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1.
Rev. Círc. Argent. Odontol ; 79(230): 24-28, dic. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1358462

ABSTRACT

Objetivos: Demostrar la utilidad y la facilidad técnica del injerto tibial en defectos óseos orales y maxilofaciales, para tenerlo como un recurso alternativo en la práctica general del cirujano oral y maxilofacial. Caso clínico: Se presenta un caso clínico con el uso de injerto óseo autólogo de tibia para el relleno de un defecto óseo a raíz de una lesión quística. Se realizó la exéresis de la patología quística por medio de un abordaje oral y posteriormente se recolectó hueso medular tibial a través de un abordaje medio al tubérculo anterior de la tibia, para poder colocarlo en el defecto óseo. Conclusión: El injerto de hueso medular de epífisis tibial representa un sitio de recolección de fácil acceso, del que se puede obtener una cantidad de hueso ideal para defectos de pequeño y mediano tamaño de la región maxilofacial, de baja morbilidad y con muy pocas complicaciones post-operatorias, lo que lo convierte en una alternativa para rellenos de cavidades óseas de gran utilidad (AU)


Objective: To demonstrate the utility and technical ease of the tibial graft in oral and maxillofacial bone defects so as to have it as an alternative resource in the general practice of the oral and maxillofacial surgeon. Case report: A clinical case is shown with the use of an autologous tibial bone graft to fill a bone defect as a result of a cystic lesion. The cyst was excised by an oral approach and the medial tibial bone was collected through a middle approach to the anterior tubercle of the tibia, to place it in the bone defect. Conclusion: The tibial epiphysis medullary bone graft represents an easily accessible collection site, from which an ideal amount of bone can be obtained for small and mediumsized defects of the maxillofacial region, with low morbidity and very few post-operative complications, which makes it a useful option for bone cavity filling (AU)


Subject(s)
Humans , Female , Aged , Tibia , Dentigerous Cyst/surgery , Bone Transplantation , Reconstructive Surgical Procedures , Osteotomy , Surgical Flaps , Tooth Extraction , Dentigerous Cyst/diagnostic imaging , Mandible
2.
Medisan ; 25(4)2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1340215

ABSTRACT

Se presenta el caso clínico de un paciente que a los 7 años de edad fue remitido a la Clínica Estomatológica Provincial Docente Mártires del Moncada de Santiago de Cuba por presentar un quiste dentígero y displasia fibrosa monostótica. Desde entonces, y durante casi 10 años, el paciente ha sido atendido por un equipo multidisciplinario odontopediátrico, que ha seguido su evolución y ha aplicado diferentes protocolos diagnósticos y terapéuticos; estos últimos han incluido intervenciones quirúrgicas, rehabilitaciones protésicas, quimioterapia, entre otros. Por la complejidad del caso y la poca frecuencia con que aparecen asociadas ambas entidades clínicas en la infancia, se decidió comunicar este artículo al gremio odontológico nacional y extranjero.


The case report of a seven years old child who was referred to Mártires del Moncada Provincial Teaching Stomatological Clinic in Santiago de Cuba, who had a dentigerous cyst and monostotic fibrous displasia is presented. Since then, and almost during 10 years, the patient has been assisted by a multidisciplinary odontopediatric team, which has followed his clinical course and has applied different diagnostic and therapeutic protocols, including surgical procedures, prosthetic rehabilitations, chemotherapy, among others. Due to the case complexity and the frequency with which both clinical entities are associated in childhood, it was decided to publish this work for the national anf foreing odontological community.


Subject(s)
Dentigerous Cyst/diagnosis , Fibrous Dysplasia, Monostotic/diagnostic imaging , Mouth Rehabilitation , Dentigerous Cyst/surgery , Dentigerous Cyst/therapy , Dental Implantation
3.
Rev. cuba. estomatol ; 58(1): e3028, ene.-mar. 2021. graf
Article in Portuguese | LILACS, CUMED | ID: biblio-1156424

