Bone regeneration guided in treatment of bilateral dentigerous cyst: Case report
Keywords:
Adolescent, Dentigerous cyst, Bone regeneration, Plasma rich in fibrinAbstract
The purpose of this article is to show a case of large bilateral dentigerous cyst associated with permanent teeth. Male patient of 11 years-old, who was referred to the Maxillofacial Surgery Service of the Central Military Hospital of Lima-Perú. The clinical examination showed asymptomatic bulging in areas of teeth 33 and 43. Cone beam computed tomography showed hypodense, well-defined images associated with unerupted teeth. The treatment was the enucleation of the cysts and the extraction of the compromised teeth under general anesthesia, the guided bone regeneration was performed with plasma rich in fibrin plus bone graft and collagen membrane, this due to the great risk of mandibular fracture. The histopathological examination confirmed the presumptive diagnosis of dentigerous cyst. Two months after surgery, a remarkable and rapid bone neoformation is observed. This case highlights the importance of clinical and tomographic.
Downloads
References
Sapp J, Eversole L, Wysocky G. Compendio de Patologìa Bucal y Maxilofacial. Harcourt Brace. 1998.
Munzenmayer J, Sarzosa M, Giraudo J. Quiste dentigero mandibular. Caso clínico. Seguimiento después de 13 años. Rev Fac Odontt U de C. 1996; 3(5).37-42.
Suresh R, Janardhanan M, Joseph AP, Vinodkurmar RB, Peter S. A Rare Case of Dentigerous Cyst in a One Year Old Child: The Earliest Known Reported Occurrence. Head and Neck Pathol. 2011; 5:171– 4.
Romero Y, Jiménez C, Hernández P, Alexis G. Presentación inusual de un quiste dentigero en paciente pediátrico. Reporte de un caso y revisión de la literatura. Acta Odontológica Venezolana. 2007; 45(2):1-8.
Bonardi JP, Gomes-Ferreira PH, de Freitas-Silva L, Momesso GA, de Oliveira D, Ferreira S, Pereira RD, Souza FÁ. Large Dentigerous Cyst Associated to Maxillary Canine. L Craniofac Surg. 2017. 28(1): e96-e97.
Pinheiro RS, Castro GF, Roter M, Netto R, Meirelles V Jr, Janini ME, Primo L. An unusual dentigerous cyst in a young child. Gen Dent. 2013; 61(2): 62-4.
Rebolledo M, Harris J, Higgins E, Molinares L. Cicatrización y regeneración ósea de los maxilares después de una quistectomía: reporte de un caso y revisión de la literatura. Univ Odontol. 2011; 30(65): 71-78.
Mourão CF, Valiense H, Melo ER, Mourão NB, Maia MD. Obtention of injectable platelets rich-fibrin (i-PRF) and its polymerization with bone graft: technical note. Rev Col. Bras. Cir. 2015; 42(6): 421-3.
Bölükbası N, Yeniyol S, Tekkesin M, Altunatmaz K. The use of platelet-rich fibrin in combination with biphasic calcium phosphate in the treatment of bone defects: a histologic and histomorphometric study. Curr Ther Res Clin Exp. 2013; 75:15-21.
Meza-Mauricio, EJ, Lecca-Rojas MP, Correa-Quispilaya E, Rios-Villasis K. Fibrina rica en plaquetas y su aplicación en periodoncia: revisión de literatura. Rev Estomatol Herediana. 2014; 24(4): 287-93.
Salgado-Peralvo AO, Salgado-Garcia A, Arriba-Fuente L. Nuevas tendencias en regeneración tisular: fibrina rica en plaquetas y leucocitos. Revista Española de Cirugía Oral y Maxilofacial. 2017; 39(2):91-8.
Caballero HA. Quistes y tumores del maxilar en niños. Rev Cir Infantil. 1999; 9(4):205-10.
Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: A conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent. 2010; 28:203-8.
Lima ENA, Maia CADM, Gurgel AC, Oliveira PT, Medeiros AMC. Conservative management of dentigerous cyst in a child. Int J Pediatr Otorhinolaryngol Extra. 2013; 8 (1): e1–e4.
De Andrade Freitas Oliveira LS, Souza DO, Neves FS, dos Santos JN, Campos PS, Crusoé-Rebello I. Uncommon dentigerous cyst related to a maxillary lateral incisor in a 03-year-old boy. Oral Maxillofac Surg. 2012; 16 (4): 383-8.
Issar Y, Kaushal N, Goomer P. Unusual case of concomitant occurrence of Tessier’s number 7 cleft and dentigerous cyst. Contemp Clin Dent. 2014; 5(3): 402-5.
Olivier V, Hivart P, Descamps M, Hardouin P. In vitro culture of large bone substitutes in a new bioreactor: importance of the flow direction. Biomed Mater. 2007; 2(3): 174-80.
Nagaveni NB, Praveen RB, Umashankar KV, Pranav B, Sreedevi R, Radhika NB. Efficacy of platelet-rich-plasma (PRP) in bone regeneration after cyst enucleation in pediatric patients--a clinical study. J Clin Pediatr Dent. 2010; 35 (1): 81-7.
Belli E, Longo B, Balestra FM. Autogenous platelet-rich plasma in combination with bovine-derived hydroxyapatite xenograft for treatment of a cystic lesion of the jaw. J Craniofac Surg. 2005;16(6): 978-80.
Lee JY, Nam H, Park YJ, Lee SJ, Chung CP, Han SB, Lee G. The effects of platelet-rich plasma derived from human umbilical cord blood on the osteogenic differentiation of human dental stem cells. In Vitro Cell Dev Biol Anim. 2011; 47(2): 157-64.
