J Korean Assoc Oral Maxillofac Surg.  2016 Apr;42(2):123-126. 10.5125/jkaoms.2016.42.2.123.

Bilateral dentigerous cysts that involve all four dental quadrants: a case report and literature review

Affiliations
  • 1Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea. hkg@hanyang.ac.kr
  • 2Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Hanyang University, Seoul, Korea.

Abstract

Dentigerous cysts are common odontogenic cysts that are associated with the crown of the tooth and typically develop from single lesions. Bilateral and multiple dentigerous cysts are very rare and occur in patients with syndromic conditions. This paper presents a case report of a 15-year-old male patient that experienced non-syndromic bilateral dentigerous cysts that simultaneously occurred in all four dental quadrants around the unerupted third molars. Clinicians should confirm the extent of cystic lesions using a panoramic view and computed tomography, and should keep the possibility of bilateral dentigerous cysts in mind as a potential diagnosis, even in a non-syndromic patient.

Keyword

Dentigerous cyst; Syndrome; Third molar

MeSH Terms

Adolescent
Crowns
Dentigerous Cyst*
Diagnosis
Humans
Male
Molar, Third
Odontogenic Cysts
Tooth

Figure

  • Fig. 1 A. Panoramic radiograph shows well-defined radiolucent cystic lesions around the bilateral unerupted third molars in both jaws. B. Computed tomography (CT) shows soft tissue masses obliterating both maxillary sinuses and displacing the maxillary third molars to the infraorbital area. C. Three-dimensional maxillo-facial shows four quadrants impacting the third molars.

  • Fig. 2 A. All surgical specimens were unilocular cystic structures that contained gray-yellowish necrotic material. B. Histopathology results confirmed a typical dentigerous cyst lined by a non-keratinized squamous epithelium with mild inflammatory cellular infiltration in the connective tissue. No dysplastic changes were observed (H&E staining, ×40).

  • Fig. 3 A. Panoramic radiograph at 6-month follow-up. B. Panoramic radiograph at 10-year follow-up. Note the well-healed operative sites.


Cited by  1 articles

Multiple pericoronal radiolucencies affecting the four dental quadrants: dentigerous cysts?
Amanda Almeida Leite, Maria Eduarda Pérez de Oliveira, Carla Isabelly Rodrigues Fernandes, Danyel Elias da Cruz Perez
J Korean Assoc Oral Maxillofac Surg. 2016;42(4):238-239.    doi: 10.5125/jkaoms.2016.42.4.238.


Reference

1. Waldron CA. Odontogenic cysts and tumors. In : Nevile BW, Damm DD, Allen CM, Bouquot JE, editors. Oral and maxillofacial pathology. 2nd ed. Philadelphia: Saunders;1990. p. 590–593.
2. Trimble LD, West RA, McNeill RW. Cleidocranial dysplasia: comprehensive treatment of the dentofacial abnormalities. J Am Dent Assoc. 1982; 105:661–666. PMID: 6957474.
Article
3. Roberts MW, Barton NW, Constantopoulos G, Butler DP, Donahue AH. Occurrence of multiple dentigerous cysts in a patient with the Maroteaux-Lamy syndrome (mucopolysaccharidosis, type VI). Oral Surg Oral Med Oral Pathol. 1984; 58:169–175. PMID: 6435047.
Article
4. Gorlin RJ. Cysts of the jaws, oral floor and neck. In : Gorlin RJ, editor. Thoma's oral pathology. 6th ed. St. Louis: Mosby;1970. p. 470–471.
5. Shirazian S, Agha-Hosseini F. Non-syndromic bilateral dentigerous cysts associated with permanent second premolars. Clin Pract. 2011; 1:e64. PMID: 24765325.
Article
6. Cury SE, Cury MD, Cury SE, Pontes FS, Pontes HA, Rodini C, et al. Bilateral dentigerous cyst in a nonsyndromic patient: case report and literature review. J Dent Child (Chic). 2009; 76:92–96. PMID: 19341587.
7. Henefer EP. Bilateral dentigerous cysts of the maxilla. Report of a case. Oral Surg Oral Med Oral Pathol. 1964; 17:296–298. PMID: 14130228.
8. Batra P, Roychoudhury A, Balakrishan P, Parkash H. Bilateral dentigerous cyst associated with polymorphism in chromosome 1qh+. J Clin Pediatr Dent. 2004; 28:177–181. PMID: 14969380.
Article
9. De Biase A, Ottolenghi L, Polimeni A, Benvenuto A, Lubrano R, Magliocca FM. Bilateral mandibular cysts associated with cyclosporine use: a case report. Pediatr Nephrol. 2001; 16:993–995. PMID: 11793087.
Article
Full Text Links
  • JKAOMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr