Giant dentigerous cyst encasing an impacted third molar in the maxillary sinus: A unique case study with comprehensive literature review

Q3 Dentistry Oral and Maxillofacial Surgery Cases Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI:10.1016/j.omsc.2025.100396

Naida Hadziabdic , Edina Lazovic Salcin , Nedim Sulejmanagic , Halid Sulejmanagic

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Abstract

Dentigerous cysts are developmental cysts that are commonly associated with impacted teeth. These cysts can appear atypically in the maxillary sinus. Usually, they do not cause symptoms and are incidentally discovered through radiographic examinations. However, larger cysts may lead to a symptomatic presentation.

This report presents a case of a substantial dentigerous cyst in the maxillary sinus with an impacted wisdom tooth in a fifteen-year-old male. The surgical procedure, involving decompression and enucleation under local anesthesia, was conducted a month after the diagnosis. Histopathological examination confirmed the diagnosis of dentigerous cyst. This study emphasizes postoperative complications diagnosed using cone-beam computed tomography (CBCT).

Periodic panoramic radiographic examinations in pediatric patients should be conducted solely based on individualized clinical indications, ensuring compliance with current radioprotection standards. This approach facilitates the early detection of maxillomandibular pathologies such as cysts while minimizing unnecessary radiation exposure and prioritizing patient safety.

Cone-beam computed tomography (CBCT) is recommended for accurate diagnosis, treatment planning, and postoperative monitoring.

Surgeons are encouraged to tailor each operation individually to optimize patient outcomes.

Excised tissue should be subjected to histopathological examination to establish a precise diagnosis.

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巨大含牙囊肿包围上颌窦阻生第三磨牙：一个独特的病例研究和全面的文献回顾

牙性囊肿是发育性囊肿，通常与阻生牙齿有关。这些囊肿可以出现在上颌窦。通常，它们不会引起症状，通过x线检查偶然发现。然而，较大的囊肿可能导致症状。本文报告一位十五岁的男性患者，其上颌骨窦内有一个实质的含牙囊肿并有一颗阻生智齿。手术过程包括局部麻醉下的减压和去核，在诊断后一个月进行。组织病理学检查证实了牙性囊肿的诊断。本研究强调使用锥形束计算机断层扫描（CBCT）诊断术后并发症。儿科患者应根据个体化临床指征进行定期全景放射检查，确保符合现行放射防护标准。这种方法有助于早期发现上颌骨病变，如囊肿，同时最大限度地减少不必要的辐射暴露和优先考虑患者的安全。锥束计算机断层扫描（CBCT）被推荐用于准确的诊断、治疗计划和术后监测。医生们被鼓励对每个手术进行个性化调整，以优化患者的治疗效果。切除的组织应接受组织病理学检查以确定准确的诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.