#dentigerous cyst treatment

[smbalajii]

Best Maxillofacial Surgeon: Pioneers in Oral and Maxillofacial Surgery

Introduction to Oral and Maxillofacial Surgery

Oral and maxillofacial surgery (OMFS) is a specialized field within dentistry that addresses surgical treatment of diseases, injuries, and defects in the oral and facial regions. This specialty requires rigorous training, typically a three-year master's program, and involves a wide range of procedures from essential and emergent interventions to cosmetic enhancements. The dedication and expertise required for this profession are immense, as it demands long hours and a strong commitment to patient care.

Categories of Oral and Maxillofacial Surgery

OMFS can be broadly categorized into three main types of procedures:

Essential Procedures: These include surgeries that are necessary to treat diseases and correct injuries or defects. For example, the removal of impacted teeth is a common essential procedure. Impacted teeth are those that fail to erupt properly and remain buried within the jawbone, often necessitating surgical extraction.

Cosmetic Procedures: These surgeries focus on improving the aesthetic appearance of the patient. This can include facial reconstructive surgery, corrective jaw surgery, and other procedures designed to enhance facial symmetry and beauty.

Emergent Procedures: These are urgent surgeries required to address acute conditions such as traumatic facial injuries or severe infections. Immediate intervention by a skilled oral and maxillofacial surgeon is crucial in these cases to prevent complications and restore function.

Common Procedures in Oral and Maxillofacial Surgery

One of the most frequently performed procedures by oral and maxillofacial surgeons is the extraction of impacted teeth. These teeth, often wisdom teeth, may be obstructed by bone or soft tissue, necessitating their surgical removal to prevent pain, infection, or damage to adjacent teeth. In some cases, impacted teeth can lead to the development of dentigerous cysts, which are fluid-filled sacs that can cause significant bone destruction. In such scenarios, surgeons may employ rib grafts to reconstruct the affected jawbone, followed by the placement of dental implants to restore oral functionality.

Training and Expertise

Oral and maxillofacial surgeons undergo extensive training to hone their skills. After completing dental school, they enter a specialized residency program where they receive hands-on training in various surgical techniques, anesthesia, and patient management. This rigorous training prepares them to handle complex cases involving the oral and facial regions.

The Best Maxillofacial Surgeons

Identifying the best maxillofacial surgeon involves considering several factors, including their training, experience, patient outcomes, and contributions to the field. Here are some qualities that distinguish the top professionals in this specialty:

Extensive Training: The best surgeons have completed advanced training programs and have extensive hands-on experience.

Innovative Techniques: Leading surgeons often pioneer new surgical techniques and treatments, contributing to advancements in the field.

Patient-Centered Care: Top surgeons prioritize patient safety, comfort, and satisfaction, ensuring high-quality care throughout the surgical process.

Professional Recognition: Esteemed surgeons are frequently recognized by their peers and professional organizations for their contributions to oral and maxillofacial surgery.

Conclusion

Oral and maxillofacial surgery is a dynamic and challenging field that requires a high level of expertise and dedication. The best maxillofacial surgeons are those who have undergone rigorous training, continuously innovate in their practice, and maintain a strong commitment to patient care. These professionals play a crucial role in treating complex conditions of the oral and facial regions, significantly improving the quality of life for their patients.

[surakshadentalguntur]

Surakha Dental Clinic: Your Destination for Comprehensive Oral Health Care in Guntur

Welcome to Surakha Dental Clinic, your premier destination for top-notch oral health care services in Guntur. Our team of highly skilled and experienced oral surgeons, led by Dr. Praveen Kumar Gali and Dr. Divya Sri Godavarthy, is dedicated to providing the highest quality of care to our patients. Today, we'll delve into the intricate world of oral surgery, specifically focusing on minor oral surgery, oral cyst removal, and impacted tooth extraction. In addition, we'll explore the specialized procedure of deeply seated mandibular canine with dentigerous cyst removal.

## Minor Oral Surgery: A Precise and Painless Procedure

Minor oral surgery encompasses a range of surgical procedures performed within the oral cavity. These procedures are typically minimally invasive and are designed to address a variety of issues, including tooth extractions, soft tissue biopsies, and cyst removal. At Surakha Dental Clinic, our team excels in providing minor oral surgery services, ensuring that you receive the best care possible.

