CASE OF BILATERAL DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION

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Journal of the Korean Academy of Pediatric Dentistry 2002;29(2):196-203.
Published online May 31, 2002.

CASE OF BILATERAL DENTIGEROUS CYSTS TREATED BY MARSUPIALIZATION

양측에서 발생된 함치성 낭종의 치험례

유정은, 최영철, 이긍호

경희대학교 치과대학 부속병원 소아치과

Abstract

Most dentigerous cysts are solitary. Bilateral and multiple dentigerous cysts are rare and occur typically in association with a number of syndromes such as Maroteaux-Lamy syndrome, Hunter's syndrome, Basal cell nevus syndrome, Marfan syndrome, cleidocranial dysplasia. The presented case is of bilateral nonsyndromic, dentigerous cysts associated with mandibular right and left first premolars. A marsupialization procedure may be a choice of treatment for a large sized dentigerous cyst rather than an enucleation. The marsupialization procedure is recommended during the age when the erupting force of the teeth is still strong. We can expect the unerupted tooth to erupt normally. Although most of bilateral or multiple dentigerous cysts which are not associated with syndromes are rare, a bilateral dentigerous cyst without syndrome is seen. Therefore, it is wise to explain a possibility of development of new one to patient / parents in advance.

Key Words: Bilateral, Dentigerous cyst, Marsupialization