Bone Repair after Excision of a Large Dentigerous Cyst Associated with an Impacted Mandibular Canine: A Case Report with 4 Years of Follow-up
Luiz Carlos Magno Filho1*, Marcos Felix dos Santos2, Marcelo Rodrigues dos Santos3, Mariana Mayumi Carvalho Kadooka4, Cristiano Soares Moreira5, Helena Cristina Santos da Mata3, Rogério Trommer da Motta6, and Irineu Gregnanin Pedron7
1Professor and Head, Department of Oral and Maxillofacial Surgery, FUNORTE, Mogi das Cruzes, Brazil
2Undergraduate student, School of Dentistry, Universidade Brasil, São Paulo, Brazil
3Private practice, São Paulo, Brazil
4Undergraduate student, School of Dentistry, FOAPCD, São Paulo, Brazil
5Private practice, Belo Horizonte, Brazil
6Private practice, Porto Alegre, Brazil
7Professor, Department of Periodontology, Implantology, Stomatology, Laser and Therapeutics, School of Dentistry, Universidade Brasil, São Paulo, Brazil
*Corresponding Author: Luiz Carlos Magno Filho, Professor and Head, Department of Oral and Maxillofacial Surgery, FUNORTE, Mogi das Cruzes, Brazil.
Received: May 20, 2022 Published: May 31, 2022
Abstract
The dentigerous cyst is the most common type of developmental odontogenic cysts of the jaws. In most cases, the lesion is asymptomatic and is discovered incidentally on routine imaging examinations. Its etiopathogenesis is unknown. However, a unilocular radiolucent image associated with an impacted tooth is generally observed. Dentigerous cysts have a higher incidence in the region of the mandibular third molars, with a greater predilection for males, Caucasians and and diagnosed during the second and third decades of life. Generally, it is slow growing and painless. The differential diagnosis includes hyperplastic dental follicles, root cysts, unicystic ameloblastomas, odontogenic keratocysts and other odontogenic cysts and tumours. In most cases, it is a lesion with favorable prognosis, and the most common treatment is surgical enucleation. The purpose of this article is to present an unusual case of dentigerous cyst associated with impacted mandibular canine, which was removed and followed by filling with bovine mineral bone and collagen membrane, aided by osteosynthesis with reconstruction plate. The case has been followed for 4 years with no signs of recurrence.
Keywords: Dentigerous Cyst; Odontogenic Cysts; Oral Surgery; Oral Pathology; Bone Regeneration.
Citation: Filho LCM, dos Santos MF, dos Santos MR, Kadooka MMC, Moreira CS, da Mata HCS, da Motta RT, and Pedron IG. “Bone Repair after Excision of a Large Dentigerous Cyst Associated with an Impacted Mandibular Canine: A Case Report with 4 Years of Follow-up”. SVOA Dentistry 2022, 3:3, 157-161.