One of the most common minor oral surgery procedures is tooth extraction, particularly when dealing with impacted teeth. An impacted tooth occurs when it fails to erupt fully through the gum line due to lack of space or unfavorable positioning. This condition can lead to discomfort, pain, and dental complications. Dr. Praveen Kumar Gali and Dr. Divya Sri Godavarthy are experts in performing painless and efficient impacted tooth extractions.

## Oral Cyst Removal: Restoring Oral Health Safely

Oral cysts are fluid-filled sacs that can develop within the oral cavity. They may manifest as soft, painless swellings, but they have the potential to cause serious complications if left untreated. The removal of oral cysts is crucial to prevent further issues and maintain your oral health.

At Surakha Dental Clinic, our surgeons are highly proficient in the removal of oral cysts. Whether you have a radicular cyst, dentigerous cyst, or any other type of cyst affecting your oral health, our team will diagnose and provide a tailored treatment plan for your specific condition.

## Dentigerous Cyst Removal: Precision and Expertise

A dentigerous cyst is a type of odontogenic cyst that forms around the crown of an impacted tooth, most commonly involving the mandibular canine. This condition can be challenging to address due to the cyst's proximity to the tooth and its potential impact on adjacent structures. Dr. Praveen Kumar Gali and Dr. Divya Sri Godavarthy are renowned for their expertise in deeply seated mandibular canine with dentigerous cyst removal.

The procedure involves the following steps:

1. **Diagnostic Imaging:** Precise diagnosis is crucial. We use advanced imaging techniques such as CBCT scans to visualize the cyst and its relation to surrounding structures.

2. **Anesthesia:** Before the surgery, you will receive local anesthesia to ensure you feel no pain during the procedure.

3. **Incision:** A small incision is made in the oral tissue to access the cyst.

4. **Cyst Removal:** The cyst is carefully removed, taking great care not to damage the impacted tooth or adjacent structures.

5. **Tooth Extraction (if necessary):** In some cases, the impacted tooth may need to be extracted to ensure complete removal of the cyst.

6. **Closure:** The incision is sutured closed with dissolvable stitches.

7. **Post-operative Care:** After the procedure, you will be provided with detailed instructions for post-operative care to promote healing and prevent infection.

## Why Choose Surakha Dental Clinic for Your Oral Surgery Needs?

- **Best in Guntur:** Our clinic is renowned as the best in Guntur for oral surgery, thanks to the expertise of Dr. Praveen Kumar Gali and Dr. Divya Sri Godavarthy.

- **Single Day Procedure:** We understand the value of your time, and many of our procedures, including minor oral surgeries and cyst removals, can often be completed in a single day.

- **Painless Surgery:** Your comfort is our priority. We utilize advanced anesthesia techniques and minimally invasive procedures to ensure you experience minimal discomfort during and after surgery.

- **Comprehensive Care:** Surakha Dental Clinic offers a full spectrum of oral health services, from routine check-ups to complex surgical procedures, ensuring all your dental needs are met under one roof.

- **Cutting-edge Technology:** We stay at the forefront of dental technology, using state-of-the-art equipment and diagnostic tools to provide the highest standard of care.

For all your oral surgery needs, trust Surakha Dental Clinic to deliver excellence in dental care. Schedule your consultation today and experience the difference for yourself.

## #Dental #Guntur #Oral #Mouth #Jaw #Cyst #Removal #Surgery #MinorOralSurgery #BestinGuntur #SingleDayProcedure #PainlessSurgery #BestJawSurgeryGuntur #DentigerousCyst #OralHealth #ExpertSurgeons #OralCare #DentalClinic #HealthySmile #SurgicalExcellence #PatientCare #ImpactedTooth #OralCystRemoval #OralSurgeryExperts #DentalTechnology #PreciseTreatment #OralHealthMatters #DentalExcellence #OralHealthCare #TopDentists #GunturHealthcare #DentalExperts #CaringSurgeons #PainlessDentistry #QualityOralCare #ComprehensiveTreatment #GunturHealth #SpecializedDentistry #GentleOralSurgery #ToothExtraction #DentalProcedure #SmileRestoration #OralWellness #CompleteOralCare #OralSurgeons #HealthyTeeth #OralRecovery #OralRehabilitation #OralHealthFirst #PatientComfort #ExperiencedDentists #AdvancedDentalCare #GunturDentalClinic #ExpertDentalTeam #OralHealthJourney #OralHealthSpecialists #AdvancedSurgicalTechniques #GunturSmile #OralHealthGoals

