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Dentigerous Cyst: A Retrospective Study of 20 Cases in S. S. Medical College Rewa, Madhya Pradesh
Dentigerous Cyst: A Retrospective Study of 20 Cases in S. S. Medical College Rewa, Madhya Pradesh
Dentigerous Cyst: A Retrospective Study of 20 Cases in S. S. Medical College Rewa, Madhya Pradesh
Manuscript Reference
Number: Njmdr_247_14
Abstract:
A retrospective study was done for the features of dentigerous cyst clinically,
radiographically, and histologically, reported in dental Department. of S. S. Medical
College Rewa (M.P.) for the period of 1 year from January 2013 to January 2014. Male
were more affected than female in the ratio of 1.85: 1. Anterior region were more
involved than posterior region. The most common clinical features were alveolar
bone swelling, and pain. Radiographic appearance showed radiolucency associated
with an un-erupted tooth. In 2 cases dentigerous cyst was associated with non-vital
deciduous teeth. Histologically 1 case shows ameloblastic variation.
Key Words: Dentigerous cyst, impacted tooth, Anterior and posterior region of
mandible.
Introduction:
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National Journal of Medical and Dental Research, July-September 2014: Volume-2, Issue-4, Page 11-14
Surgical procedures:
Results:
From the total of 70 cases of cystic lesion, 20 cases were
diagnosed as dentigerous cyst (28.57%). The age of the
patients ranged from 5 to 60 years, with a peak incidence
in the second decade of life. The males were affected more
than the females with a ratio of (1.85:1) (Table 1).
Number
Male
Female
M:F
0-10
4 (20%)
3 (23.7%)
1 (14.28%)
1.65:1
11-20
11(55%)
7 (53.8%)
4 (57.12%)
0.94:1
21-30
3 (15%)
1 (7.69%)
2 (28.56%)
0.26:1
31-40
0 (0%)
0 (0%)
0 (0%)
0:0
41-50
1 (5%)
1 (7.69%)
0 (%)
1:0
51-60
1 (5%)
1 (7.69%)
0 (%)
1:0
Total
20 (100%)
13 (65%)
7 (35%)
1.85:1
Premolar
Molar
Total
Maxilla
3 (21.42)
Incisor
7 (50%)
Cannne
3(21.42%)
1 (7.14%)
14 (70%)
Mandible
1 (16.66)
2(33.33%)
1(16.66%)
2(33.33%)
6 (30%)
Total
4 (20%)
9 (45%)
4 (20%)
3 (15%)
20 (100%)
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National Journal of Medical and Dental Research, July-September 2014: Volume-2, Issue-4, Page 11-14
Discussion:
The DC is the second most common odontogenic cyst, with
periapical cyst being found more commonly. It presents
mostly in the second or third decade of life in the maxillary
or mandibular third molar or maxillary canine regions [7].
It can originate from any tooth, including supernumerary
tooth [8]. The DCs are mostly asymptomatic and may
be found on routine dental radiographic check-up. They
may also cause symptoms like pain or swelling with the
enlargement of the cyst size [9].
The formation of dentigerous cysts appears to be due to
accumulation of fluid either between reduced enamel
epithelium and enamel or in between the layers of enamel
organ [10]. The lesion occurs most often in the second and
third decades of life [11]. This is in harmony with this result
in which the majority of patients were young, 15 out of 20
patients being under the age of 20 years (75%). However,
Brown [12] reported in a study conducted on 81 diagnosed
dentigerous cysts a higher prevalence in the fifth decade
of life.
The present investigation showed that males were affected
more than the females. A similar result was reported by
References:
1. Shear M. Cysts of the oral regions. 3rd Ed. Oxford,
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National Journal of Medical and Dental Research, July-September 2014: Volume-2, Issue-4, Page 11-14
Write; 75-89,1992.
2. Daley TD, Pringle GA. Relative incidence of
odontogenic tumors and oral and jaw cysts in a
Canadian population. Oral Sur Oral Med Oral Patho
1994; 77:276-80.
3. Mourshed F. A roentgeographic study of dentigerous
cysts: incidence in a population sample. Oral Surg Oral
Med Oral Pathol 1964; 18: 47-53.
4. Angela Benn, Mario Altini. Dentigerous cysts of
inflammatory origin: A clinicopathologic study. Oral
Surg Oral Med Oral Pathol 1996; 81: 203- 209.
18. Shafer WG, Hine MK, Levy BM. A text book of oral
pathology. 4th ed. Philadelphia: WB Saunders, 1983;
260- 5.
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