ABSTRACT

Introdução: O cisto dentígero se origina pela separação do folículo que fica ao redor da coroa de um dente incluso. É o tipo mais comum de cisto odontogênico do desenvolvimento. O seu crescimento é lento, assintomático, e pode atingir grandes dimensões. Objetivo: Relatar um caso clínico cirúrgico de cisto dentígero com transformação ameloblástica, localizado na mandíbula, de paciente, gênero feminino, melanoderma, 14 anos. Caso clínico: Ao exame radiográfico apresentou área radiolúcida unilocular com margem bem definida e esclerótica envolvendo a coroa das unidades 48 e 47. Foi realizada enucleação e curetagem da lesão com exodontia destas unidades sob anestesia local em ambulatório, e aplicada a crioterapia na loja óssea. Encaminhou-se o conteúdo da lesão para exame histopatológico e o diagnóstico de cisto dentígero com transformação ameloblástica foi fechado. Comentários principais: No momento a paciente encontra-se em acompanhamento pós-operatório de 3 anos com neoformação óssea e sem recidivas(AU)


Introducción: El quiste dentígero se origina por la separación del folículo que se queda alrededor de la corona de un diente no erupcionado. Es el tipo más común de quiste odontogénico de desarrollo. Su crecimiento es lento, asintomático y puede alcanzar grandes dimensiones. Objetivo: Reportar un caso quirúrgico de quiste dentígero con transformación ameloblástica. Presentación del caso: Paciente femenina de 14 años, de color de piel negra. La radiografía demostró una radiolucidez unilocular con márgenes bien definidos que envolvían la corona de los dientes 48 y 47. El tratamiento involucró una combinación de enucleación y curetaje de la lesión, exodoncia de los dientes y crioterapia para desvitalizar el hueso circundante. Se realizó el examen histopatológico, luego, se confirmó el diagnóstico de quiste dentígero con transformación ameloblástica. Conclusiones: Al momento de la redacción del reporte la paciente se encontraba en seguimiento posoperatorio de tres años con neoformación ósea y sin recidivas(AU)


Introduction: Dentigerous cysts are caused by the separation of the follicle remaining around the crown of unerupted teeth. They are the most common type of developmental odontogenic cyst. Their growth is slow and asymptomatic, and they may reach large dimensions. Objective: Report a surgical case of dentigerous cyst with ameloblastic transformation. Case presentation: A case is presented of a black female 14-year-old patient. Radiography revealed an area of unilocular radiolucency with well-defined margins enveloping the crowns of teeth 48 and 47. Treatment was a combination of enucleation and curettage of the lesion, exodontia of the teeth and cryotherapy to devitalize the surrounding bone. Eventual histopathological examination confirmed the diagnosis of dentigerous cyst with ameloblastic transformation. Conclusions: At the time when the report was written, the patient had been followed up for three years after surgery, showing bone neoformation and no recurrence of the lesion(AU)


Subject(s)
Humans , Female , Adolescent , Ameloblastoma/physiopathology , Dentigerous Cyst/surgery , Cryotherapy/methods , Research Report
4.
Odontoestomatol ; 23(37): e405, 2021. graf
Article in Spanish | LILACS | ID: biblio-1250428

ABSTRACT

Resumen El quiste dentígero es una lesión benigna que se origina en el epitelio odontogénico asociado a la corona de un diente incluido. Son radiolúcidos y uniloculares, generalmente asintomáticos y diagnosticados en exámenes de rutina o exámenes radiográficos. Los terceros molares inferiores y los caninos superiores son los dientes más afectados, y esta lesión también ocurre en dientes supernumerarios o asociados a odontomas. De crecimiento lento puede alcanzar dimensiones considerables, provocando deformidad facial, impactación y desplazamiento de dientes y/o estructuras adyacentes. El objetivo de este trabajo es informar un caso clínico de un voluminoso quiste dentígero mandibular, que se trató quirúrgicamente en dos etapas: la primera intervención con fines de biopsia y descompresión de la lesión y la segunda con el objetivo de enuclear la cápsula remanente. De esta forma, fue posible realizar un diagnóstico preciso de la lesión, reducir su tamaño para permitir una enucleación total con un daño mínimo a las estructuras anatómicas circundantes y la preservación de la función neurosensorial. Se realizó el seguimiento del paciente durante un período de 5 años en el posoperatorio, y el caso evolucionó hasta la curación total.