[lupine-publishers-ipdoaj]

Surgical Management of Massive Dentigerous Cyst in Mixed Dention- A Case Report

Abstract

A dentigerous cyst is an odontogenic cyst thought to be of developmental origin associated with the crown of an unerupted tooth. Such cysts remain initially completely asymptomatic unless when infected. It is detected clinically when becomes large and associated with swelling of the face. The purpose of this case report was to describe the diagnosis and management of a dentigerous cyst in an 8-year-old boy. The chosen treatment was cyst enucleation and tooth extraction.

Keywords: Dentigerous cyst; enucleation; Mixed dentition

Abbreviation: DC: Dentigerous Cyst

Read More About This Article Please Click on Below Link: https://lupinepublishers.com/pediatric-dentistry-journal/fulltext/surgical-management-of-massive-dentigerous-cyst-in-mixed-dention-a-case-report.ID.000260.php

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[lupinepublishers]

lupine publishers|Management of a Dentigerous Cyst in a 6-Year-Old Child – A Case Report

Management of a Dentigerous Cyst in a 6-Year-Old Child –A Case Report

Abstract Dentigerous cysts are epithelial in origin and most common odontogenic cysts. They are usually asymptomatic and hence diagnosed on radiological examination. The standard treatment for these cysts is enucleation and extraction of the affected teeth. This is a case report of a 6-year-old female patient with dentigerous cyst associated with a primary molar. The cyst was enucleated and unerupted premolars were removed from the lower left region. The patient was given a fixed functional band and loop post- surgical treatment. No recurrence was observed after 6months follow up.

Introduction Cyst has been known to arise in man ever since he has teeth and are also seen in certain animals. They are consequential, not only because they often attain a large size but also produce facial asymmetry, disturbance of dentition, neurological symptoms and predispose the jaws to fracture but particularly because they have a very high frequency of occurrence. Kramer in 1974 defined a cyst as a pathological cavity having fluid, semi fluid or gaseous content but not always lined by epithelium [1]. The dentigerous cyst is a type of epithelial odontogenic cyst and is also called as ‘follicular cyst’ or ‘pericoronal cyst.’ It is the most common type of odontogenic cyst which encloses the crown of the unerupted tooth by expansion of its follicle [1,2]. A higher incidence of these cysts is usually found in the second and third decade of life and slightly more common in males. They account for 14-20% of mandibular cysts and between 15.2% and 33.7% of all odontogenic cysts. The frequency of these dentigerous cysts in children is less and about 4-9% of these cysts occur in the first 10 years of life [3]. They are predominantly associated with third molars, maxillary canines and mandibular premolars. Dentigerous cysts are often asymptomatic and are an incidental finding on routine radiographs. In the radiographic examination, the lesion has a well-defined sclerotic border, and a well- demarcated unilocular radiolucency which is surrounding the crown of an unerupted tooth. In some instances, these cysts can grow to very large size and can trigger the inflammation, expansion and erosion of the cortical bone. In such a case, they can generate a differential diagnosis to an ameloblastoma or an odontogenic keratocystic tumour. The following case report describes the management of a dentigerous cyst in a young child. Case Report A 6-year-old female patient reported to the Department of Pedodontics and Preventive Dentistry, DY Patil School of Dentistry with a chief complaint of pain in the lower left back region of the mouth. On general examination, the patient was healthy without any significant past medical history. Intra oral examination revealed that the patient presented with a mixed dentition. The area of chief complaint had deep occlusal caries with loss of crown structure in relation with 74 and 75 (Figure 1). The primary molars were non vital and adjacent mucosa was apparently normal, with no signs of inflammation. An initial intra oral periapical radiograph was taken for radiological examination. which revealed a huge radiolucency with no signs of underlying premolar. Hence, a panoramic radiograph was advised (Figure 2) and it revealed the presence of a well- defined unilocular radiolucent cystic lesion with sclerotic border enveloping the crown of mandibular left second premolar. The first premolar was displaced medially while the second premolar was apically displaced close to the lower border of the mandible. After the clinical and radiological examination, a provisional diagnosis of the dentigerous cyst was made. Surgical enucleation of the cyst was chosen as the treatment of choice. The surgical intervention was carried out under general anaesthesia. Blood investigations (PT, PTT, INR) and cone beam computed tomography (CBCT) was done prior to the procedure. Both the primary mandibular molars

