Giant dentigerous cyst encasing an impacted third molar in the maxillary sinus: A unique case study with comprehensive literature review

Q3 Dentistry

Oral and Maxillofacial Surgery Cases Pub Date : 2025-03-19 DOI:10.1016/j.omsc.2025.100396

Naida Hadziabdic , Edina Lazovic Salcin , Nedim Sulejmanagic , Halid Sulejmanagic

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引用次数: 0

Abstract

Dentigerous cysts are developmental cysts that are commonly associated with impacted teeth. These cysts can appear atypically in the maxillary sinus. Usually, they do not cause symptoms and are incidentally discovered through radiographic examinations. However, larger cysts may lead to a symptomatic presentation.

This report presents a case of a substantial dentigerous cyst in the maxillary sinus with an impacted wisdom tooth in a fifteen-year-old male. The surgical procedure, involving decompression and enucleation under local anesthesia, was conducted a month after the diagnosis. Histopathological examination confirmed the diagnosis of dentigerous cyst. This study emphasizes postoperative complications diagnosed using cone-beam computed tomography (CBCT).

Periodic panoramic radiographic examinations in pediatric patients should be conducted solely based on individualized clinical indications, ensuring compliance with current radioprotection standards. This approach facilitates the early detection of maxillomandibular pathologies such as cysts while minimizing unnecessary radiation exposure and prioritizing patient safety.

Cone-beam computed tomography (CBCT) is recommended for accurate diagnosis, treatment planning, and postoperative monitoring.

Surgeons are encouraged to tailor each operation individually to optimize patient outcomes.

Excised tissue should be subjected to histopathological examination to establish a precise diagnosis.

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来源期刊

Oral and Maxillofacial Surgery Cases Medicine-Otorhinolaryngology

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

69 days

期刊介绍： Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.