Resumo O cisto dentígero é uma lesão benigna oriunda do epitélio odontogênico associado à coroa de um dente incluso. São radiolúcidos e uniloculares, normalmente assintomáticos e diagnosticados em exames de rotina ou exame radiográfico. Os terceiros molares inferiores e os caninos superiores são os dentes mais acometidos, tendo também ocorrência desta lesão em dentes supranumerários ou associados a odontomas. De crescimento lento pode atingir dimensões consideráveis, causando deformidade facial, impactação e deslocamento de dentes e/ou estruturas adjacentes. O objetivo deste trabalho é relatar um caso clínico de volumoso cisto dentígero mandibular, tratado cirurgicamente em duas etapas: a primeira intervenção com fins de biópsia e descompressão da lesão e uma segunda com intuito de enuclear a capsula rôta. Desta forma pôde-se realizar o diagnostico preciso da lesão, diminuir seu tamanho de forma a permitir a enucleação total com o mínimo de dano as estruturas anatômicas circunvizinhas e a preservação da função neurossensorial. O paciente foi acompanhado por um período de 05 anos no pós operatório, tendo o caso evoluído para a cura total.


Abstract A dentigerous cyst is a benign lesion arising from the odontogenic epithelium associated with the crown of an impacted tooth. They are radiolucent and unilocular, usually asymptomatic and diagnosed in clinical routine or radiographic examinations. The lower third molars and upper canines are the most affected teeth, and the lesion is also associated with odontomas and supernumerary teeth. The cyst is slow-growing but can reach considerable dimensions, causing facial deformity, impaction, and displacement of teeth or adjacent structures. This study aims to report the clinical case of a large mandibular dentigerous cyst treated in two stages: biopsying and decompressing the lesion and enucleating the cyst capsule. It was thus possible to accurately diagnose the lesion, reduce its size to allow for total enucleation with minimal damage to the surrounding anatomical structures, and preserve sensitive function. A five-year follow-up was performed, with full lesion healing.


Subject(s)
Dentigerous Cyst/surgery , Surgery, Oral/methods
5.
Rev. Cient. CRO-RJ (Online) ; 5(2): 61-64, May-Aug. 2020.
Article in English | LILACS, BBO | ID: biblio-1254131

ABSTRACT

Introduction: Dentigerous cyst is an odontogenic cyst lesion surrounding the crown of an unerupted or impacted tooth in the jaw. Objective: The aim of this case report is to describe the treatment planning and follow-up of a dentigerous cyst associated with the impaction of the permanent mandibular right canine tooth in an 11-year-old female. Case report: Radiographic assessment revealed a radiolucent unilocular round-shaped lesion localized in the mandibular symphysis. Enucleation was performed and the affected tooth was removed under general anesthesia. The patient is under follow-up due to orthodontic treatment. The affected area healed without complications. Conclusion: Two and a half years after the enucleation, the cyst had totally disappeared, and no recurrences were observed. Bone remodeling and neoformation were noticed.


Introdução: O cisto dentígero é uma lesão odontogênica ao redor da coroa de um dente não irrompido ou impactado na mandíbula. Objetivo: O objetivo deste relato de caso é descrever o plano do tratamento e o acompanhamento de um cisto dentígero associado à impactação do canino permanente inferior direito em uma criança do gênero feminino de 11 anos de idade. Relato do caso: A avaliação radiográfica revelou lesão unilocular radiolúcida de forma arredondada, localizada na sínfise mandibular. A enucleação foi realizada e o dente afetado foi removido sob anestesia geral. A paciente encontra-se em acompanhamento devido o tratamento ortodôntico. A área afetada curou sem complicações. Conclusão: Dois anos e meio após a enucleação, o cisto desapareceu totalmente e não houve recidivas. Remodelação óssea e neoformação foram observadas.


Subject(s)
Humans , Female , Child , Tooth, Impacted/diagnostic imaging , Dentigerous Cyst/diagnostic imaging , Cuspid/diagnostic imaging , Tooth, Impacted/surgery , Dentigerous Cyst/surgery , Follow-Up Studies , Treatment Outcome , Cuspid/surgery
6.
Rev. Ateneo Argent. Odontol ; 60(1): 8-11, jul. 2019. ilus
Article in Spanish | LILACS | ID: biblio-1052498