were extracted followed by opening of the mucoperiosteal flap to disclose the cystic cavity. After the flap was opened, the cavity was identified and 3ml of cystic fluid was aspirated. The cystic lining enclosed both the premolars and hence were removed along with the soft tissue. The flap was then sutured to close the wound primarily. The specimen was fixed in 10% formalin and sent for a histopathological examination. The histopathologic examination confirmed the diagnostic hypothesis of a dentigerous cyst (Figure 3). The patient was followed up regularly for a month and was advised to maintain good oral hygiene. When the lesion was completely healed, prosthetic rehabilitation was done using fixed functional band and loop space maintainer (Figure 4).

Discussion Dentigerous cysts are reported to be of two types – Developmental and inflammatory. The developmental type is most common and appears to be due to accumulation of fluid between the reduced enamel epithelium and enamel organ. In rare cases, the dentigerous cyst develops as a result of the intrafollicular spread of periapical inflammation from an overlying primary tooth. (Murakami et al 1995) [4]. Accordingly, in the present case, the presence of overlying nonvital necrotic primary mandibular first and second molars increase the possibility of being an inflammatory type of the dentigerous cyst. The nature of the causative tooth, size of the lesion and location influences the type of treatment required for the dentigerous cyst which includes enucleation with primary closure or marsupialization. Marsupialization of the cyst is the treatment of choice which gives a chance to the unerupted tooth to erupt in large cysts [3]. However, in the present case, the cystic sac was surrounded by the unerupted premolar and was firmly attached to it; hence, enucleation of the cyst along with the extraction of premolar was carried out [5]. The histologic examination of the specimen showed cystic lining composed of reduced enamel epithelium which was 2-3 cell layers thick and proliferative at some places. The outer connective tissue stroma showed inflammatory infiltrate. The aspirated cystic fluid was pink in colour and thick consistency. Correlating clinically, the features were suggestive of dentigerous cyst. Owing to the age of the patient and growth phase, it was decided to rehabilitate the patient with a suitable prosthesis. Various options were considered and finally based on the comfort and acceptance of the patient a fixed functional band and loop was fabricated and cemented. This would restore the occlusal function of lost primary teeth and will also maintain the space till the time patient develops permanent dentition and there is bone development for further fixed prosthesis [6]. For the fabrication of the appliance, a conventional band and loop was constructed. The acrylic teeth were placed in the edentulous area of the cast and stabilized with modelling wax. The occlusion was checked with the cast of the opposing arch and adjusted. Cold cure acrylic was used to attach the poetic to the loop. The completed appliance was then finished and polished. Trial fit was done in patient’s mouth and checked for soft tissue irritation or occlusal interferences and adjusted accordingly. The final cementation of the appliance was done using glass ionomer luting cement [7]. The patient was evaluated one week post cementation of the appliance and no complications were reported. Follow up The patient was followed up for 6 months with no reports of fracture of the appliance or food lodgment. Clinical and radiographic examination did not reveal any signs of recurrence of the cystic lesion. Conclusion Dentigerous cysts are rare in primary dentition and asymptomatic, usually diagnosed during routine radiographs. The sequelae of an untreated or undiagnosed cyst could be harmful to the patient’s future dental development. Thus, regular check-ups by the patient and close observation on the part of treating doctor are essential. This results in elimination of pathology and maintenance of dentition with minimum surgical interventio

for more information about Interventions in Pediatric Dentistry Open Access Journal archive page click on below link

https://lupinepublishers.com/pediatric-dentistry-journal/archive.php

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[ijtsrd]

A Case of Follicular Cyst in Lower Right Mandibular Region - A Case Report

by Dr. Harish Kumar. A | Dr. Ruchika Raj | Dr. Simran Kaur | Dr. Sachin Sunda "A Case of Follicular Cyst in Lower Right Mandibular Region - A Case Report" 

Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-1 , December 2018, 

URL: http://www.ijtsrd.com/papers/ijtsrd18958.pdf

Direct Link: http://www.ijtsrd.com/medicine/other/18958/a-case-of-follicular-cyst-in-lower-right-mandibular-region-%C3%A2%E2%82%AC%E2%80%9C-a-case-report/dr-harish-kumar-a

best international journal, call for paper papers conference, submit paper online

A Follicular or Dentigerous cysts are the second most common type of odontogenic cysts. They are formed over the unerupted or partially erupted tooth like fluid filled sac and can further lead to infections if left untreated. Follicular cysts are benign and are most common in the age group of 20- 30years. Smaller follicular cysts do not show any symptoms but as it grows larger than 2cm, patient starts experiencing tooth pain, sensitivity, swelling or displacement of teeth occasionally. Generally the treatment of choice is enucleation or marsupialization along with infected tooth removal, but the treatment options may vary depending on size and location of the cystic lesion. 

[drantoineae]

One of the standout services offered at Dr. Antoine Habib’s clinic is the All-on-4 dental implant system, a revolutionary solution for full-arch restoration using just four strategically placed implants. This cutting-edge technique not only addresses the issue of missing teeth but also provides a fast, convenient, and long-lasting result for patients.

Why Choose All-on-4?

The All-on-4 system is the ideal choice for individuals who have lost most or all of their teeth and are looking for an alternative to traditional removable dentures. Unlike conventional implant methods, which may require more implants and, in some cases, bone grafting to create sufficient bone volume, All-on-4 uses just four implants placed at an optimal angle to ensure strong support even when there’s limited bone density.

Key Benefits of All-on-4:

Immediate Results: Patients can walk out with a new, fixed set of teeth on the same day as the procedure, drastically reducing treatment time.

Minimally Invasive: With only four implants needed, the All-on-4 technique minimizes the surgical complexity and recovery time compared to traditional implant methods.

Long-Lasting Solution: The implants provide stable, permanent support for a full arch of prosthetic teeth, allowing patients to enjoy the benefits of a fully functional smile for years to come.

Natural Appearance: The All-on-4 system delivers excellent aesthetic results, with a natural-looking smile that enhances both confidence and quality of life.

This transformative treatment is perfect for those looking for a permanent solution to tooth loss, offering greater comfort, convenience, and aesthetics. At Dr. Antoine Habib’s clinic, the use of state-of-the-art technology and personalized care ensures that every patient receives the best possible outcome with the All-on-4 dental implant system.

[itsmedicinesfakianakis]

Bismuth subnitrate iodoform parafin paste used in the management of inflammatory follicular cyst – Report of two cases

Bismuth subnitrate iodoform parafin paste used in the management of inflammatory follicular cyst – Report of two cases: Abdul Morawala, Dayanand Shirol, Yusuf Chunawala, Nupur Kanchan, Mayuri Kale Journal of Indian Society of Pedodontics and Preventive Dentistry 2017 35(3):269-274 Dentigerous cyst or follicular cyst is a type of odontogenic cyst which encloses the crown of an unerupted tooth and is attached to the amelocemental junction and is the second most common odontogenic cyst contributing about 16.6% to 21.3% of all odontogenic cysts. Occurrence of Dentigerous cysts according to Shear is usually in 3rd and 4th decade in contrast to this finding Shibata et al showed that the age of discovery of the dentigerous cyst was generally 9–11 years. The treatment indicated for dentigerous cysts are surgical enucleation of the cyst, along with removal of the involved tooth; or the use of a marsupialization technique, which removes the cyst while preserving the developing tooth. The present case report describes the management of dentigerous cysts in children with the use of Bismuth Subnitrate Iodoform Paste.

from OtoRhinoLaryngology - Alexandros G. Sfakianakis via Alexandros G.Sfakianakis on Inoreader http://ift.tt/2vadAbC

[lupine-publishers-ipdoaj]

Management of a Dentigerous Cyst in a 6-Year-Old Child – A Case Report

Abstract

Dentigerous cysts are epithelial in origin and most common odontogenic cysts. They are usually asymptomatic and hence diagnosed on radiological examination. The standard treatment for these cysts is enucleation and extraction of the affected teeth. This is a case report of a 6-year-old female patient with dentigerous cyst associated with a primary molar. The cyst was enucleated and unerupted premolars were removed from the lower left region. The patient was given a fixed functional band and loop postsurgical treatment. No recurrence was observed after 6months follow up.

