A conservative treatment of an involved molar tooth associated with dentigerous cyst: a case report and literature review.
Dentigerous cyst
Enucleation
Guided bone regeneration
Tooth hemisection
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
15 Oct 2024
15 Oct 2024
Historique:
received:
28
06
2024
accepted:
26
09
2024
medline:
16
10
2024
pubmed:
16
10
2024
entrez:
15
10
2024
Statut:
epublish
Résumé
Dentigerous cysts (DCs) are among the most frequently odontogenic cysts in young and middle-aged individuals. Marsupialization and enucleation are the main treatment options in clinical practice. However, there are few reports on preserving molars severely involved by the cyst. A 35-year-old male patient with a large odontogenic cyst that was successfully treated using a multidisciplinary approach. The patient's chief complaint was discomfort during mastication in the lower left molar region for a month. Clinical examination revealed that teeth 36 and 37 were intact without pain upon percussion, while tooth 38 was unerupted. The radiology examination illustrated a typical well-defined oval radiolucent lesion surrounding the crown of unerupted tooth 38, extending to the distal root of tooth 37. The treatment was divided into two parts: removal of the cyst and the impacted third molar, followed by filling with collagen bone particles; and preserving the tooth 37 via hemisection, root canal treatment and crown restoration. Pathological examination indicated a dentigerous cyst. After 18 months of treatment, the bone defect completely recovered and tooth 37 functioned well following the hemisection. Hemisection effectively preserves the cyst-associated molars and maintains oral function. This article underscores the significance of collaboration among various departments in the treatment of odontogenic cysts, ultimately aiming to achieve minimally invasive and functional surgery.
Sections du résumé
BACKGROUND
BACKGROUND
Dentigerous cysts (DCs) are among the most frequently odontogenic cysts in young and middle-aged individuals. Marsupialization and enucleation are the main treatment options in clinical practice. However, there are few reports on preserving molars severely involved by the cyst.
CASE PRESENTATION
METHODS
A 35-year-old male patient with a large odontogenic cyst that was successfully treated using a multidisciplinary approach. The patient's chief complaint was discomfort during mastication in the lower left molar region for a month. Clinical examination revealed that teeth 36 and 37 were intact without pain upon percussion, while tooth 38 was unerupted. The radiology examination illustrated a typical well-defined oval radiolucent lesion surrounding the crown of unerupted tooth 38, extending to the distal root of tooth 37. The treatment was divided into two parts: removal of the cyst and the impacted third molar, followed by filling with collagen bone particles; and preserving the tooth 37 via hemisection, root canal treatment and crown restoration. Pathological examination indicated a dentigerous cyst. After 18 months of treatment, the bone defect completely recovered and tooth 37 functioned well following the hemisection.
CONCLUSIONS
CONCLUSIONS
Hemisection effectively preserves the cyst-associated molars and maintains oral function. This article underscores the significance of collaboration among various departments in the treatment of odontogenic cysts, ultimately aiming to achieve minimally invasive and functional surgery.
Identifiants
pubmed: 39407218
doi: 10.1186/s12903-024-04968-2
pii: 10.1186/s12903-024-04968-2
doi:
Types de publication
Journal Article
Case Reports
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1222Subventions
Organisme : the Special Fund for High-Level University Construction Talents of Guangzhou Medical University
ID : B185006003006
Informations de copyright
© 2024. The Author(s).
Références
Zhang LL, Yang R, Zhang L, Li W, MacDonald-Jankowski D, Poh CF. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada. Int J Oral Maxillofac Surg. 2010;39(9):878–82.
doi: 10.1016/j.ijom.2010.04.048
pubmed: 20605411
Gaurkar SS, Deshmukh PT, Singh CV, Khan FQ. A rare presentation of Dentigerous Cyst. Cureus. 2022;14(6):e26098.
pubmed: 35875303
pmcid: 9298675
Lin HP, Wang YP, Chen HM, Cheng SJ, Sun A, Chiang CP. A clinicopathological study of 338 dentigerous cysts. J Oral Pathol Med. 2013;42(6):462–7.
doi: 10.1111/jop.12042
pubmed: 23278191
Guven Y, Kasimoglu Y, Soluk Tekkesin M, Ulug D, Cankaya AB, Tuna EB, Gencay K, Aktoren O. Preservation of involved Teeth Associated with large dentigerous cysts. Int Sch Res Notices. 2014;2014:289463.
pubmed: 27355026
pmcid: 4897412
Zhao Y, Liu B, Zhao YF. Controversies regarding the management of Teeth Associated with cystic lesions of the Jaws. Chin J Dent Res. 2019;22(2):81–92.
pubmed: 31172136
Ghandour L, Bahmad HF, Bou-Assi S. Conservative Treatment of Dentigerous Cyst by Marsupialization in a Young Female Patient: A Case Report and Review of the Literature. Case Rep Dent 2018, 2018:7621363.
