Inflammatory Dentigerous Cyst Associated with a Pulpectomised Primary Molar Restored with a Stainless Steel Crown in a Nine-Year-Old Boy: A Case Report.

Dr. Shweta Shubham; Mukherjee Chitrita Gupta; Pandey Risha; Dipti Nehal; Kiran Upasana; Gosh Debadyuti; Yadav Reena

doi:10.51168/k0vpzx87

Autori

Dr. Shweta Shubham Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India (shwetaraman2018@gmail.com)
Mukherjee Chitrita Gupta Head of Department, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Pandey Risha Post Graduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar , India
Dipti Nehal Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
Kiran Upasana Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
Gosh Debadyuti Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
Yadav Reena Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India

DOI:

https://doi.org/10.51168/k0vpzx87

Cuvinte cheie:

Inflammatory Dentigerous Cyst, Pulpectomy, Primary Molars, Stainless Steel Crown

Rezumat

Pulpectomy is widely regarded as a safe and effective treatment for grossly carious or non-vital primary molars, allowing preservation of the tooth and its space-maintaining function until natural exfoliation. Nevertheless, a range of deleterious sequelae have been reported following the procedure, including arrest of development of the permanent successor, deflection of the permanent tooth bud, foreign body reaction, and, less commonly, the formation of a dentigerous cyst in relation to the periapical region of the pulpectomised primary molar. Because a well-fitting stainless steel crown (SSC) can keep the tooth clinically functional and asymptomatic, an underlying inflammatory process may progress silently and present later as a sizeable lesion. This case report illustrates a nine-year-old boy who presented with a three-month history of a gradually enlarging extra-oral swelling of the left lower jaw, in whom cone-beam computed tomography (CBCT) revealed a well-defined unilocular radiolucency enveloping the crown of the erupting permanent second premolar (35), contiguous with a primary molar (74) that had previously undergone pulpectomy and stainless steel crown restoration. The lesion was managed by extraction of the primary tooth combined with surgical enucleation of the cyst under general anaesthesia, with careful preservation of the permanent successor. Histopathological examination confirmed an inflammatory dentigerous cyst. In general, the prevalence of cystic lesions associated with pulpectomy-treated primary molars is extremely low, less than 3.3% of all periapical lesions in primary teeth. This case underscores the importance of maintaining a high index of suspicion for periapical pathology in asymptomatic, crown-restored, pulp-treated primary teeth, and highlights the value of timely radiographic evaluation and surgical intervention in preserving the developing permanent dentition.

Biografii autori

Dr. Shweta Shubham, Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India (shwetaraman2018@gmail.com)

is a Post Graduate Student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Mukherjee Chitrita Gupta, Head of Department, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.

is the Head of the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India. She is involved in postgraduate teaching, clinical supervision, and academic activities in paediatric and preventive dentistry.
Pandey Risha, Post Graduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar , India

is a Post Graduate Student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Dipti Nehal, Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India

is a postgraduate student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Kiran Upasana, Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India

is a postgraduate student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Gosh Debadyuti, Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India

is a postgraduate student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.
Yadav Reena, Postgraduate Student, Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India

is a postgraduate student in the Department of Paediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India.

Referințe

1. Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L. Primary tooth vital pulp therapy: a systematic review and meta-analysis. Pediatr Dent. 2017;39(1):16-123.

2. Benn A, Altini M. Dentigerous cysts of inflammatory origin: a clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(2):203-209. https://doi.org/10.1016/S1079-2104(96)80416-1

3. Azaz B, Shteyer A. Dentigerous cysts associated with second mandibular bicuspids in children: report of five cases. ASDC J Dent Child. 1973;40(1):29-31.

4. Bhandari R, Thakur S, Singhal P, Chauhan D, Jayam C. Marsupialization of inflammatory dentigerous cyst associated with pulpotomised primary second molar - a case report. J Clin Diagn Res. 2018;12(8):ZD08-ZD10. https://doi.org/10.7860/JCDR/2018/35367.11894

5. Hadziabdic N, Balic A, Cengic E, Katana E, Duratbegovic D, Lazovic Salcin E. A large dentigerous cyst in a child as a complication of deciduous molar endodontic treatment: an interesting case report with short literature review. Case Rep Dent. 2023;2023:4406854. https://doi.org/10.1155/2023/4406854

6. Mahesh BS, Shastry SP, Murthy PS, Jyotsna TR. Role of cone beam computed tomography in evaluation of radicular cyst mimicking dentigerous cyst in a 7-year-old child: a case report and literature review. Int J Clin Pediatr Dent. 2017;10(2):213-216. https://doi.org/10.5005/jp-journals-10005-1438

7. Toomarian L, Moshref M, Mirkarimi M, Lotfi A, Beheshti M. Radicular cyst associated with a primary first molar: a case report. J Dent (Shiraz). 2011;8(4):213-217.

8. Holan G, Fuks AB, Ketlz N. Success rate of formocresol pulpotomy in primary molars restored with stainless steel crown vs amalgam. Pediatr Dent. 2002;24(3):212-216.

9. Randall RC. Preformed metal crowns for primary and permanent molar teeth: review of the literature. Pediatr Dent. 2002;24(5):489-500.

10. van der Weijden FN, Hesse D, Americano GCA, Soviero VM, Bonifacio CC. The effect of pulp inflammation and premature extraction of primary molars on the successor permanent teeth: a retrospective study. Int J Paediatr Dent. 2020;30(4):431-440. https://doi.org/10.1111/ipd.12568