Radiographic characteristics of dentigerous cysts diagnosed at the School of Stomatology of the Universidad Peruana Cayetano Heredia
Vol 4, Issue 1, 2021
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Abstract
Objective: To evaluate the radiographic characteristics of dentigerous cysts (DC) diagnosed at the School of Stomatology of the Universidad Peruana Cayetano Heredia (UPCH) during the period of 2010–2017. Material and methods: Retrospective, descriptive, observational and cross-sectional study, where the panoramic radiographs of 37 cases of DC were selected. Results: The total number of diagnosed cases of dentigerous cysts was 233, which after inclusion and exclusion criteria, 37 cases were obtained, of which 45.9% of cysts were found in the second decade of life with a higher frequency of 51.4 percent for women, and a jaw predilection of 59.5% in all cases. In addition, it was found that 97.3% of the cases were radiolucent, defined limits were found in 67.6%, corticalized edges in 54.1% and unilocular in 94.6%. All dentigerous cysts were associated with a tooth, of which closed apex (48.6%) and tooth displacement (59.5%) were observed. The adjacent tooth was not affected in 56.8% of cases, but its hard lamina was affected (59.5%). The 68.2% of cases did not affect the basal mandibular cortex, but did displace the inferior dental canal (54.5%) and 46.7% of cases displaced the floor of the maxillary sinus. Conclusions: Most of the results obtained on the characteristics in the Peruvian population support previous studies reported in America, Europe and Asia. Radiographically the dentigerous cyst showed characteristics that support its clearly benign behavior.
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1. Yahara Y, Kubota Y, Yamashiro T, et al. Eruption prediction of mandibular premolars associated with dentigerous cyst. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2009; 108(1): 28–31.
2. Qian W, Ma Z, Xie Q, et al. Marsupialization facilitates eruption of dentigerous cyst-associated mandibular premolars in preadolescent patient. Journal of Oral and Maxillofacial Surgery 2013; 71(11): 1825–1832.
3. Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofacial Radiology 2004; 33(1): 17–20.
4. Konouchi H, Asaumi J, Yanagi Y, et al. Diagnostic value of MR imaging for dentigerous cysts. Oral Radiology 2014; 30(1): 13–19.
5. Devi P, Thimmarasa VB, Mehrotra V, et al. Multiple dentigerous cysts: A case report and review. Journal of Maxillofacial and Oral Surgery 2015; 14(1): 47–51.
6. Hedge R, Khare S, Deyrukhkar V. Dentigerous cyst in a young child: Clinical insight and a case report. Journal of Indian Society of Pedodontics and Preventive Dentistry 2013; 31(1): 209–211.
7. Zapała-Pośpiech A, Wyszyńska-Pawelec G, Adamek D, et al. Malignant transformation in the course of a dentigerous cyst: A problem for a clinician and a pathologist. Considerations based on a case report. Polish Journal of Pathology 2013; 64(1): 64–68.
8. Jeon JY, Park CJ, Cho SH, et al. Bilateral dentigerous cysts that involve all four dental quadrants: A case report and literature review. Journal of the Korean Association of Oral and Maxillofacial Surgeons 2016; 42(2): 123–126.
9. Langlais RP, Langland OE, Nortje CJ. Generalised radiopacities: Osteopetrosis. In: Langlais RP, Langland OE, Nortje CJ (editors). Diagnostic Imaging of the Jaws. Malvern: Williams and Wilkins; 1995. p. 598–613.
10. Albarrán G, Gutierrez R, Yépez Y. Marsupialización como tratamiento para quiste dentígero en un paciente pediátrico. Reporte de caso (Spanish) [Marsupials as a treatment for dental cysts in pediatric patients. Case report]. Revista Odontológica de Los Andes 2014; 9(1): 47–55.
11. Kouhsoltani M, Mesgarzadeh A, Moradzadeh M. Mandibular fracture associated with a dentigerous cyst: Report of a case and literature review. Journal of Dental Research, Dental Clinics, Dental Prospects 2015; 9(3): 193–198.
12. Sridevi K, Kaushik A, Ramaswamy P, et al. Dentigerous cysts of maxillofacial region-clinical, radiographic and biochemical analysis. Kathmandu University Medical Journal 2015; 13(1): 8–11.
13. Kambalimath DH, Kambalimath HV, Agrawal SM, et al. Prevalence and distribution of odontogenic cyst in Indian population: A 10-year retrospective study. Journal of Maxillofacial and Oral Surgery 2014; 13(1): 10–15.
14. Demirkol M, Ege B, Yanik S, et al. Clinicopathological study of jaw cysts in southeast region of Turkey. European Journal of Dentistry 2014; 8(1): 107–111.
