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The treatment of choice for dentigerous cyst is enucleation along with extraction of the impacted teeth. [21] If eruption of the unerupted tooth is considered feasible, the tooth may be left in place after partial removal of the cyst wall. Orthodontic treatment may subsequently be required to assist eruption.
Treatment ranges from simple enucleation of the cyst to curettage to resection. For example, small radicular cyst may resolved after successful endodontic ("root-canal") treatment. Because of high recurrence potential and aggressive behaviour, curettage is recommended for keratocyst.
A cystectomy is the removal of a cyst followed by mucosa and wound closure to reduce chances of cyst regeneration. This type of treatment is more ideal for small cysts. [citation needed] A cystostomy is recommended for larger cysts that compromise important adjacent anatomy. The cyst is tamponaded to allow for the cyst contents to escape the bone.
Jaw cysts affect around 3.5% of the population. 10 They are more common in males than females at a ratio of 1.6:1 and most people get them between their 40s and 60s. The order of the jaw cysts from most common to least common is; radicular cysts, dentigerous cysts, residual cysts and odontogenic keratocysts.
Odontogenic keratocysts are usually noted as incidental radiographic findings. Radiographically they can be seen as unilocular or multilocular radiolucencies. They can be mistaken for other cysts such as residual cysts or a dentigerous cyst if they occur over an unerupted tooth. [8] Relative incidence of odontogenic cysts. [9]
The technique is often applied to Gartner's duct cysts, pancreatic cysts, pilonidal cysts, and Bartholin's cysts. [1] In the case of a dentigerous cyst, marsupialization may be performed to allow the growing tooth associated with the cyst to continue eruption into the oral cavity. [2]
Dentigerous (follicular) cyst. The second most common odontogenic cyst is the follicular cyst. The cyst develops in normal dental follicule surrounding an unerupted tooth. It can also develop from break down of stellate reticulum or collection of fluid between the reduced enamel epithelium layers. Clinical features
A glandular odontogenic cyst (GOC) is a rare and usually benign odontogenic cyst developed at the odontogenic epithelium of the mandible or maxilla. [ 2 ] [ 8 ] [ 9 ] [ 10 ] Originally, the cyst was labeled as "sialo-odontogenic cyst" in 1987. [ 7 ]