management of dentigerous cyst

1. Lena Aloufi
Management Of
Dentigerous cyst

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its Defined as cyst originating after crown of a tooth is
completely formed, by accumulation of fluid between
.reduced dental epithelium and tooth substance

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Dentigerous cyst is
treated according to the size of the
lesion and whether or not it is
desirable to save the involved
tooth

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However, it can be treated in one
of the following basic methods :

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1. Enucleation :
Definition:
1. Total removal of a cystic lesion is achieved.
2. A shelling-out of the entire cystic lesion without rupture.
3. Enucleation of cysts should be performed with care, in an
attempt to remove the cyst in one piece without
fragmentation, which reduces the chances of recurrence
by increasing the likelihood of total removal.
4. it involve the total removal the tooth

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2. Marsupialization:
Definition:
1. Marsupialization, decompression, and the Partsch operation all
refer to creating a surgical window in the wall of the cyst,
evacuating the contents of the cyst, and maintaining continuity
between the cyst and the oral cavity, maxillary sinus, or nasal
cavity.
2. If the tooth is to be maintained marsupialization is stongly
advocted in children
3. The only portion of the cyst that is removed is the piece removed
to produce the window.

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3. A Staged Combination of the two procedures .:
( Enucleation after marsupialization )

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References :
1. Sweedan, O. A. Textbook of oral and maxillofacial surgery. 1st ed., 2009.
2. 1. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: A conservative approach for treating
dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent. 2010;28:203–
8. [PubMed]
3.Deboni MC, Brozoski MA, Traina AA, Acay RR, Naclério-Homem Mda G. Surgical management of
dentigerous cyst and keratocystic odontogenic tumor in children: A conservative approach and 7-year
follow-up. J Appl Oral Sci. 2012;20:282–5. [PMC free article] [PubMed] [Google Scholar]

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