Dentigerous cyst with ameloblastic transformation
Keywords:
dentigerous cyst, cryotherapy, ameloblastoma.Abstract
Introduction: Dentigerous cysts are caused by the separation of the follicle remaining around the crown of unerupted teeth. They are the most common type of developmental odontogenic cyst. Their growth is slow and asymptomatic, and they may reach large dimensions. Objective: Report a surgical case of dentigerous cyst with ameloblastic transformation. Case presentation: A case is presented of a black female 14-year-old patient. Radiography revealed an area of unilocular radiolucency with well-defined margins enveloping the crowns of teeth 48 and 47. Treatment was a combination of enucleation and curettage of the lesion, exodontia of the teeth and cryotherapy to devitalize the surrounding bone. Eventual histopathological examination confirmed the diagnosis of dentigerous cyst with ameloblastic transformation. Conclusions: At the time when the report was written, the patient had been followed up for three years after surgery, showing bone neoformation and no recurrence of the lesion.Downloads
References
Shafer WG, Hine MK, Levy BM. Cyst and tumors of odontogenic origin. In: Rajendran R, editor. Shafers Textbook of Oral Pathology. 7th ed. New Delhi: Elsevier India; 2012. p. 259-63.
Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral e Maxilofacial. 4.ª ed. Rio de Janeiro: Elsevier; 2016.
Fenyo-Pereira M. Radiologia Odontológica e Imaginologia. 2.ª ed. São Paulo: Grupo Editorial Nacional; 2013.
Shear M, Speight PM. Cistos da Região Bucomaxilofacial. 4.ª ed. São Paulo: Santos: Grupo Editorial Nacional; 2011.
Robinson RA. Diagnosing the most common odontogenic cystic and osseous lesions of the jaws for the practicing pathologist. Mod Pathol. 2017 [acessado: 28/02/2020]; 30(S1):S96-S103. Disponível em: http://www.nature.com/articles/modpathol2016191
Kondamari SK, Taneeru S, Guttikonda VR, Masabattula GK. Ameloblastoma arising in the wall of dentigerous cyst: Report of a rare entity. J Oral Maxillofac Pathol. 2018 [acessado: 18/07/2019]; 22(Suppl 1):S7-S10. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/29491596
Bhushan NS, Rao NM, Navatha M, Kumar BK. Ameloblastoma arising from a dentigerous cyst-a case report. J Clin Diagn Res. 2014 [acessado: 28/02/2020];8(5):ZD23-5. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/24995259
Sridevi K, Kaushik A, Ramaswamy P, Manjula M, Vinod VC, Aravinda K. Dentigerous Cysts of Maxillofacial Region- Clinical, Radiographic and Biochemical Analysis. Kathmandu Univ Med J (KUMJ). 2015 [acessado: 18/02/2020]; 13(49):8-11. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/26620742
Bilodeau EA, Collins BM. Odontogenic Cysts and Neoplasms. Surg Pathol Clin. 2017 [acessado: 30/04/2019]; 10(1):177-222. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/28153133
Olaitan AA, Adekeye EO. Clinical features and management of ameloblastoma of the mandible in children and adolescents. Br J Oral Maxillofac Surg. 1996 [acessado: 28/02/2020]; 34(3):248-51. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/8818260
Jayanandan M, Shamsudeen SM, Srinivasan SK, Kumar SN, Pulikkottil TB. Desmoplastic Ameloblastoma Arising in a Dentigerous Cyst - A Case Report and Discussion. J Clin Diagn Res. 2016 [acessado: 30/04/2019]; 10(8):ZD38-40. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/27656586
Laborde A, Nicot R, Wojcik T, Ferri J, Raoul G. Ameloblastoma of the jaws: Management and recurrence rate. Eur Ann Otorhinolaryngol Head Neck Dis. 2017 [acessado: 30/04/2019]; 134(1):7-11. Disponível em: https://linkinghub.elsevier.com/retrieve/pii/S1879729616301624
Jha DK, Naik DS, Tripathi DS, Pradhan DS. Dentigerous Cyst Or Unicystic Ameloblastoma: A Diagnostic Dilemma. Eur J Biomed Pharm Sci. 2016 [acessado: 28/02/2020]; 3(5):587-91. Disponível em: https://www.omicsonline.org/open-access/crispr-technology-advantages-limitations-and-future-direction.pdf
Seyedmajidi M, Nafarzadeh S, Siadati S, Shafaee S, Bijani A, Keshmiri N. p53 and PCNA Expression in Keratocystic Odontogenic Tumors Compared with Selected Odontogenic Cysts. Int J Mol Cell Med. 2013 [acessado: 2/02/2020]; 2(4):185-93. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/24551811
Vayvada H, Mola F, Menderes A, Yilmaz M. Surgical management of ameloblastoma in the mandible: Segmental mandibulectomy and immediate reconstruction with free fibula or deep circumflex iliac artery flap (evaluation of the long-term esthetic and functional results). J Oral Maxillofac Surg. 2006 [acessado: 2/02/2020]; 64(10):1532-9. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/16982313
Pogrel MA, Montes DM. Is there a role for enucleation in the management of ameloblastoma? Int J Oral Maxillofac Surg. 2009 [acessado: 18/07/2019]; 38(8):807-12. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/19297131
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