ABSTRACT

Introduccion: según la clasificación de la oms de 1992, el quiste dentígero o folicular se clasifica dentro de los quistes de desarrollo odontogénicos. Este se origina en la evolución de un germen dentario. La pieza dentaria, generalmente, se encuentra en íntima relación con la membrana quística, adherida al límite amelocementario. El crecimiento es lento y continuo. Radiográficamente se observa una imagen radiolúcida, definida y unilocular. Afecta con más frecuencia al sexo masulino y la proporción de pacientes de 6 a 7 años con quistes dentígero es de solo 9.1%. Caso clínico: paciente masculino de 6 años concurre a la consulta con su abuela presentando inflamación facial del maxilar superior derecho, asintomática. Luego del examen clínico se le solicita una radiografía panorámica. Por su severidad, se le solicita una tomografía computada y se lo deriva para su intervención quirúrgica y análisis de la muestra. Conclusion: el odontólogo clínico debe realizar la anamnesis e inspección clínica y ante la sospecha de una patología, debe solicitar un estudio radiográfico y/o tomográfico complementario. Se puede observar que durante el recambio dentario, es frecuente la presentación de lesiones patológicas que si no son diagnosticadas a tiempo estas podrían malignizarse y llevar al paciente a grandes resecciones quirúrgicas (AU)


Introduction: according to the who classification of 1992, the dentigerous or follicular cyst is classified within the odontogenic development cysts. This originates in the evolution of a dental germ. The dental piece is usually in close relation with the cystic membrane, adhered to the amelocementary limit. The growth is slow and continuous. Radiographically, a radiolucent, defined and unilocular image is observed. It affects the masculine sex more frequently and the proportion of patients from 6 to 7 years with dentigerous cysts is only 9.1%. Clinical case: a 6-year-old male patient attended the consultation with his grandmother presenting facial inflammation of the right upper jaw, asymptomatic. After the clinical examination, a panoramic radiograph is requested. Due to its severity, a tomography where it is then transferred for its surgical intervention and sample analysis. Conclusion: the clinical dentist must perform the anamnesis and clinical inspection and, if pathology is suspected, he or she must request a complementary radiographic and / or tomographic study. In odontopediatry, during dental replacement, it is common the presentation of pathological lesions that if not diagnosed in time they could be malignant and take the patient to large surgical resections (AU)


Subject(s)
Humans , Male , Child , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnostic imaging , World Health Organization , Radiography, Panoramic , Tomography, X-Ray Computed , Oral Surgical Procedures , Age and Sex Distribution
7.
J. oral res. (Impresa) ; 7(4): 145-149, abr. 27, 2018. ilus
Article in English | LILACS | ID: biblio-1120822

ABSTRACT

Hybrid lesions of the oral cavity are infrequent and share characteristics with a number of other pathologies. both odontomas and dentigerous cysts are of odontogenic origin, but their simultaneous occurrence is rare and scarce. clinical and radiographic examinations are not conclusive, making their identification difficult, while histopathological studies can reveal their defining characteristics. the aim of this report was to describe the radiographic and histomorphological findings of a hybrid lesion formed by a complex odontoma and a dentigerous cyst, affecting the mandible of a 22-year-old man, from Cartagena, Colombia, who had no relevant medical history, and no symptoms or discomfort in the affected area.


Subject(s)
Humans , Male , Adult , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnostic imaging , Mandibular Neoplasms/diagnostic imaging , Odontogenic Tumors/diagnostic imaging , Odontoma/diagnostic imaging , Dentigerous Cyst/pathology , Mandibular Neoplasms/pathology , Odontogenic Tumors/surgery , Odontogenic Tumors/pathology , Odontoma/surgery , Odontoma/pathology
8.
Rev. habanera cienc. méd ; 16(4): 604-611, jul.-ago. 2017. ilus
Article in Spanish | CUMED, LILACS | ID: biblio-901753

ABSTRACT

Introducción: El quiste dentígero o folicular es un quiste odontogénico desarrollado frecuentemente en relación con la corona de dientes no erupcionados, con mayor porcentaje de incidencia en terceros molares inferiores. Su gran potencial de crecimiento conduce a asimetrías, parestesia, desplazamiento dentario y hasta transformación neoplásica. Por este motivo, la actitud terapéutica ante el mismo reviste singular importancia. Objetivo: Mostrar el tratamiento por enucleación, en un solo tiempo quirúrgico, con evolución favorable, de un quiste dentígero mandibular de grandes proporciones y con elevado riesgo de fractura mandibular. Presentación del caso: Paciente masculino de 45 años, que acude al Servicio de Cirugía Maxilofacial por aumento de volumen en la región mandibular izquierda; en radiografía panorámica presentaba área radiolúcida unilocular de gran tamaño, que comprometía cuerpo mandibular desde el 33 hasta alcanzar 2/3 de la rama ascendente, asociada a tercer molar retenido desplazado hacia el borde inferior mandibular. Existía además reabsorción de las raíces del 34 y 35. El paciente fue tratado en un solo tiempo quirúrgico con extracciones de dientes afectados, bloqueo intermaxilar previa colocación de férulas Gunning y enucleación del quiste por abordaje cervical, conjuntamente con exéresis del diente asociado. El diagnóstico histopatológico arrojó quiste dentígero. El paciente no sufrió complicaciones y tuvo evolución favorable. Conclusiones: Los quistes dentígeros de no ser diagnosticados a tiempo, pueden ocasionar serias alteraciones. La enucleación en un mismo tiempo quirúrgico, resulta de elección como tratamiento para garantizar la no recurrencia, siempre que se adopten todas las medidas que eviten complicaciones trans y postquirúrgicas(AU)


