ISSN: 1300-7734
Dil: Türkçe, İngilizce
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Nonsyndromic Bilateral Mandibular Dentigerous Cysts: Report Of A Rare Case
Kemal YAMALIK, MD,a Süleyman BOZKAYA, MD,aErkan ERKMEN, MD,a Emre BARIŞ, MDb
Departments of aOral and Maxillofacial Surgery, bOral Pathology, Gazi University Faculty of Dentistry, ANKARA
This case report was intended to present a case prediagnosed as nonsyndromic bilateral mandibular dentigerous cysts following clinical and radiographic examination and its treatment.
A 51 year-old male patient was referred by his private practitioner to Oral & Maxillofacial Surgery Department of Dental Faculty of Gazi University for the evaluation of the bilateral mandibular radiolucencies adjacent to the impacted third molar teeth which were observed during the routine orthopanthomographic examination. Patient’s chief complaint was the pain and swelling in the maxillary right first premolar and left canine. The medical history of the patient was unremarkable except hypercholesterolemia and hepatitis A, approximately thirty years ago. In clinical examination there was no swelling or fluctuation in the impacted left and right third molar region and the overlying mucosa presented normal features.
Orthopanthomographic examination revealed the presence of bilateral mandibular cystic radiolucencies. There was a prominent displacement of the inferior alveolar nerve at both sides. Apart from these findings, periapical inflammatory diseases were identified at the apices of the maxillary right first premolar and left canine teeth.
The bilateral mandibular lesions were prediagnosed as dentigerous cysts. The cyst in the right mandible was treated by the marsupialization + enucleation technique and the cyst in the left mandible was treated by enucleation technique.
In such cases with large cystic cavities, marsupialization + enucleation technique may be the choice of treatment as it helps to preserve the supporting structures, and avoid further complications. In such cases with small cystic cavities, enucleation technique may be the choice of treatment.Keywords: Odontogenic cysts; dentigerous cyst; third molarTurkiye Klinikleri J Dental Sci 2007, 13:129-134
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