15. Speight P, Fantasia J, Neville B. Odontogenic and non–odontogenic developmental cysts. WHO Classification of Head and Neck Tumours. 4th ed. Lyon: WHO; 2017. p. 234.
16. Mosqueda A, Irigoyen M, Díaz M, et al. Quistes odontogénicos. Análisis de 856 casos (Spanish) [Odontogenic cysts. Analysis of 856 cases]. Medicina Oral.2002; 7(1): 89–96.
17. Lin H, Wang Y, Chen H, et al. A clinicopathological study of 338 dentigerous cysts. Journal of Oral Pathology & Medicine 2013; 42(6): 462–467.
18. Zhang L, Yang R, Li W. Dentigerous cyst: A retrospective clinicopathology analysis of 2082 dentigerous cysts British Columbia, Canada. International journal of oral and maxillofacial surgery 2010; 39(9): 878–882.
19. Ochsenius G, Escobar E, Godoy L, et al. Odontogenic cysts: Analysis of 2944 cases in Chile. Medicina Oral, Patología Oral y Cirugía Bucal 2007; 21(1): 85–91.
20. Li N, Gao X, Xu Z, et al. Prevalence of developmental odontogenic cysts in children and adolescents with emphasis on dentigerous cyst and odontogenic keratocyst (keratocyst odontogenic tumor). Acta Odontologica Scandinavica 2014; 72(8): 795–800.
21. Villasis L, Portilla J, Melendez A, et al. Prevalence and distribution of odontogenic cysts in a Mexican simple: A 753 cases study. Journal of clinical and experimental dentistry 2017; 9(4): 531–538.
22. Monteiro L, De la Peña J, Fonseca L, et al. Odontogenic cysts-A descriptive clinicopathological study. Brazilian Journal of Oral Sciences 2005; 4(12): 670–675.
23. Shibasaki M, Iwai T, Chikuma H, et al. Actinomyces associated calcifications in a dentigerous cyst of the mandible. Journal of Craniofacial Surgery 2013; 24(3): 311–314.
24. Lopez-Carriches C, Lopez-Carriches I, Bryan R. Odontogenic sinusitis caused by an inflammation of a dentigerous cyst and subsequent finding of a fibrous dysplasia: A case report. The Open Dentistry Journal 2016; 30(10): 647–655.
25. Yasuoka T, Yonemoto K, Kato Y, et al. Squamous cell carcinoma arising in a dentigerous cyst. Journal of oral and maxillofacial surgery 2000; 58(8): 900–905.
26. Bodner L, Manor E, Shear M, et al. Primary intraosseous squamous cell carcinoma arising in an odontogenic cyst: A clinicopathologic analysis of 116 reported cases. Journal of oral pathology & medicine 2011; 40(10): 733–738.
27. Yoshiura K, Higuchi Y, Araki K, et al. Morphologic analysis of odontogenic cysts with computed tomography. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1997; 83(6): 712–718.
28. Scholl R, Kellett H, Neumann D, et al. Cysts and cystic lesions of the mandible: Clinical and radiologic histopathologic review. Radiographics 1999; 19(5): 1107–1124.
29. Yeo JF, Zain RB, Ti LS, et al. Clinicopathological study of dentigerous cysts in Singapore and Malaysia. Malaysian Journal of Pathology 2007; 29(1): 41–47.
30. Avelar RL, Antunes AA, Carvalho RWF, et al. Odontogenic cysts: A clinicopathological study of 507 cases. Journal of oral science 2009; 51(4): 581–586.
31. Henien M, Sproat C, Kwok J, et al. Coronectomy and dentigerous cysts: A review of 68 patients. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology 2017; 123(6): 670–674.
32. Struthers P, Shear M. Root resorption by ameloblastomas and cysts of the jaws. International Journal of oral surgery 1976; 5(3): 128–132.
33. Liang Y, He W, Zheng P, et al. Inferior alveolar nerve function recovers after decompression of large mandibular cystic lesions. Oral diseases 2015; 21(5): 674–678.
34. Choi HJ, Lee JB. Obliteration of recurrent large dentigerous cyst using bilateral buccal fat pad sling flaps. Journal of Craniofacial Surgery 2016; 27(5): e465–e468.
35. Buyukkurt MC, Omezli MM, Miloglu O. Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: A report of 3 cases and review of the literature. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2010; 109(1): 67–71.
36. Freitas DQ, Tempest LM, Sicoli E, et al. Bilateral dentigerous cysts: Rreview of the literature and report of an unusual case. Dentomaxillofacial Radiology 2006; 35(6): 464–468.
DOI: https://doi.org/10.24294/irr.v4i1.1735
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