Introduction: The dentigerous or follicular cyst is an odontogenic cyst that frequently develops in relation to a not erupted tooth crown, with a greater percentage of incidence in the lower third molars. Its great potential growth leads to asymmetries, paresthesia, dental displacement, and even neoplastic transformation. For this reason, the therapeutic behavior with regard to this problem is of great importance. Objective: To show the treatment by enucleation of a mandibular dentigerous cyst of great proportions and elevated risk of mandibular fracture, followed in a single surgical time with a favorable evolution. Case presentation: 45 years old male patient that came to Service of Maxillofacial Surgery presenting an increase in the volume of the left mandibular zone; the panoramic radiography showed an unilocular radiolucent area of a great size, which compromised the mandibular body from tooth 33 up to reaching 2/3 of the ascending branch, associated to a retained third molar displaced to the lower mandibular edge. There was reabsorption of the roots of the 34 and 35 teeth, too. The patient was treated in a single surgical time with removals of the affected teeth, intermaxillary blocking with previous placement of Gunning splints, cyst enucleation by cervical approach, and exerecis of the associated tooth. The histopathological diagnosis showed a dentigerous cyst. The patient presented no complications, and had a favorable evolution. Conclusions: The dentigerous cysts can cause serious alterations when they are not diagnosed on time. The enucleation in a single surgical time is considered an election treatment to guarantee non-recurrence, whether all measures are taken to avoid trans and post-surgical complications(AU)


Subject(s)
Humans , Male , Middle Aged , Dentigerous Cyst/surgery , Dentigerous Cyst/pathology , Case Reports
9.
Rev. Círc. Argent. Odontol ; 73(222): 4-6, jun. 2016. ilus
Article in Spanish | LILACS | ID: lil-794297

ABSTRACT

Los autores destacan la importancia de la interdisciplinariedad quirúrgico-ortodóncica en el tratamiento de unc aso clínico que revestía dificultades anátomo-estructurales y su adecuada resolución a través de la colaboración de ambas disciplinas...


Subject(s)
Humans , Adolescent , Female , Cuspid/surgery , Tooth, Impacted/complications , Orthodontics, Corrective , Patient Care Team , Dentigerous Cyst/surgery , Cuspid , Follow-Up Studies , Orthodontic Brackets , Osteotomy/methods , Bone Regeneration/methods , Surgical Flaps , Tooth Extraction , Tomography, X-Ray Computed/methods
10.
Article in English | IMSEAR | ID: sea-159515

ABSTRACT

The dentigerous cyst, theoretically, must be associated with the crown of an unerupted or developing tooth or an odontoma. Most cases are reported in second and third decade of life, and it shows slight male predilection. In most of the cases, dentigerous cyst is an accidental finding when a radiograph is taken for some other therapeutic purpose. A dentigerous cyst is a benign lesion, but it has the potentiality to become an aggressive lesion. Radiographic fi ndings cannot be considered as final tool to diagnose dentigerous cyst because odontogenic keratocysts, unilocular, ameloblastomas, and many other tumors show similar radiological fi ndings as that of the dentigerous cyst. Thus, histopathological examination is utmost important in the large cystic lesion. Cyst size and site, involvement of dentition and surrounding structures should be considered while treatment planning. On the basis of these criteria, different treatment modalities should be chosen. This includes cyst enucleation and extraction of impacted tooth, cyst enucleation, and preservation of impacted tooth or decompression with surgical access. Th e most common sites for dentigerous cysts are mandibular third molar region and maxillary canine region, as they are the most commonly impacted teeth. We are presenting a case of dentigerous cyst at an unusual place, mandibular canine region.


