Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar
The aim of this article is to describe a large mandibular cyst treated with decompression followed by surgical enucleation. Furthermore, we described the utility of cyst volume measurements by using a 3D reconstruction on Cone Beam Computed Tomography (CBCT). The dentigerous cyst is the most common...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-02-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/1132 |
| _version_ | 1818473486834728960 |
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| author | Faouzi Riachi Carla Maria Khairallah Nabil Ghosn Antoine Nicolas Berberi |
| author_facet | Faouzi Riachi Carla Maria Khairallah Nabil Ghosn Antoine Nicolas Berberi |
| author_sort | Faouzi Riachi |
| collection | DOAJ |
| description | The aim of this article is to describe a large mandibular cyst treated with decompression followed by surgical enucleation. Furthermore, we described the utility of cyst volume measurements by using a 3D reconstruction on Cone Beam Computed Tomography (CBCT). The dentigerous cyst is the most common cyst type of epithelial origin, arising from remnants of odontogenic epithelium, asymptomatic and associated with the crown of an unerupted or partially or completely impacted tooth. However, after a long duration and extension of the cyst volume it may provoke significant bone resorption, cortical expansion, tooth displacement and the vitality of neighboring teeth may be affected. The regular treatment of this lesion is enucleation and extraction of the involved tooth. Marsupialization and decompression are proposed when the volume of the cyst is well developed to release the cystic pressure and allow the bone cavity to progressively decrease in volume with the gradual apposition of bone. This report presents a large dentigerous cyst related to impacted mandibular third molar of a 21-year-old male patient. The cyst was treated successfully by decompression and later by surgical enucleation with surgical extraction of the related molar. In conclusion, the combination of decompression and surgical approach showed on the three-dimensional CBCT investigation a significant correlation between the treatment and volume reduction of the cyst. The clinical case described allows us to observe bone formation after decompression and surgical enucleation was performed with less risk on vital anatomic elements. |
| first_indexed | 2024-04-14T04:23:34Z |
| format | Article |
| id | doaj.art-f5b2940d8a0c48b7b86312aab6b5af10 |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-14T04:23:34Z |
| publishDate | 2019-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-f5b2940d8a0c48b7b86312aab6b5af102022-12-22T02:12:24ZengMDPI AGClinics and Practice2039-72752039-72832019-02-019110.4081/cp.2019.1132Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molarFaouzi Riachi0Carla Maria Khairallah1Nabil Ghosn2Antoine Nicolas Berberi3Department of Oral Surgery, Faculty of Dental Medicine, St-Joseph University, BeirutDepartment of Oral Surgery, Faculty of Dental Medicine, St-Joseph University, BeirutDepartment of Oral and Maxillofacial Radiology, Faculty of Dental Medicine, St-Joseph University, BeirutDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University, BeirutThe aim of this article is to describe a large mandibular cyst treated with decompression followed by surgical enucleation. Furthermore, we described the utility of cyst volume measurements by using a 3D reconstruction on Cone Beam Computed Tomography (CBCT). The dentigerous cyst is the most common cyst type of epithelial origin, arising from remnants of odontogenic epithelium, asymptomatic and associated with the crown of an unerupted or partially or completely impacted tooth. However, after a long duration and extension of the cyst volume it may provoke significant bone resorption, cortical expansion, tooth displacement and the vitality of neighboring teeth may be affected. The regular treatment of this lesion is enucleation and extraction of the involved tooth. Marsupialization and decompression are proposed when the volume of the cyst is well developed to release the cystic pressure and allow the bone cavity to progressively decrease in volume with the gradual apposition of bone. This report presents a large dentigerous cyst related to impacted mandibular third molar of a 21-year-old male patient. The cyst was treated successfully by decompression and later by surgical enucleation with surgical extraction of the related molar. In conclusion, the combination of decompression and surgical approach showed on the three-dimensional CBCT investigation a significant correlation between the treatment and volume reduction of the cyst. The clinical case described allows us to observe bone formation after decompression and surgical enucleation was performed with less risk on vital anatomic elements.https://www.clinicsandpractice.org/index.php/cp/article/view/1132Dentigerous cystMandibularDecompressionThree-dimensionCone Beam Computed Tomography |
| spellingShingle | Faouzi Riachi Carla Maria Khairallah Nabil Ghosn Antoine Nicolas Berberi Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar Clinics and Practice Dentigerous cyst Mandibular Decompression Three-dimension Cone Beam Computed Tomography |
| title | Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| title_full | Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| title_fullStr | Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| title_full_unstemmed | Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| title_short | Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| title_sort | cyst volume changes measured with a 3d reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar |
| topic | Dentigerous cyst Mandibular Decompression Three-dimension Cone Beam Computed Tomography |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/1132 |
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