Conservative management of dentigerous cysts in children
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2015
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Abstract
Purpose and Introduction: Dentigerous cysts are epithelial in origin and are the most commonly found cyst in
children. The majority of these lesions are usually a radiological finding and are capable of quite large before
being diagnosed. The standard treatment for these cysts is the enucleation and the extraction of the affected tooth.
However, if the patient is a child and the affected tooth is not developed, a more conservative attitude should be
considered.
Material and Methods: (Clinical case): A 7-year-old patient is presented with an eruptive backlog of the lower permanent first molars. Radiological examination reveals two radiolucid lesions in relation to them, which are compatible with a dentigerous cyst, and in relation to the inferior aveolar nerve and various germs. A partial enucleation
is carried out, maintaining all the dental germs related to the cyst in mouth and monitoring the patient until the case
study is over.
Results and Discussion: Diagnosis and early treatment of these lesions in children is of great importance, especially
in cases where the lesions enclose permanent teeth.
Conclusions: Whenever possible, a conservative attitude should be taken, one that allows for the maintenance of
the dentition and treatment of the associated cyst in order to not compromise either the occlusion or the mental state
of these patients.
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Bibliographic reference
Arjona Amo, Manuel ; Serrera Figallo, María Angeles ; Hernández Guisado, J. M. ; Gutiérrez Pérez, José Luis ; Torres-Lagares, Daniel. Conservative management of dentigerous cysts in children. En: Journal of Clinical and Experimental Dentistry, 2015, Vol. 7, No. 5: 671-674