Subject(s)
Adult , Cuspid , Dentigerous Cyst/epidemiology , Dentigerous Cyst/etiology , Dentigerous Cyst/surgery , Humans , Male , Mandible , Tooth, Impacted/complications , Tooth, Impacted/surgery
11.
Rev. Círc. Argent. Odontol ; 51(218): 31-36, ago. 2014. ilus
Article in Spanish | LILACS | ID: lil-727432

ABSTRACT

El autotrasplante dentario se refiere al traslado de una pieza dentaria de su alveolo a otro sitio, alveolo post-extracción o alveolo quirúrgico, en la misma persona. El trasplante dentario ha sido practicado durante siglos, pero generalmente fracasaba por complicaciones en la cicatrización, debido a la falta de conocimiento acerca de la etiología de la reabsorción radicular y el control de la infección. Las investigaciones realizadas en los últimos años tornaron predecible el pronóstico del mismo, demostrando buena supervivencia y brindando una alternativa para la rehabilitación ante la pérdida dental en individuos jóvenes y niños


Subject(s)
Child , Tooth/transplantation , Tooth Replantation/methods , Tooth Extraction , Transplantation, Autologous/methods , Ferula , Follow-Up Studies , Dentigerous Cyst/surgery , Root Resorption/etiology
13.
Int. j. odontostomatol. (Print) ; 8(1): 85-91, Apr. 2014. ilus
Article in Spanish | LILACS | ID: lil-711551

ABSTRACT

El quiste dentígero es una de las patologías óseas que más frecuentes en el maxilar y la mandíbula. Se evidencia radiográficamente como una imagen radiolúcida y unilocular en la mayoría de los casos. Generalmente es detectado en exámenes de rutina o cuando se investiga la presencia de dientes no erupcionados. El quiste dentígero aparece principalmente en las tres primeras décadas de vida, con crecimiento lento y asintomático. Los terceros molares,así como dientes supernumerarios, pueden estar relacionados con su formación, sin embargo, su etiopatología no es totalmente conocida. La descompresión, marsupialización y la enucleación son las principales formas de tratamiento, pero algunos criterios deben ser considerados, como tamaño del quiste, edad del paciente, proximidad con estructuras anatómicas nobles e importancia clínica del diente involucrado. Para que se establezca un correcto diagnóstico y plan de tratamiento es esencial la utilización de exámenes complementarios de calidad, siendo, actualmente, la tomografía computarizada de haz cónico el más completo y preciso método de diagnóstico por imagen empleado en estas lesiones. El objetivo de este estudio fue resaltar, por medio de la presentación de un caso clínico, la importancia de la tomografía computarizada de haz cónico en el diagnóstico y planeamiento quirúrgico de un quiste dentígero asociado a un diente no erupcionado


The dentigerous cyst is one of the most frequently found in the jaws. They present themselves radiographically as radiolucent images and more commonly unilocular. They are usually observed at routine checkups or when investigating the presence of unerupted teeth. The dentigerous cyst occurs mainly in the first three decades of life, their growth is slow and asymptomatic. The third molars, as well as supernumerary teeth may be involved with the formation of a dentigerous cyst, but its pathogenesis is still not fully known. Decompression, marsupialization and enucleation are the main forms of treatment, but some criteria must be considered for the treatment plan, such as cyst size, age, proximity to noble anatomical structures and clinical importance of the tooth involved.In order to establish a correct diagnosis and treatment plan is essential to make use of complementary exams and now a days the cone beam computed tomography is the most complete and accurate method in diagnostic imaging used in these situations. Therefore, the aim of this study was to highlight, through the presentation of a clinical case, the importance of cone beam computed tomography in the diagnosis and treatment planning of a dentigerous cyst


Subject(s)
Humans , Female , Adult , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnostic imaging , Imaging, Three-Dimensional , Cone-Beam Computed Tomography
15.
Acta otorrinolaringol. cir. cabeza cuello ; 41(2): 137-141, abr.-jun. 2013. ilus
Article in Spanish | LILACS | ID: lil-702241

ABSTRACT

El quiste dentígero representa entre el 33,2%-66,8% de los quistes odontogénicos, los cuales por lo general se asocian a inclusión de caninos, premolares y terceros molares maxilares. Para decidir la ruta de abordaje o la técnica quirúrgica implementada para su resección, es necesario determinar si existirán o no secuelas estéticas o funcionales. Entonces, es responsabilidad del equipo quirúrgico, independientemente de la extensión de la lesión y teniendo en cuenta que se trata de una de carácter benigno, preservar la anatomía de las estructuras de soporte. En este artículo se presenta la resección de un quiste dentígero gigante del seno maxilar en un adolescente, en la que se aplica una técnica mínimamente ablativa, realizada por el Servicio de Otorrinolaringología - Cirugía Maxilofacial del Hospital de San José (Bogotá - Colombia)...


