgorica, Montenegro)
Vasović Miroslav (University of Kragujevac, Faculty of Medical Sciences, Department of Oral Surgery, Kragujevac, Serbia)
Introduction. A dentigerous cyst is a pathological lesion associated with the crown of the unerupted or impacted tooth. Decompression is proposed as the initial treatment for large cysts, especially in younger patients. The aim of this study was to present clinical, radiological, histopathological, and therapeutical aspects of the large dentigerous cyst in the maxilla. Case report. A 12-year-old boy with a large dentigerous cyst in the maxilla was referred to our clinic. A dentigerous cyst was associated with the crown of the unerupted maxillary left canine. Management of the cyst included initial decompression with biopsy, followed by secondary enucleation after 9 months and orthodontic treatment. Histopathological examination confirmed the definitive diagnosis of the dentigerous cyst. Conclusion. Initial decompression with a subsequent enucleation proved to be an effective treatment of choice for the large dentigerous cyst.
Keywords: child, decompression, surgical, dentigerous cyst, diagnosis, maxilla, oral surgical procedures
Show references
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 2010; 28(3): 203-8.
Durmus B, Pekel B, Ugurlu F, Tanboga I. Outcome of a dentigerous cyst following decompression using a removable appliance: a case report. Oral Health Dent Manag 2014; 13(1): 87-90.
Meng Y, Zhao YN, Zhang YQ, Liu DG, Gao Y. Threedimensional radiographic features of ameloblastoma and cystic lesions in the maxilla. Dentomaxillofac Radiol 2019; 48(6): 20190066.
Huang G, Moore L, Logan RM, Gue S. Histological analysis of 41 dentigerous cysts in a paediatric population. J Oral Pathol Med 2019; 48(1): 74-8.
Marin S, Kirnbauer B, Rugani P, Mellacher A, Payer M, Jakse N. The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study. Med Oral Patol Oral Cir Bucal 2019; 24(1): e47-e52.
Yun SU, Jung HW, Cho BY, Choi BJ, Lee B, Kwon YD, et al. Conservative Treatment Using Marsupialization for Cysts Occurring in the Jaw of Adolescents: A Case Report. J Korean Dent Sci 2014; 7(1): 31-7.
Costa FW, Carvalho FS, Chaves FN, Soares EC. A suitable device for cystic lesions close to the tooth-bearing áreas of the jaws. J Oral Maxillofacial Surg 2014; 72: 96-8.
Kwon YJ, Ko KS, So BK, Kim DH, Jang HS, Kim SH, et al. Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis. Medicina (Kaunas) 2020; 56(11): 602.
Schlieve T, Miloro M, Kolokythas A. Does decompression of odontogenic cysts and cystlike lesions change the histologic diagnosis? J Oral Maxillofac Surg 2014; 72(6): 1094-105.
Chouchene F, Ameur WB, Hamdi H, Bouenba M, Masmoudi F, Baaziz A, et al. Conservative Approach of a Dentigerous Cyst. Case Rep Dent 2021; 2021: 5514923.
Scariot R, da Costa DJ, Rebellato NL, Müller PR, Gugisch RC. Treatment of a large dentigerous cyst in a child. J Dent Child (Chic) 2011; 78(2): 111-4.
AboulHosn M, Noujeim Z, Nader N, Berberi A. Decompression and Enucleation of a Mandibular Radicular Cyst, Followed by Bone Regeneration and Implant-Supported Dental Restoration. Case Rep Dent 2019; 2019: 9584235.
Lee ST, Kim SG, Moon SY, Oh JS, You JS, Kim JS. The effect of decompression as treatment of the cysts in the jaws: retrospective analysis. J Korean Assoc Oral Maxillofac Surg 2017; 43(2): 83-7.
Oliveros-Lopez L, Fernandez-Olavarria A, Torres-Lagares D, Serrera-Figallo MA, Castillo-Oyagüe R, Segura-Egea JJ, et al. Reduction rate by decompression as a treatment of odontogenic cysts. Med Oral Patol Oral Cir Bucal 2017; 22(5): e643-e650.
Riachi F, Khairallah CM, Ghosn N, Berberi AN. Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar. Clin Pract 2019; 9(1): 1132.