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The dentigerous cyst commonly involves a single tooth and rarely affects multiple teeth. The most frequently involved tooth is the mandibular third molar followed by the maxillary canine, but they may be associated with supernumerary or ectopic tooth.
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.
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]
Diagnosis. Clinical and radiographic assessments are required to diagnose dentigerous cysts. A cyst is present when the follicular space exceeds 5mm from the crown. However, it is possible that keratocysts and ameloblastomas mimic the radiographical appearance of follicular cysts. Aspiration can be used to differentiate the lesions. Treatment
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.
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.
Calcifying odontogenic cyst (COC) is a rare developmental lesion that comes from odontogenic epithelium. [2] It is also known as a calcifying cystic odontogenic tumor, which is a proliferation of odontogenic epithelium and scattered nest of ghost cells and calcifications that may form the lining of a cyst, or present as a solid mass.
On radiographs, the adenomatoid odontogenic tumor presents as a radiolucency (dark area) around an unerupted tooth extending past the cementoenamel junction.. It should be differentially diagnosed from a dentigerous cyst and the main difference is that the radiolucency in case of AOT extends apically beyond the cementoenamel junction.