Dentigerous cysts account for 33,2%-66,8% of odontogenic cysts, and are usually associated with inclusion of canines, premolars and third molars. In order to decide the route or the surgical technique for the excision, it is necessary to determine whether or not there will be aesthetic or functional sequels. It is then the responsibility of the surgical team, regardless of the extent of the injury and taking into account that this is a benign lesion to preserve the normal anatomy of the supporting structures. We present in this article a giant dentigerous cyst removal of maxillary sinus in a teenager with a minimally ablative handled by the Service of Otolaryngology - Maxillofacial Surgery of San Jose Hospital (Bogota - Colombia)...


Subject(s)
Adolescent , Dentigerous Cyst , Dentigerous Cyst/surgery , Dentigerous Cyst/rehabilitation , Maxillary Sinus
16.
J. appl. oral sci ; 20(2): 268-271, Mar.-Apr. 2012. ilus
Article in English | LILACS | ID: lil-626433

ABSTRACT

Dentigerous cyst (DC) is one of the most common odontogenic cysts of the jaws and rarely recurs. On the other hand, keratocystic odontogenic tumor (KCOT), formerly known as odontogenic keratocyst (OKC), is considered a benign unicystic or multicystic intraosseous neoplasm and one of the most aggressive odontogenic lesions presenting relatively high recurrence rate and a tendency to invade adjacent tissue. Two cases of these odontogenic lesions occurring in children are presented. They were very similar in clinical and radiographic characteristics, and both were treated by marsupialization. The treatment was chosen in order to preserve the associated permanent teeth with complementary orthodontic treatment to direct eruption of the associated permanent teeth. At 7-years of follow-up, none of the cases showed recurrence.


Subject(s)
Child , Female , Humans , Male , Dentigerous Cyst/surgery , Odontogenic Tumors/surgery , Biopsy , Dentigerous Cyst/pathology , Dentigerous Cyst , Follow-Up Studies , Odontogenic Tumors/pathology , Odontogenic Tumors , Radiography, Panoramic , Treatment Outcome
17.
Rev. Círc. Argent. Odontol ; 68(212): 16-20, sept. 2011. ilus
Article in Spanish | LILACS | ID: lil-626220

ABSTRACT

Se presenta el caso clínico de una paciente de sexo femenino, la cual acude al Servicio de Cirugía Bucomaxilofacial de la Escuela de Odontología de la Universidad Argentina John F. Kennedy por una imagen radiográfica del lado derecho del maxilar inferior de. Intrabucalmente presentaba expansión de la tabla vestibular. Radiográficamente se observa una imagen radiolúcida del lado derecho del maxilar inferior que contiene el tercer molar inferior derecho. Se realizó una revisión bibliográfica de esta entidad patológica, sus características clínicas, radiográficas, histopatológicas y tratamiento.


Subject(s)
Humans , Female , Aged , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnosis , Dentigerous Cyst/pathology , Argentina , Schools, Dental , Mandible , Dentigerous Cyst/epidemiology , Dentigerous Cyst/etiology , Dentigerous Cyst
18.
Rev. Círc. Argent. Odontol ; 68(211): 12-15, abr. 2011. ilus
Article in Spanish | LILACS | ID: lil-620336

ABSTRACT

Los quistes dentígeros son quistes odontogénicos que rodean la corona de un diente incluido o retenido, comúnmente asociados a terceros molares inferiores y que no se han diagnosticado a tiempo. Pueden alcanzar grandes tamaños, son los segundos quistes en orden de frecuencia, siendo el quiste radicular el primero. Se presenta el caso de una paciente de sexo femenino con un quiste dentígero gigante en maxilar inferior, el cual fue tratado con técnica de cicatrización por segunda intención, preconizada por Finochietto-Yoel, sin relleno óseo, ni placa de titanio, con una técnica de enucleación y curetaje conservadora, sólo con la utilización de gasa iodoformada embebida en una solución quirúrgica de 50 por ciento de eugenol, 25 por ciento de bálsamo de Perú y 25 por ciento de bálsamo de Canadá.


