Dentigerous cysts are the second most common odontogenic cysts of the mandible. They may vary in size from 2 cm to more than 10 cm. In the present report, a dentigerous cyst with massive involvement of the right half of the mandible in a young patient is presented. For cosmetic reasons and long term risks these cysts must be treated. Surgical removal is the preferred modality and a submandibular route should be chosen in large lesions. Bony cavities may be decreased in volume by using osteoperiosteal flaps, but there is no need for primary bone grafting, even for large defects.
GeorgiadeN.G., GeorgiadeG.S., HarterT.B.. Solid and cystic tumors of the jaw. In: GeorgiadeG.S., GeorgiadeN.G., RiefkohlR., BarwickW.J., eds. Textbook of Plastic, Maxillofacial and Reconstructive surgery.Baltimore: Williams & Wilkins, 1996: 489–506.
2.
JacksonI.T., ShawK.. Tumors of the craniofacial skeleton, including the jaws. In: McCarthyJ.G., ed. Plastic Surgery.Philadelphia: WB Saunders, 1990: 3338–40.
3.
CarvalhoP.I., KumagaiL.T., CacavalleA.C.. Dentigerous cyst associated with an unerupted mandibular third molar.Dentomaxillofac Radiol1997; 26: 137.
4.
BrowneR.M.. The pathogenesis of odontogenic cysts: A review.J Oral Pathol1975; 4: 31–46.
5.
SeddonR.P., FungD.E., BarnardK.M., SmithP.B.. Dentigerous cysts involving permanent incisors: Four case reports.Int J Paediatr Dent1992; 2: 105–11.
6.
CrinziR.A.. Bilateral dentigerous cysts of the mandible.Oral Surg Oral Med Oral Pathol1982; 54: 367.
7.
MearaJ.G., BrownM.T., CaradonnaD., VarvaresM.A.. Massive, destructive, dentigerous cyst: A case report.Otolaryngol Head Neck Surg1996; 115: 141–4.
8.
PindsD.. Massive dentigerous cysts.Bull Tri Cty Dent Soc1966; 15: 6–7.
9.
SadeghiE.M., SewallS.R., DohseA., NlvakT.S.. Odontogenic tumors that mimic a dentigerous cyst.Compend Contin Educ Dent1995; 16: 500,502,504.
10.
IkeshimaA., OzawaM., YamamotoH., ArakiM., SairenjiE.. Differential diagnosis between cyst and tumor: Dentigerous cyst and ameloblastoma containing teeth.J Nihon Univ Sch Dent1990; 32: 19–26.
11.
WoodR.E., NortjeC.J., PadayacheeA., GrotepassF.. Radicular cysts of primary teeth mimicking premolar dentigerous cysts: Report of three cases.ASDC J Dent Child1988; 55: 288–90.
12.
McMillanM.D., SmillieA.C.. Ameloblastoma associated with dentigerous cysts.Oral Surg Oral Med Oral Pathol1982; 51: 489–96.
13.
OlsonJ.W., MillerR.L., KushnerG.M., VestT.M.. Odontogenic carcinoma occurring in a dentigerous cyst: A case report and clinical management.J Periodontol2000; 71: 1365–70.
14.
YasuokaT., YonemotoK., KatoY., TatematsuN.. Squamous cell carcinoma arising in a dentigerous cyst.J Oral Maxillofac Surg2000; 58: 900–5.
15.
WineW.M., WelchJ.T., GravesR.W.. Marsupialization of a dentigerous cyst of the mandible: Report of case.J Oral Surg1971; 29: 742–5.
16.
LeungP.C., ChowS.K., MaG.F.. Primary reconstruction of the mandible after excision of large benign lesions.Br J Plast Surg1988; 41: 251–4.
17.
YihW.Y., MoritaV.. A modified technique for obliteration of large bony defects after cystectomy.J Oral Maxillofac Surg1991; 49: 689–92.
