Abstract
Dentigerous cysts (DC) rank the second most common odontogenic cysts and affect teenagers. These are always associated with an impacted or unerupted tooth, the commonest tooth being the mandibular 3rd molar. After that maxillary canine and maxillary third molar are the teeth related to DC. The pathogenesis is such that the cyst is attached to the cementoenamel junction of an impacted tooth. Thus, the radiographic presentation is a radiolucency encircling the crown of an unerupted tooth. This characteristic appearance is diagnostic and assists in differentiating DC from other similar lesions like odontogenic cysts as well as odontogenic tumors with pericoronal presentation. The present article describes a case report of 14 14-year-old girl who reported diffuse swelling on the left side of the mandible. Her orthopantomogram revealed a large radiolucent lesion on the left side of the mandible. However, the lack of typical clinical and radiographic features posed difficulty in diagnosing the DC only on a clinic-radiological basis. Nonetheless, histopathological evaluation confirmed the diagnosis, and the cyst was treated surgically by enucleation and the reconstruction of the cystic defect with calcium sulfate as a potent bone graft substitute.
Recommended Citation
Dangore- Khasbage, Suwarna
(2024)
"Dentigerous cyst with a diagnostic dilemma: A case report,"
Journal of Dentomaxillofacial Science: Vol. 9:
Iss.
2, Article 5.
DOI: https://doi.org/10.15562/jdmfs.v9i2.1743
Available at:
https://scholarhub.unhas.ac.id/jdmfs/vol9/iss2/5
Pages
139-142
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Rights
©2024Suwarna Dangore- Khasbage
DOI
10.15562/jdmfs.v9i2.1743