Dentigerous cysts are developmental odontogenic cysts commonly associated with unerupted teeth, particularly in the mandible. This report presents a case of a large dentigerous cyst incidentally discovered in an 11-year-old patient during a routine orthodontic examination, involving an impacted second mandibular molar. A conservative approach using marsupialization was chosen to preserve adjacent anatomical structures and promote bone regeneration. Over a 15-month follow-up period, spontaneous eruption of the impacted molar was successfully achieved without complications to surrounding tissues and without the need for orthodontic traction. This case highlights the effectiveness of marsupialization in managing large mandibular cysts in pediatric patients, allowing natural tooth eruption and minimizing the necessity for invasive surgical procedures.
Cite this paper
Moujoud, C. , Bouzoubaa, S. M. , Nadour, S. , Bouhamid, A. A. and Yahya, I. B. (2024). Spontaneous Eruption of an Impacted Second Mandibular Molar after Marsupialization of a Large Dentigerous Cyst in an 11-Year-Old: A Case Report. Open Access Library Journal, 11, e2600. doi: http://dx.doi.org/10.4236/oalib.1112600.
Arjona-Amo, M., Serrera-Figallo, M., Hernandez-Guisado, J., Gutierrez-Perez, J. and Torres-Lagares, D. (2015) Conservative Management of Dentigerous Cysts in Children. Journal of Clinical and Experimental Dentistry, 7, e671-e674. https://doi.org/10.4317/jced.52248
Chouchene, F., Ameur, W.B., Hamdi, H., Bouenba, M., Masmoudi, F., Baaziz, A., et al. (2021) Conservative Approach of a Dentigerous Cyst. Case Reports in Dentistry, 2021, Article ID: 5514923. https://doi.org/10.1155/2021/5514923
Patil, M., Patil, R.U., Panse, A.M., Patil, A.S., Jathar, P.N. and Bahutule, S.R. (2019) Infected Dentigerous Cyst and Its Conservative Management: A Report of Two Cases. International Journal of Clini-cal Pediatric Dentistry, 12, 68-72. https://doi.org/10.5005/jp-journals-10005-1578
Nahajowski, M., Hnitecka, S., Antoszewska-Smith, J., Rumin, K., Dubowik, M. and Sarul, M. (2021) Factors Influencing an Eruption of Teeth Associated with a Dentigerous Cyst: A Systematic Review and Meta-analysis. BMC Oral Health, 21, Article No. 180. https://doi.org/10.1186/s12903-021-01542-y
Tuwirqi, A. and Khzam, N. (2017) What Do We Know about Dentig-erous Cysts in Children, a Review of Literature. Journal of Research in Medical and Dental Science, 5, 67-79. https://doi.org/10.5455/jrmds.20175211
Mahfuri, A., Darwich, K. and Al Manadili, A. (2022) Marsupialization of a Large Dentigerous Cyst in the Mandible: A Case Report. Cureus, 14, e2734. https://doi.org/10.7759/cureus.27340
Khalifa, C., Garma, M., Mabrouk, R., Slim, A., Bouguezzi, A. and Selmi, J. (2023) Conservative Management of Dentigerous Cyst in Children: Report of Two Clinical Cases. Clinical Case Reports, 11, e7051. https://doi.org/10.1002/ccr3.7051
Contar, C.M.M., Thomé, C.A., Pomper-mayer, A., Sarot, J.R., Vinagre, R.O. and Machado, M.Â.N. (2011) Marsupialization of Dentigerous Cyst: Report of a Case. Journal of Maxillofacial and Oral Surgery, 14, 4-6. https://doi.org/10.1007/s12663-011-0172-6
Chouchene, F., Ameur, W.B., Hamdi, H., Bouenba, M., Masmoudi, F., Baaziz, A., et al. (2021) Conservative Approach of a Dentigerous Cyst. Case Reports in Dentistry, 2021, Article ID: 5514923. https://doi.org/10.1155/2021/5514923
Kolari, V., Dhabaria, H., Sengupta, S., Sait, A.I. and Shah, A. (2022) Use of Marsupialisation for a Conservative Approach to Huge Cystic Lesions of the Jaws—A Report of Three Cases. Annals of Maxillofacial Surgery, 12, 244-247. https://doi.org/10.4103/ams.ams_102_22
Gendviliene, I., et al. (2017) Conservative Management of Large Mandib-ular Dentigerous Cysts with a Novel Approach for Follow Up: Two Case Reports. Stomatologija, 19, 24-32.