Enucleation of Dentigerous Cyst Associated with embedded tooth and maxillary sinus : A case report
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Abstract
This case report aims to present the diagnosis and surgical management of a dentigerous cyst associated with an embedded maxillary premolar extending into the maxillary sinus-an uncommon presentation. Dentigerous cysts are developmental odontogenic lesions that are frequently asymptomatic and often detected incidentally on radiographic examination. A 37-year-old female presented with localized swelling in the maxillary premolar region, where the tooth had failed to erupt. She reported no pain or progressive enlargement. Clinical evaluation, radiographic findings, and histopathological examination confirmed a cyst.
Treatment consisted of complete enucleation of the cyst, extraction of the associated embedded tooth, and closure of an intraoperatively detected oroantral communication using a buccal mucosal flap. Comprehensive patient communication and adherence to postoperative instructions were emphasized to reduce complications.
Postoperative healing was uneventful, with bone and soft-tissue recovery and no evidence of infection or sinus complications. The histopathological findings confirmed a cystic lesion without cellular atypia. A shallow buccal vestibule developed, which may affect future prosthetic or implant rehabilitation. At the three-month follow-up, no recurrence was observed. This case highlights the importance of accurate diagnosis, appropriate surgical planning, and long-term follow-up to ensure optimal outcomes in maxillary dentigerous cysts
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References
Batra, P., Batra, S. G., Ahuja, D., & Batra, R. (2024). Management and Rehabilitation of Dentigerous Cyst With 10-Year Follow-Up: A Case Report. Cureus, 16(8), e67867. https://doi.org/10.7759/cureus.67867
Bonanthaya, K., Rai, A., Kumar, V. V., & Panneerselvam, E. (2021). Oral and Maxillofacial Surgery for the Clinician. Springer.
Dipalma, G., Inchingolo, A. M., Trilli, I., Ferrante, L., Noia, A. Di, de Ruvo, E., Inchingolo, F., Mancini, A., Cocis, S., Palermo, A., & Inchingolo, A. D. (2025). Management of Oro-Antral Communication: A Systemic Review of Diagnostic and Therapeutic Strategies. Diagnostics, 15(2), 194. https://doi.org/10.3390/diagnostics15020194
Du, C., Wang, Z., Lan, D., Zhu, R., Wang, D., Wang, H., Wan, C., Gao, T., Han, R., Liu, L., & Zhang, K. (2024). Clinical analysis of 1,038 cases of odontogenic jawbone cysts. BMC Oral Health, 24, 1387. https://doi.org/10.1186/s12903-024-05167-9
Gaurkar, S. S., Deshmukh, P. T., Singh, C. V., & Khan, F. Q. (2022). A Rare Presentation of Dentigerous Cyst. Cureus, 14(6), e26098. https://doi.org/10.7759/cureus.26098
Jain, N., Gaur, G., Chaturvedy, V., & Verma, A. (2017). Dentigerous Cyst associated with Impacted Maxillary Premolar: A Rare Site Occurrence and a Rare Coincidence. International Journal of Clinical Pediatric Dentistry, 11(1), 50-51. https://doi.org/10.5005/jp-journals-10005-1483
Konate, M., Sarfi, D., El Bouhairi, M., & Benyahya, I. (2021). Management of Oroantral Fistulae and Communications: Our Recommendations for Routine Practice. Case Reports in Dentistry, 2021(1), 7592253. https://doi.org/10.1155/2021/7592253
Langdon, D. J., Patel, F. M., Ord, A. R., & Brennan, P. (2017). Operative Oral and Maxillofacial Surgery (3rd ed.). Taylor & Francis Group.
Malik, A. N. (2008). Textbook of Oral and Maxillofacial Surgery (2nd ed.). Jaypee Brothers Medical Publishers.
McLean, A. C., & Vargas, P. A. (2023). Cystic Lesions of the Jaws: The Top 10 Differential Diagnoses to Ponder. Head and Neck Pathology, 17, 85-98. https://doi.org/10.1007/s12105-023-01525-1
Neville, W. B., Allen, M. C., Damm, D. D., & Chi, C. A. (2016). Oral and Maxilofacial Pathology (4th ed.). Elsevier.
Nyimi, B. F., Zhao, Y., & Liu, B. (2019). The Changing landscape in treatment of cystic lesions of the jaws. Journal of International Society of Preventive and Community Dentistry, 9(4), 328-337. https://doi.org/10.4103/jispcd.JISPCD_180_19
Oliva, S., Lorusso, F., Scarano, A., D’Amario, M., & Murmura, G. (2024). The Treatment and Management of Oroantral Communications and Fistulas: A Systematic Review and Network Metanalysis. Dentistry Journal, 12(5), 147. https://doi.org/10.3390/dj12050147
Parvini, P., Obreja, K., Begic, A., Schwarz, F., Becker, J., Sader, R., & Salti, L. (2019). Decision-making in closure of oroantral communication and fistula. International Journal of Implant Dentistry, 5(1), 13. https://doi.org/10.1186/s40729-019-0165-7
Raksantikul, P. (2024). Enucleation with Root Resection of Large Periapical Cyst in Maxilla: A Case Report. Journal of The Department of Medical Services, 49(2), 126–134. https://he02.tci-thaijo.org/index.php/JDMS/article/view/264681/183722
Ruslin, M., van Trikt, K. N., Yusuf, A. S. H., Tajrin, A., Fauzi, A., Rasul, M. I., Boffano, P., & Forouzanfar, T. (2022). Epidemiology, treatment, and recurrence of odontogenic and non-odontogenic cysts in South Sulawesi, Indonesia: A 6-year retrospective study. Journal of Clinical and Experimental Dentistry, 14(3), 247–253. https://doi.org/10.4317/jced.59309
Shear, M., & Speight, P. (2007). Cysts of the oral and maxillofacial regions (4th ed.). Wiley-Blackwell pub.