Read More About This Article Please Click on Below Link: https://lupinepublishers.com/pediatric-dentistry-journal/fulltext/management-of-a-dentigerous-cyst-in-a-6-year-old-child-a-case-report.ID.000259.php

Read More About Lupine Publishers Google Scholar Articles: https://scholar.google.com/citations?view_op=view_citation&hl=en&user=h1QvhsYAAAAJ&cstart=20&pagesize=80&citation_for_view=h1QvhsYAAAAJ:3s1wT3WcHBgC

[drantoineae]

[lupinepublishers]

lupine publishers|Management of a Dentigerous Cyst in a 6-Year-Old Child – A Case Report

Management of a Dentigerous Cyst in a 6-Year-Old Child – A Case Report

Abstract Dentigerous cysts are epithelial in origin and most common odontogenic cysts. They are usually asymptomatic and hence diagnosed on radiological examination. The standard treatment for these cysts is enucleation and extraction of the affected teeth. This is a case report of a 6-year-old female patient with dentigerous cyst associated with a primary molar. The cyst was enucleated and unerupted premolars were removed from the lower left region. The patient was given a fixed functional band and loop post- surgical treatment. No recurrence was observed after 6months follow up.

Introduction Cyst has been known to arise in man ever since he has teeth and are also seen in certain animals. They are consequential, not only because they often attain a large size but also produce facial asymmetry, disturbance of dentition, neurological symptoms and predispose the jaws to fracture but particularly because they have a very high frequency of occurrence. Kramer in 1974 defined a cyst as a pathological cavity having fluid, semi fluid or gaseous content but not always lined by epithelium [1]. The dentigerous cyst is a type of epithelial odontogenic cyst and is also called as ‘follicular cyst’ or ‘pericoronal cyst.’ It is the most common type of odontogenic cyst which encloses the crown of the unerupted tooth by expansion of its follicle [1,2]. A higher incidence of these cysts is usually found in the second and third decade of life and slightly more common in males. They account for 14-20% of mandibular cysts and between 15.2% and 33.7% of all odontogenic cysts. The frequency of these dentigerous cysts in children is less and about 4-9% of these cysts occur in the first 10 years of life [3]. They are predominantly associated with third molars, maxillary canines and mandibular premolars. Dentigerous cysts are often asymptomatic and are an incidental finding on routine radiographs. In the radiographic examination, the lesion has a well-defined sclerotic border, and a well- demarcated unilocular radiolucency which is surrounding the crown of an unerupted tooth. In some instances, these cysts can grow to very large size and can trigger the inflammation, expansion and erosion of the cortical bone. In such a case, they can generate a differential diagnosis to an ameloblastoma or an odontogenic keratocystic tumour. The following case report describes the management of a dentigerous cyst in a young child. Case Report A 6-year-old female patient reported to the Department of Pedodontics and Preventive Dentistry, DY Patil School of Dentistry with a chief complaint of pain in the lower left back region of the mouth. On general examination, the patient was healthy without any significant past medical history. Intra oral examination revealed that the patient presented with a mixed dentition. The area of chief complaint had deep occlusal caries with loss of crown structure in relation with 74 and 75 (Figure 1). The primary molars were non vital and adjacent mucosa was apparently normal, with no signs of inflammation. An initial intra oral periapical radiograph was taken for radiological examination. which revealed a huge radiolucency with no signs of underlying premolar. Hence, a panoramic radiograph was advised (Figure 2) and it revealed the presence of a well- defined unilocular radiolucent cystic lesion with sclerotic border enveloping the crown of mandibular left second premolar. The first premolar was displaced medially while the second premolar was apically displaced close to the lower border of the mandible. After the clinical and radiological examination, a provisional diagnosis of the dentigerous cyst was made. Surgical enucleation of the cyst was chosen as the treatment of choice. The surgical intervention was carried out under general anaesthesia. Blood investigations (PT, PTT, INR) and cone beam computed tomography (CBCT) was done prior to the procedure. Both the primary mandibular molars were extracted followed by opening of the mucoperiosteal flap to disclose the cystic cavity. After the flap was opened, the cavity was identified and 3ml of cystic fluid was aspirated. The cystic lining enclosed both the premolars and hence were removed along with the soft tissue. The flap was then sutured to close the wound primarily. The specimen was fixed in 10% formalin and sent for a histopathological examination. The histopathologic examination confirmed the diagnostic hypothesis of a dentigerous cyst (Figure 3). The patient was followed up regularly for a month and was advised to maintain good oral hygiene. When the lesion was completely healed, prosthetic rehabilitation was done using fixed functional band and loop

space maintainer (Figure 4)

