European Archives of Paediatric Dentistry

, Volume 11, Issue 3, pp 146–148 | Cite as

Preservation of teeth involved with an odontogenic cyst

Case report


BACKGROUND: Odontogenic cysts are often encountered in the paediatric and adolescent population, dentigerous cyst being the most common. The current report aims to raise the awareness of paediatric dentists about the management of this condition. CASE REPORT: The current report presents a case of a healthy 14 year-old boy with an odontogenic cyst involving two displaced mandibular premolars. TREATMENT: The cyst was enucleated surgically and the two premolars were preserved. The diagnosis was a dentigerous cyst. FOLLOW-UP: At 4, 12 and 20 months there was substantial bone healing and non-assisted eruption of the premolars. CONCLUSION: A less invasive approach when treating odontogenic cysts in children and adolescents is recommended when possible to preserve the permanent teeth involved.

Key words

cyst odontogenic dentigerous 


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  1. Delbem AC, Cunha RF, Afonso RL, Bianco KG, Idem AP. Dentigerous cysts in primary dentition: report of 2 cases. Pediatr Dent. 2006;28:269–72.PubMedGoogle Scholar
  2. Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma-differential diagnosis in routine histology. J Oral Pathol Med. 2003;32:486–91.PubMedCrossRefGoogle Scholar
  3. Farah CS, Savage NW. Pericoronal radiolucencies and the significance of early detection. Aust Dent J. 2002;47:262–65.PubMedCrossRefGoogle Scholar
  4. Gupta M, Kaste SC, Hopkins KP. Radiologic appearance of primary jaw lesions in children. Pediatr Radiol. 2002;32:153–68.PubMedCrossRefGoogle Scholar
  5. Hisatomi M, Asaumi J, Konouchi H, et al. MR imaging of epithelial cysts of the oral and maxillofacial region. Eur J Radiol. 2003; 48:178–82.PubMedCrossRefGoogle Scholar
  6. Martinez-Perez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg, 2001;59:331–33.PubMedCrossRefGoogle Scholar
  7. Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofac Radiol. 2004;33:17–20.PubMedCrossRefGoogle Scholar
  8. Stoll C, Stollenwerk C, Riediger D, Mittermayer C, Alfer J. Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts. J Oral Pathol Med. 2005;34:558–64.PubMedCrossRefGoogle Scholar

Copyright information

© Adis International 2010

Authors and Affiliations

  1. 1.Paediatric Dentistry Program, Melbourne Dental SchoolUniversity of MelbourneMelbourneAustralia
  2. 2.Hamad Medical CorporationQatar

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