Subject(s)
Humans , Female , Middle Aged , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnosis , Dentigerous Cyst , Balsams/therapeutic use , Diagnosis, Differential , Oral Surgical Procedures/methods , Dentigerous Cyst/etiology
19.
Acta odontol. venez ; 49(4)2011. ilus
Article in Spanish | LILACS | ID: lil-678874

ABSTRACT

La cavidad bucal se ve afectada por una variedad de lesiones, dentro de las cuales se encuentran los quistes dentígeros, estos son los quistes de desarrollo más comunes de la mandíbula, frecuentemente asociados con terceros molares retenidos. Son los segundos quistes odontogénicos más comunes después de los quistes radiculares. El quiste deriva del epitelio reducido del esmalte que rodea la corona del diente. Por lo general son descubiertos cuando se toman radiografías para investigar la falta en la erupción de un diente. Afecta con mayor frecuencia al sexo masculino. Usualmente no hay dolor ni molestia asociados con el quiste a menos que se infecte secundariamente. El tratamiento del quiste se basa en la eliminación quirúrgica de la lesión. A continuación se describe un caso clínico de quiste dentígero ubicado en rama mandibular derecha, de gran tamaño y que se caracteriza por generar destrucción de gran parte de la misma


The oral cavity it's affected by a variety of injuries, one of them being the cysts dentigerous, these are the most common cysts of development of the jaw, frequently associated with third molars not erupcioned. They are the second cysts odontogenics more common after the radiculars cysts. The cyst derives from the limited epithelium of the enamel that is around the crown of the tooth. In general they are discovered when is X-ray radiographies are taken to investigate the lack in the eruption of a tooth. It affects with major frequency the males. Usually there is neither pain nor inconvenience associated with the cyst until it becomes infected secondarily. The treatment of the cyst is based on the surgical complete elimination of the injury. A clinical case of dentigerous cyst is described, located in the jaw right branch, of big size and that is characterized for generating destruction of great part of it


Subject(s)
Humans , Female , Adolescent , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnosis , Follicular Cyst/surgery , Mandibular Injuries/surgery , Surgery, Oral
20.
RGO (Porto Alegre) ; 58(1): 127-130, jan.-mar. 2010. ilus
Article in Portuguese | LILACS, BBO | ID: biblio-873895

ABSTRACT

O cisto dentígero é o segundo cisto odontogênico mais frequente nos maxilares. São sempre radiolúcidos e mais comumente uniloculares.Geralmente são observados em exames de rotina ou quando do não irrompimento de um dente permanente. Os terceiros molares inferiores seguidos dos caninos superiores e ocasionalmente dentes supranumerários e odontomas podem estar envolvidos com a formaçãodo cisto dentígero, porém, sua etiopatogenia ainda não é totalmente conhecida. O cisto dentígero ocorre principalmente nas três primeiras décadas de vida, seu crescimento é lento e assintomático, contudo pode atingir dimensões consideráveis causando deformação facial, impactação e deslocamento de dentes e/ou estruturas adjacentes. A descompressão, marsupialização e a enucleação são as formas de tratamento mais empregadas, porém alguns critérios importantes devem ser considerados para o plano de tratamento como, tamanho do cisto, idade, proximidade com estruturas anatômicas e importância clínica do dente envolvido. Apesar das peculiaridades clínicas de cada caso e do método de tratamento escolhido, o prognóstico destas lesões é favorável.


The dentigerous cyst is the second most frequent odontogenic cyst in jaws. They are always radiolucent and commonly unilocular. They are usually found in routine exams or when a permanent tooth does not erupt. The third molars followed by maxillary canines and occasionally supernumerary teeth and odontomas may be involved with the formation of the dentigerous cyst, but its etiology is not yet completely known. The dentigerous cyst occurs mainly in the first three decades of life, and its growth is slow and asymptomatic, however, it may reach considerable dimensions causing facial deformity, impaction and displacement of teeth and/or adjacent structures. Decompression, marsupialization and enucleation are the most frequent forms of treatment used, nevertheless, some important criteria must be considered for the treatment plan such as cyst size, age, proximity to anatomical structures and clinical importance of the tooth involved. Despite the clinical peculiarities of each case and the treatment method chosen, prognosis of these lesions is favorable.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Dentigerous Cyst/surgery , Dentigerous Cyst/diagnosis , Patient Care Planning
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