Antunes David, Albisetti Amelie, Fricain Margaux, Cherqui Adam, Derruau Stephane
Department of Oral Surgery, University Hospital of Reims Champagne-Ardenne, Reims, FRA.
Department of Oral Surgery, Faculty of Dental Surgery, Strasbourg University, Strasbourg, FRA.
Cureus. 2023 Aug 24;15(8):e44062. doi: 10.7759/cureus.44062. eCollection 2023 Aug.
Dentigerous cysts are the second most common odontogenic lesion, after radicular cysts. Dentigerous cysts mainly affect individuals in their second to fourth decades of life, with a slight male predominance. Because diagnosis is often late, surgical procedures like enucleation and removal of the impacted tooth misplaced are often necessary. However, if a dentigerous cyst is detected early in a child with delayed tooth eruption, the treatment goal is to preserve and properly position the permanent tooth within the arch. In such cases, conservative approaches like cyst decompression may be considered appropriate. We present a case of a dentigerous cyst in a 10-year-old child with delayed eruption of teeth 22 and 23. The condition was managed using decompression alone and orthosurgical traction, which facilitated the proper placement of the impacted teeth within the arch. This article emphasizes the significance of a multidisciplinary approach involving surgical and orthodontic management for dentigerous cysts in children, along with the importance of patient compliance with the treatment plan.
含牙囊肿是仅次于根尖囊肿的第二常见牙源性病变。含牙囊肿主要影响20至40岁的人群，男性略占优势。由于诊断往往较晚，通常需要进行诸如摘除和拔除错位阻生牙等外科手术。然而，如果在乳牙萌出延迟的儿童中早期发现含牙囊肿，治疗目标是在牙弓内保留并正确定位恒牙。在这种情况下，囊肿减压等保守方法可能被认为是合适的。我们报告一例10岁儿童含牙囊肿病例，该儿童的22号和23号牙萌出延迟。仅通过减压和正畸外科牵引对该病症进行了治疗，这有助于将阻生牙正确放置在牙弓内。本文强调了多学科方法（包括对儿童含牙囊肿的外科和正畸治疗）的重要性，以及患者遵守治疗计划的重要性。
