Title : Clinical and radiographic features and treatment of dentigerous cyst associated with unerupted molars: Case report
Abstract:
The dentigerous cyst is the most common developmental odontogenic cyst involved in this classification. It believes that originates at the separation of the fluid that is around the crown of an impacted tooth. This cyst is characterized by envolving the crown of an impacted tooth and connecting to the tooth in the cementoenamel junction. This cyst most often affects the mandibular third molars. The most affected age group is from ten to thirty years old, with a slight preference for the male sex and a higher prevalence of Caucasians. The dentigerous cysts are generally small in size and asymptomatic, but may in some cases reach a considerable size. Radiographically, there is a unilocular radiolucent image associated with the crown of an impacted tooth, with well-defined and often sclerotic margins. This work is a case report of a dentigerous cyst associated with molars enclosed in a female patient 20 years old. The patient searched for treatment at the Ambulatory of Maxillofacial Surgery and Traumatology Service at the Federal University of Pernambuco- Brazil, after a radiographic examination for orthodontic treatment. She did not complain of pain or bleeding, only a small increase in volume on the left side of the face. At the radiographic evaluation, it was noticed the presence of radiolucence area suggestive of the cyst at the left maxillary second and third molar and right mandibular third molar, all enclosed. The surgical treatment performed was cystic enucleation. The diagnosis of the dentigerous cyst was confirmed after histopathological examination. In this report, we will discuss the clinical, radiographical, pathological, and therapeutical cases.
