Deniz YAMAN, Gülsüm AKAY, Kahraman GÜNGÖR

MULTIPLE DENTIGEROUS CYSTS WITH RADIOLOGICAL FINDINGS IN A NON-SYNDROMIC PATIENT

ABSTRACT Dentigerous cyst is the most common developmental cyst of the jaws after radicular cyst and usually seen as solitary. The multiple involvement of this cyst is rather rare if not accompanied of an underlying systemic disease or syndrome. A-60-year old male patient was attended to our clinic for prosthetic treatment. Panoramic radiograph revealed radiolucencies associated with the crowns of bilateral mandibular third molar teeth, right maxillary third molar, bilateral maxillary canine. In cone-beam computed tomography (CBCT), it was revealed as well‑defined unilocular radiolucent areas surrounded by sclerotic border and related to the crown of the unerupted teeth. To the authors’ knowledge, this is the first case report presenting the surgical treatment and revealing the radiographic findings in elderly non-syndromic patient with multiple dentigerous cyst in maxilla and mandible. Keywords: Cone-beam computed tomography; dentigerous cyst; unerupted tooth Nonsendromik bir hastada radyolojik bulguları ile çoklu dentigeröz kist ÖZ Dentigeröz kist, radikuler kistten sonra çenelerin en sık görülen gelişimsel kistidir ve genellikle tek olarak gözlenir. Birden fazla dentigeröz kist olgusu, altta yatan bir sendrom veya sistemik hastalığın yokluğunda oldukça nadir görülen bir durumdur. 60 yaşında erkek hasta diş eksikliği şikayetine bağlı protez tedavisi için kliniğimize başvurmuştur. Panoramik radyografide, bilateral mandibular üçüncü molar dişlerin kronları, sağ maksiller üçüncü molar, bilateral maksiller kanin dişler ile ilişkili radyolüsent alanlar tespit edilmiştir. Konik ışınlı bilgisayarlı tomografide (CBCT), iyi tanımlanmış uniloküler radyolüsent alanlar sklerotik sınırla çevrili olup, gömülü dişlerin kronu ile ilişkili olarak izlenmiştir. Bu olgu sunumu, maksilla ve mandibulada lokalize çoklu dentigeröz kist bulunan ve herhangi bir sendromu olmayan ileri yaştaki hastanın radyolojik bulgularıyla birlikte cerrahi tedavisinin sunulduğu ilk olgu sunumu özelliğini taşımaktadır. Anahtar kelimeler: Konik ışınlı bilgisayarlı tomografi; dentigeröz kist; gömülü dişler

Anahtar Kelimeler:

Cone-beam computed tomography

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1. Soames JV, Southam JC. Cysts of the jaws and oral soft tissues. Oral Pathology. 2nd ed. Oxford; Oxford University Press: 1993. p. 74-6.
2. Ko KS, Dover DG, Jordan RC. Bilateral dentigerous cysts: report of an unusual case and review of the literature. J Can Dent Assoc 1999; 65(1):49–51
3. Tamgadge A, Tamgadge, S, Bhatt D, Bhalera, S, Pereira T, Padhye M. Bilateral dentigerous cyst in a non-syndromic patient: report of an unusual case with review of the literature. J Oral and Maxillofac Pathol 2011; 15(1): 91-95.
4. Nunez-Urrutia S, Figueiredo R, Gay-Escoda C. Retrospective clinicopathological study of 418 odontogenic cysts. Med Oral Patol Oral Cir Bucal 2010;5(5): e767-73
5. White SC, Pharoah MJ. Cysts and cystlike lesions of the jaws. Oral radiology. Principles and interpretation. 6th ed. St Louis, MO; CV Mosby: 2009. p. 346-350.
6. Demirtaş N, Mihmanli A, Bayer S, Özalp Ş. Dentigerous cysts in the mixed dentition: report of three cases. J Dent Fac Atatürk Uni 2016; 14: 23-26.
7. Devi P, Thimmarasa VB, Mehrotra V, Agarwal M. Multiple dentigerous cysts: a case report and review. J Maxillofac Oral Surg 2015;14(1): 47-51.
8. Freitas DQ, Tempest LM, Sicoli E, Lopes – Neto FC. Bilateral dentigerous cyst: Review of literature and report of unusual case. Dentomaxillofac Radiol 2006; 35(6):464-8.
9. Ustuner, E, Fitoz S, Atasoy C, Erden I, Akyar, S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95(5):632-635.
10. Imada TSN, Neto VT, Bernini GF et. al. Unusual bilateral dentigerous cysts in a nonsyndromic patient assessed by cone beam computed tomography. Contemp Clin Dent 2014;5(2):240.
11. Deana NF, Alves N. Cone beam ct in diagnosis and surgical planning of dentigerous cyst. Case Rep Dent. 2017; 2017:7956041.
12. Jeon JY, Park CJ, Cho SH, Hwang KG. Bilateral dentigerous cysts that involve all four dental quadrants: a case report and literature review. J Korean Assoc Oral Maxillofac Surg 2016;42 (2):123-126.
13. Dhupar A, Yadav S, Dhupar V, Mittal HC, Malik S, Rana P. Bi-maxillary dentigerous cyst in a non-syndromic child - review of literature with a case presentation. J Stomatol Oral Maxillofac Surg. 2017 Feb;118(1):45-48.
14. Shahrabi Farahani S, Lotfalian M. A pigmented dentigerous cyst in a patient with multiple dentigerous cysts of the jaws: a case report. J Contemp Dent Pract 2007; 8,: 85-91.
15. Khandeparker RV, Khandeparker PV, Virginkar A, Savant K. Bilateral Maxillary Dentigerous Cysts in a Nonsyndromic Child: A Rare Presentation and Review of the Literature. Case Rep Dent. 2018 Apr 15;2018:7583082.
16. De Biase A, Ottolenghi L, Polimeni A, Benvenuto A, Lubrano R, Magliocca FM. Bilateral mandibular cysts associated with cyclosporine use: A case report. Pediatr Nephrol 2001;16(12):993-995.
17. Regezi J, Sciubba J, Jordan R. Cysts of the jaws and neck. Oral pathology: Clinical Pathologic Correlations. 5th ed. Philadelphia; Saunders Company:2008. p. 246-8.
18. Shah N, Thuau H, Beale T. Spontaneous regression of bilateral dentigerous cysts associated with impacted mandibular third molars. Br Dent J 2002;192(2):75-76.
19. Kondamari SK, Taneeru S, Guttikonda VR, Masabattula GK. Ameloblastoma arising in the wall of dentigerous cyst: Report of a rare entity. J Oral Maxillofac Pathol 2018;22(Suppl 1):7-10.