Bilodeau EA, Collins BM. Odontogenic cysts and Neoplasms. Surg Pathol Clin. 2017;10(1):177–222.
doi: 10.1016/j.path.2016.10.006
pubmed: 28153133
Buchbender M, Neukam FW, Lutz R, Schmitt CM. Treatment of enucleated odontogenic jaw cysts: a systematic review. Oral Surg Oral Med Oral Pathol Oral Radiol. 2018;125(5):399–406.
doi: 10.1016/j.oooo.2017.12.010
pubmed: 29396318
Mardas N, Dereka X, Donos N, Dard M. Experimental model for bone regeneration in oral and cranio-maxillo-facial surgery. J Invest Surg. 2014;27(1):32–49.
doi: 10.3109/08941939.2013.817628
pubmed: 23957784
Nauth A, Schemitsch E, Norris B, Nollin Z, Watson JT. Critical-size bone defects: is there a Consensus for diagnosis and treatment? J Orthop Trauma. 2018;32(Suppl 1):S7–11.
doi: 10.1097/BOT.0000000000001115
pubmed: 29461395
Chiapasco M, Rossi A, Motta JJ, Crescentini M. Spontaneous bone regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg. 2000;58(9):942–8. discussion 949.
doi: 10.1053/joms.2000.8732
pubmed: 10981973
Santamaría J, García AM, de Vicente JC, Landa S, López-Arranz JS. Bone regeneration after radicular cyst removal with and without guided bone regeneration. Int J Oral Maxillofac Surg. 1998;27(2):118–20.
doi: 10.1016/S0901-5027(98)80308-1
pubmed: 9565268
Ettl T, Gosau M, Sader R, Reichert TE. Jaw cysts - filling or no filling after enucleation? A review. J Craniomaxillofac Surg. 2012;40(6):485–93.
doi: 10.1016/j.jcms.2011.07.023
pubmed: 21890372
Chacko R, Kumar S, Paul A. Arvind: spontaneous bone regeneration after enucleation of large Jaw cysts: a Digital Radiographic Analysis of 44 consecutive cases. J Clin Diagn Res. 2015;9(9):Zc84–89.
pubmed: 26501020
pmcid: 4606349
Wang J, Yao QY, Zhu HY. Efficacy of bone grafts in jaw cystic lesions: a systematic review. World J Clin Cases. 2022;10(9):2801–10.
doi: 10.12998/wjcc.v10.i9.2801
pubmed: 35434117
pmcid: 8968803
Dimitriou R, Jones E, McGonagle D, Giannoudis PV. Bone regeneration: current concepts and future directions. BMC Med. 2011;9:66.
doi: 10.1186/1741-7015-9-66
pubmed: 21627784
pmcid: 3123714
Giannoudis PV, Dinopoulos H, Tsiridis E. Bone substitutes: an update. Injury. 2005;36(Suppl 3):S20–27.
doi: 10.1016/j.injury.2005.07.029
pubmed: 16188545
Kiyokawa K, Kiyokawa M, Tai Y, Tanaka S. New regenerative surgical treatment of cystic diseases of the jaw by utilizing grafting of cancellous iliac bone and replanting of patient’s teeth. J Craniofac Surg. 2004;15(5):792–6.
doi: 10.1097/00001665-200409000-00018
pubmed: 15346020
Shi J, Zhou J, Liu C, Liu Y, Si M. Radiographic bone volume alteration after jaw cyst enucleation with or without simultaneous bone grafts: a prospective randomized study. Clin Implant Dent Relat Res. 2022;24(4):468–74.
doi: 10.1111/cid.13099
pubmed: 35576245
do Lago ES, Ferreira S, Garcia IR Jr., Okamoto R, Mariano RC. Improvement of bone repair with l-PRF and bovine bone in calvaria of rats. Histometric and immunohistochemical study. Clin Oral Investig. 2020;24(5):1637–50.
doi: 10.1007/s00784-019-03018-4
pubmed: 31338633
Caramês JMM, Vieira FA, Caramês GB, Pinto AC, Francisco HCO, Marques D. Guided bone regeneration in the Edentulous Atrophic Maxilla using deproteinized bovine bone Mineral (DBBM) combined with platelet-rich fibrin (PRF)-A prospective study. J Clin Med 2022, 11(3).
Celebi N, Canakci GY, Sakin C, Kurt G, Alkan A. Combined orthodontic and surgical therapy for a deeply impacted third molar related with a dentigerous cyst. J Maxillofac Oral Surg. 2015;14(Suppl 1):93–5.
doi: 10.1007/s12663-012-0339-9
pubmed: 25838678
Patel V, Sproat C, Samani M, Kwok J, McGurk M. Unerupted teeth associated with dentigerous cysts and treated with coronectomy: mini case series. Br J Oral Maxillofac Surg. 2013;51(7):644–9.
doi: 10.1016/j.bjoms.2013.02.011
pubmed: 23522661
Petsos H, Korte J, Eickholz P, Hoffmann T, Borchard R. Surgical removal of third molars and periodontal tissues of adjacent second molars. J Clin Periodontol. 2016;43(5):453–60.
doi: 10.1111/jcpe.12527
pubmed: 26847845
Peng KY, Tseng YC, Shen EC, Chiu SC, Fu E, Huang YW. Mandibular second molar periodontal status after third molar extraction. J Periodontol. 2001;72(12):1647–51.
doi: 10.1902/jop.2001.72.12.1647
pubmed: 11811499
Lee KL, Corbet EF, Leung WK. Survival of molar teeth after resective periodontal therapy–a retrospective study. J Clin Periodontol. 2012;39(9):850–60.
doi: 10.1111/j.1600-051X.2012.01918.x
pubmed: 22780229
Megarbane JM, Kassir AR, Mokbel N, Naaman N. Root Resection and Hemisection Revisited. Part II: a retrospective analysis of 195 treated patients with up to 40 years of follow-up. Int J Periodontics Restor Dent. 2018;38(6):783–9.
doi: 10.11607/prd.3797