Discussion Dentigerous cysts are reported to be of two types – Developmental and inflammatory. The developmental type is most common and appears to be due to accumulation of fluid between the reduced enamel epithelium and enamel organ. In rare cases, the dentigerous cyst develops as a result of the intrafollicular spread of periapical inflammation from an overlying primary tooth. (Murakami et al 1995) [4]. Accordingly, in the present case, the presence of overlying nonvital necrotic primary mandibular first and second molars increase the possibility of being an inflammatory type of the dentigerous cyst. The nature of the causative tooth, size of the lesion and location influences the type of treatment required for the dentigerous cyst which includes enucleation with primary closure or marsupialization. Marsupialization of the cyst is the treatment of choice which gives a chance to the unerupted tooth to erupt in large cysts [3]. However, in the present case, the cystic sac was surrounded by the unerupted premolar and was firmly attached to it; hence, enucleation of the cyst along with the extraction of premolar was carried out [5]. The histologic examination of the specimen showed cystic lining composed of reduced enamel epithelium which was 2-3 cell layers thick and proliferative at some places. The outer connective tissue stroma showed inflammatory infiltrate. The aspirated cystic fluid was pink in colour and thick consistency. Correlating clinically, the features were suggestive of dentigerous cyst. Owing to the age of the patient and growth phase, it was decided to rehabilitate the patient with a suitable prosthesis. Various options were considered and finally based on the comfort and acceptance of the patient a fixed functional band and loop was fabricated and cemented. This would restore the occlusal function of lost primary teeth and will also maintain the space till the time patient develops permanent dentition and there is bone development for further fixed prosthesis [6]. For the fabrication of the appliance, a conventional band and loop was constructed. The acrylic teeth were placed in the edentulous area of the cast and stabilized with modelling wax. The occlusion was checked with the cast of the opposing arch and adjusted. Cold cure acrylic was used to attach the poetic to the loop. The completed appliance was then finished and polished. Trial fit was done in patient’s mouth and checked for soft tissue irritation or occlusal interferences and adjusted accordingly. The final cementation of the appliance was done using glass ionomer luting cement [7]. The patient was evaluated one week post cementation of the appliance and no complications were reported. Follow up The patient was followed up for 6 months with no reports of fracture of the appliance or food lodgment. Clinical and radiographic examination did not reveal any signs of recurrence of the cystic lesion. Conclusion Dentigerous cysts are rare in primary dentition and asymptomatic, usually diagnosed during routine radiographs. The sequelae of an untreated or undiagnosed cyst could be harmful to the patient’s future dental development. Thus, regular check-ups by the patient and close observation on the part of treating doctor are essential. This results in elimination of pathology and maintenance of dentition with minimum surgical intervention. Financial Support Nil. Conflict of Interests There is no conflict of interests.

for more information about Interventions in Pediatric Dentistry Open Access Journal archive page click on below link

https://lupinepublishers.com/pediatric-dentistry-journal/archive.php

for more information about lupine publishers page click on below link

https://lupinepublishers.com/index.php

[smbalaji]

Lower Jaw Reconstruction following Resection of Jaw Cyst This young man had developed a progressive swelling and pain in the right side of his lower jaw. A dentist in his hometown had diagnosed this to be due to a partially impacted third molar and had extracted it; however, the pain and swelling did not resolve but kept increasing in intensity. Feeling alarmed at the turn of events, he presented to our hospital for surgery. Imaging studies and biopsy at our hospital returned with a diagnosis of dentigerous cyst involving the body and ramus of the mandible. Treatment planning was explained to him and he consented to surgery. The dentigerous cyst was enucleated along with extraction of the overlying molar teeth. The resultant bony defect was reconstructed using bone grafts harvested at the time of surgery. Dental implants will be fixed after consolidation of the bone grafts to the surrounding alveolar bone. He was very happy with the results of the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #jawreconstruction #jawcyst #cystremoval #cystresection (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CE8rRccAxHi/?igshid=33u02b6cmo02

