Clinicopathologic Variability and Spectrum of Dentigerous Cysts: A Case Series
Pragya
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Mahima Seetaram
*
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Madhumithra KG
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Vivek Narayanan
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Abinaya Subramanian
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
Anila Britta Sanjay
Department of Oral and Maxillofacial Surgery, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur, Chengalpattu, Chennai, Tamilnadu 603203, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Dentigerous cysts are developmental odontogenic cysts associated with impacted or unerupted teeth and are usually asymptomatic, though occasional aggressive behaviour has been reported.
Case Series: Three patients with uncommon presentations of dentigerous cysts were managed at a tertiary care centre, including a large mandibular lesion with root resorption in an elderly patient, bilateral mandibular cysts in a paediatric patient, and an incidentally detected maxillary cyst. Surgical enucleation with or without extraction was performed. Histopathology confirmed infected dentigerous cysts. Six-month follow-up showed satisfactory healing without recurrence.
Conclusion: Dentigerous cysts may show variable clinical behaviour, ranging from incidental findings to aggressive lesions causing bone destruction. The cases presented here highlight the diversity in age, location, and clinical presentation of dentigerous cysts. Early diagnosis and complete surgical enucleation in these patients resulted in favourable outcomes, emphasizing the importance of individualized management to prevent recurrence or potential complications.
Keywords: Dentigerous cyst, odontogenic, enucleation, jaws