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| Management of an impacted inverted mesiodens associated with a large circumferential type of dentigerous cyst: A rare case report with one-year follow-up | ||||||
| Priyanka Ghogre1, V Dal Singh2 | ||||||
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1Post Graduate Student, Department Conservative Dentistry and Endodontics, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.
2Professor, Department of Oral and Maxillofacial Surgery, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India. | ||||||
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| Ghogre P, Singh VD. Management of an impacted inverted mesiodens associated with a large circumferential type of dentigerous cyst: A rare case report with one-year follow-up. International Journal of Case Reports and Images 2014;5(1):80–85. |
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Abstract
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Introduction:
A dentigerous cyst is a developmental cyst of odontogenic origin, which apparently develops by accumulation of fluid between the reduced enamel epithelium and the tooth crown of an unerupted tooth, with consequent expansion of tooth follicle. It may be associated with crown of unerupted teeth, odontomas, or supernumerary teeth. Ninety-five percent of dentigerous cysts are associated with permanent dentition whereas only 5% are with supernumerary teeth.
Case Report: Herein, we report a case of dentigerous cyst associated with impacted inverted supernumerary tooth in anterior maxilla in a 28-year-old male. The patient was treated surgically by enucleation of total cyst and surgical extraction of mesiodens under local anesthesia and was subsequently confirmed histopathologically. Conclusion: Recurrence of dentigerous cyst is rare and could be due to the residual fragments of the cystic lining. To prevent the development of a dentigerous cyst and to avoid unwanted effects on adjacent teeth, early detection consisting of a through clinical and radiographic examination is necessary for accurate diagnosis and proper treatment planning. | |
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Keywords:
Dentigerous cyst, Reduced enamel epithelium, Supernumerary teeth, Mesiodens.
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Author Contributions
Priyanka Ghogre – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published V Dal Singh – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published V Dal Singh – Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Priyanka Ghogre et al. 2014; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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