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Article

Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects

by
Maria Cristina Langă
1,
Diana Florina Nica
1,*,
Virgil-Florin Duma
2,3,4,*,
Rodica Elena Heredea
5 and
Cosmin Sinescu
1
1
Faculty of Dental Medicine, “Victor Babes” University of Medicine and Pharmacy of Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, Romania
2
3OM Optomechatronics Group, Faculty of Engineering, “Aurel Vlaicu” University of Arad, 2 Elena Dragoi Str., 310130 Arad, Romania
3
Department of Measurements and Optical Electronics, Faculty of Electronics, Telecommunications, and Information Technology, Polytechnic University of Timisoara, 2 Vasile Parvan Ave., 300223 Timisoara, Romania
4
Center of Research and Development for Mechatronics, National University of Science and Technology POLITEHNICA Bucharest, 060042 Bucharest, Romania
5
Department of Pathology, “Louis Turcanu” Children’s Clinical Emergency Hospital, 300041 Timisoara, Romania
*
Authors to whom correspondence should be addressed.
Medicina 2024, 60(7), 1133; https://doi.org/10.3390/medicina60071133
Submission received: 2 June 2024 / Revised: 26 June 2024 / Accepted: 12 July 2024 / Published: 14 July 2024
(This article belongs to the Collection New Concepts for Dental Treatments and Evaluations)

Abstract

Background and Objectives: Dentigerous cysts are one of the most frequent pathologies associated with unerupted or impacted teeth. Such cysts show a male predilection and a preference for the mandibular region. Also, they commonly occur in the second and third decades of life, with only 9% occurring in the first decade. The aim of this work is to apply and study the therapeutic algorithms developed for dentigerous cysts and their outcomes, from the early diagnostic stage to the complete healing phase of pediatric patients diagnosed with this medical condition. Materials and Methods: The study included 19 pediatric patients diagnosed with dentigerous cysts who underwent the enucleation and extraction or conservative attitude of the associated tooth. The bony healing was also followed-up 9 months after the surgery. Results: A higher incidence in the posterior area of the mandible and maxilla was observed, as well as a higher incidence in boys. The 9 months postoperative radiographic assessment showed that the bony defects were completely healed. Conclusions: A thorough understanding of the nature of the lesion backed by a good clinical history and by state-of-the-art radiographic and radiologic examinations can go a long way in helping the surgeon to choose the correct therapeutic approach and to ameliorate the medical condition in the best long-term interest of the young patient. The considered dentigerous cyst cases demonstrated that an early diagnosis and treatment of this pathology is followed by a responsive treatment.
Keywords: dentigerous cysts; cystic lesions; odontogenic cysts; pediatric patients; surgery; radiography; therapeutic algorithms; bony healing; cone beam-computed tomography dentigerous cysts; cystic lesions; odontogenic cysts; pediatric patients; surgery; radiography; therapeutic algorithms; bony healing; cone beam-computed tomography

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MDPI and ACS Style

Langă, M.C.; Nica, D.F.; Duma, V.-F.; Heredea, R.E.; Sinescu, C. Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects. Medicina 2024, 60, 1133. https://doi.org/10.3390/medicina60071133

AMA Style

Langă MC, Nica DF, Duma V-F, Heredea RE, Sinescu C. Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects. Medicina. 2024; 60(7):1133. https://doi.org/10.3390/medicina60071133

Chicago/Turabian Style

Langă, Maria Cristina, Diana Florina Nica, Virgil-Florin Duma, Rodica Elena Heredea, and Cosmin Sinescu. 2024. "Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects" Medicina 60, no. 7: 1133. https://doi.org/10.3390/medicina60071133

APA Style

Langă, M. C., Nica, D. F., Duma, V.-F., Heredea, R. E., & Sinescu, C. (2024). Dentigerous Cysts in Children: Clinical, Radiological, and Healing Aspects. Medicina, 60(7), 1133. https://doi.org/10.3390/medicina60071133

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