Mane Balaji Shankarrao, Chavan Reshma P, Naikwadi Kiran Bibhishan, Gavali Rushali Madhukar
Department of Otorhinolaryngology, Ashwini Rural Medical College & Hospital, Solapur, Maharashtra India.
Department of Otorhinolaryngology, Government Medical College and Hospital, Miraj, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2444-2452. doi: 10.1007/s12070-023-03782-6. Epub 2023 Apr 18.
Dentigerous cysts involves erupted or developing teeth in decreasing order of frequency as mandibular third molars, the maxillary canines, the maxillary third molars with rare involvement of the central incisors & are usually asymptomatic but becomes symptomatic with symptoms such as swelling, mild sensitivity, tooth mobility and displacement when it reaches size > 2 cm in diameter. Dentigerous cysts are seen most commonly in 20-30 years age group with relative low frequency in children with proportion of 4-9% of these cysts occur in the first 10 years after birth. Hospital based study conducted in the Department of ENT at Ashwini Rural medical college & Hospital, Solapur in which we have reported a series of three cases of dentigerous cyst in paediatric patients. Dentigerous Cysts in our study were associated with maxillary permanent lateral incisor, mandibular permanent premolar, Mandibular second molar tooth in pediatric age group. Provisional diagnosis of Dentigerous cyst based on clinical, radiological & biochemical study but Histopathological examination confirms the diagnosis. Dental orthopentamogram aids in diagnosing and localizing the Dentigerous cyst and ct face in all views helps to see bony effects and complications due to expansion of Dentigerous cyst. Enucleation of the cystic lesion followed by extraction of the offending teeth is a suitable treatment modality for Dentigerous cyst associated with maxilla and mandible giving adequate balance between complete removal of cyst & giving chance for eruption of unerupted teeth.
含牙囊肿累及已萌出或正在发育的牙齿,按发生频率递减依次为下颌第三磨牙、上颌尖牙、上颌第三磨牙,极少累及中切牙,通常无症状,但当直径大于2cm时会出现肿胀、轻度敏感、牙齿松动和移位等症状。含牙囊肿最常见于20 - 30岁年龄组,儿童中相对少见,4 - 9%的此类囊肿发生在出生后的前10年。在索拉普尔阿什维尼农村医学院及医院耳鼻喉科进行的一项基于医院的研究中,我们报告了一系列3例儿科患者的含牙囊肿病例。我们研究中的含牙囊肿与儿童年龄组的上颌恒侧切牙、下颌恒前磨牙、下颌第二磨牙有关。基于临床、放射学和生化研究对含牙囊肿进行初步诊断,但组织病理学检查可确诊。牙科曲面断层片有助于诊断和定位含牙囊肿,全视角的面部CT有助于观察含牙囊肿扩张引起的骨质影响和并发症。对于与上颌和下颌相关的含牙囊肿,切除囊性病变并拔除患牙是一种合适的治疗方式,在完全切除囊肿与为未萌出牙齿提供萌出机会之间取得了适当的平衡。