Dentigerous Cyst Associated with an Impacted Maxillary Supernumerary Tooth
Life Sciences-Oral Pathology
DOI:
https://doi.org/10.22376/ijpbs/lpr.2022.12.5.L182-187Keywords:
Dentigerous cysts, Supernumerary Tooth, Anterior Maxilla, Fistular Cyst, Nasopalatine Duct Cyst, EnucleationAbstract
Dentigerous cysts are common cysts of the oral cavity and are said to arise, due to an accumulation of fluid between the reduced enamel epithelium of the dental follicle and the crown of the unerupted tooth. Their indolent behaviour warrants only surgical enucleation which is curative. The occurrence of dentigerous cysts in association with impacted supernumerary teeth accounts for 5% of the total cases, making it a rare phenomenon and raising considerable concerns due to the possible metaplastic and neoplastic transformations reported to arise from dentigerous cysts. Here we report a case of a 38-year-old male patient with a slow growing swelling in the anterior maxilla which was a radiographically seen as a unilocular radiolucency with no associated calcifications and hence prompted suspicions of a nasopalatine duct cyst which was contradicted on surgical enucleation which produced two small teeth like structures.
References
Khalili M, Taban SR, Jolehar M. Anterior maxillary radiolucency: A diagnostic Dilemma/pitfall. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Mar 1;119(3):e121. doi: 10.1016/j.oooo.2014.07.083.
MacDonald D, Martin M, Nguyen C. Malignant lesions in the anterior maxilla. Clin Radiol. 2020 Jul 1;75(7):497-506. doi: 10.1016/j.crad.2019.09.133, PMID 31677882.
Vanhoenacker FM, Bosmans F, Vanhoenacker C, Bernaerts A. Imaging of mixed and radiopaque jaw lesions. Semin Musculoskelet Radiol. 2020 Oct;24(5):558-69. doi: 10.1055/s-0039-3402766, PMID 33036043.
Viana FLPV, Vasconcelos BCD, Nobrechaves F, Pereira KMA, Sampieri MBDS. Periapical cemento-osseous dysplasia in anterior maxilla. J Clin Diagn Res. 2019 Jan;13(1): ZD11-ZD13. doi: 10.7860/JCDR/2019/38289.12473.
Shah KM, Karagir A, Adaki S, Pattanshetti C. Dentigerous cyst associated with an impacted anterior maxillary supernumerary tooth. BMJ Case Rep. 2013 Jan 31;2013:bcr2012008329, doi: 10.1136/bcr-2012-008329, PMID 23376673.
Eshgian N, Al-Talib T, Nelson S, Abubakr NH. Prevalence of hyperdontia, hypodontia, and concomitant hypo-hyperdontia. J Dent Sci. 2021 Mar 1;16(2):713-7. doi: 10.1016/j.jds.2020.09.005, PMID 33854723.
Syriac G, Joseph E, Rupesh S, Philip J, Cherian SA, Mathew J. Prevalence, characteristics, and complications of supernumerary teeth in nonsyndromic pediatric population of South India: A clinical and radiographic study. J Pharm Bioallied Sci. 2017 Nov;9(Suppl 1);Suppl 1:S231-6. doi: 10.4103/jpbs.JPBS_154_17, PMID 29284970.
Fernández Montenegro P, Valmaseda Castellón E, Berini Aytés L, Gay Escoda C. Retrospective study of 145 supernumerary teeth. Med Oral Patol Oral Cir Bucal. 2006;11(4):E339-44. PMID 16816819.
Bhardwaj S, Anand M, Altaf G, Kataria S. Dentigerous cyst: a review of literature. IHRJ. 2019 May 23;3(2):56-8. doi: 10.26440/IHRJ/0302.05.521077.
G A, Varma B, P U. Management of a dentigerous cyst: A two-year review. Int J Clin Pediatr Dent. 2011;4(2):147-51. doi: 10.5005/jp-journals-10005-1100, PMID 27672256.
Kambalimath DH, Kambalimath HV, Agrawal SM, Singh M, Jain N, Anurag B, et al. Prevalence and distribution of odontogenic cyst in Indian population: A 10 year retrospective study. J Maxillofac Oral Surg. 2014 Mar;13(1):10-5. doi: 10.1007/s12663-012-0450-y, PMID 24644390.
Vosough Hosseini S, Moradzadeh M, Lotfi M, Ala Aghbali A, Fattahi S. Dentigerous cyst associated with a mesiodens: A case report. J Dent Res Dent Clin Dent Prospects. 2011;5(2):76-8. doi: 10.5681/joddd.2011.016, PMID 23019514.
Wang LL, Olmo H. Odontogenic cysts. Stat (FL): StatPearls Publishing. 2022 Jan.
Struthers P, Shear M. Root resorption by ameloblastomas and cysts of the jaws. Int J Oral Surg. 1976 Jun;5(3):128-32. doi: 10.1016/s0300-9785(76)80061-0, PMID 820661.
Hammarström L, Lindskog S. Factors regulating and modifying dental root resorption. Proc Finn Dent Soc. Proceedings of the Finn dent soc suom hammaslaakariseuran toim. 1992 Jan 1;88;Suppl 1:115-23. PMID 1508866.
Kharazmi M, Melville JC, Huang AT, Kanatas A, Shum J. SCC from a dentigerous cyst. Br Dent J. 2020 Jul;229(2):74-. doi: 10.1038/s41415-020-1946-3, PMID 32710034.
Neville B, Damm DD, Allen C, Chi A. Oral and maxillofacial pathology. 4th ed. Saunders; 2015.
Bhushan NS, Rao NM, Navatha M, Kumar BK. Ameloblastoma arising from A dentigerous cyst-A case report. J Clin Diagn Res. 2014 May;8(5):ZD23–5. doi: 10.7860/JCDR/2014/5944.4387, PMID 24995259.
Published
How to Cite
Issue
Section
Copyright (c) 2022 Rebecca Jason, Neil Ananth, M S Jaish Lal, T Sudha Rani, J Dinakar, K U Goma Kumar, Selva Libin
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