[smbalaji]

Lower Jaw Reconstruction post Dentigerous Cyst Enucleation This lady developed a swelling in the left posterior mandibular region in relation to a partially impacted third molar tooth. She presented to our hospital for management. Imaging studies obtained at our hospital revealed a radiolucent lesion with biopsy confirming a diagnosis of dentigerous cyst. Treatment planning was explained to her and she consented to surgery. The dentigerous cyst was enucleated in toto with extraction of the teeth overlying the lesion. This resulted in a large bony defect, which was reconstructed using rib grafts harvested from the patient. Dental implants will be fixed following consolidation of the grafts to the surrounding alveolar bone. She was very happy with the quality of service at our hospital. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #jawreocnstruction #jawsurgery #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu #dentigerouscyst #cystenucleation #cystremoval (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CBsgpsOnzTx/?igshid=vn3i28xvf5a7

[smbalaji]

Dentigerous Cyst Removal from Maxillary Sinus This young man presented with pain and swelling in his left midfacial region. His symptoms had been present for the last one month. A 3D CT and OPG obtained at our hospital revealed a radiolucent lesion in relation to an impacted left third molar tooth in the maxillary sinus along with an impacted left mandibular third molar. Biopsy of the radiolucent lesion returned as a dentigerous cyst. Treatment planning was explained to him and he consented to surgery. A window was created in the buccal alveolar bone in the region overlying the radiolucent lesion. The dentigerous cyst was enucleated in its entirety along with the impacted molar tooth. This was followed by extraction of the impacted mandibular third molar. He had complete resolution of his pain and swelling in one week’s time. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #largedentigerouscyst #dentigerouscyst #cyst #cystenucleation #cystremoval #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CA7emYdlRKz/?igshid=r4qx56c5uig2

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Wisdom Tooth Removal from Floor of Orbit This young man had been feeling a heaviness in the maxillary region along with a headache and a change in the tone of his voice for over a year now. Imaging studies were obtained elsewhere and revealed the presence of an impacted right maxillary third molar in the floor of his maxillary sinus. He was referred to our hospital for surgical management. A 3D CT scan obtained in our hospital showed an additional finding of an impacted molar in the floor of the right orbit, very close to the orbital muscles. A biopsy of the lesion returned with the diagnosis of maxillary sinus dentigerous cyst. Treatment planning was explained to the patient and he consented to surgery. A gingivoperiosteal flap was raised in the right posterior maxilla. The infected dentigerous cyst lining was removed from the antral cavity. The impacted molar in the floor of the maxillary sinus was then extracted. This was followed by extraction of the impacted tooth in the floor of the orbit. Other impacted teeth were also extracted during the same surgery. All of his symptoms resolved shortly after surgery and he said that it like a weight had been lifted from his head following the surgery. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #wisdomtoothremoval #wisdomtooth #dentist #drsmbalaji #smbalaji #balajidental #maxillofacialsurgeon #maxillofacialsurgery #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CAe5oC8FAhp/?igshid=m3y2j14lz50q

[smbalaji]

Enucleation of Dentigerous Cyst in relation to Impacted Second Premolar This young boy presented with a swelling in relation to his left mandibular premolar region. He had a retained second deciduous molar in that region. Imaging studies were done along with a biopsy, which revealed a radiolucent lesion in relation to an impacted tooth and biopsy confirmed the diagnosis of a dentigerous cyst. The cyst was enucleated along with extraction of teeth overlying the lesion. Parents were informed that new bone will quickly fill in the bony defect because of his young age. It was also explained to them that he would need dental implants once he reached adulthood. They expressed understanding of the treatment plan. 📞 Phone: +91 44 4294 7222 📬 Email: smbalaji@gmail.com 🌍 Website: www.smbalaji.com 📍 Location: Chennai, India #dentigerouscyst #cystexcision #cystenucleation #cystremoval #premolar #dentist #drsmbalaji #smbalaji #balajidental #india #chennai #tamilnadu (at Balaji Dental and Craniofacial Hospital) https://www.instagram.com/p/CAXugi-FkZk/?igshid=1g47sekjamkjv