Dentigerous Cyst

It is an odontogenic cyst that surrounds the crown of an impacted tooth, caused by fluid accumulation between
reduced enamel epithelium and enamel surface.
Epidemiology: It is one of the most common type of odontgenic cysts, estimated to be about 20% of all jaw cysts.
Etiology: Develops by the accumulation of fluid between reduced enamel epithelium and enamel organ.
Clinical features:
It is always associated with the crown of an impacted tooth.
May also be found enclosing a complex, compound odontoma.
Age: found in 2nd and 3rd decade.
Sex: slightly male predilection.
Site: most commonly associated with mandibular 3rd molars and maxillary canines.
Usually they are solitary, can be multiple if associated with cleidocranial dysplasia,
Maroteaux Lamy syndrome.
Radiographic features:
Location: Mostly impacted 3rd molar and maxillary canine Central Lateral Circumferential
Periphery: well defined corticated, engages tooth at CEJ
if 2° infected then loss of corticated border.
Internal structure: the internal aspect is completely radiolucent except
for crown of the involved tooth.
Effects on surrounding structures: displace and resorbs adjacent teeth,
floor of antrum,inferior alveolar nerve canal may also get displaced.
Types: 1) Central 2) Lateral 3) Circumferential
Differential diagnosis: Histological features: Investigations: Management:

Larger lesion: Smaller lesion:
Unicystic ameloblastoma, CBCT, marsupialization enucleation
ameloblastic fibroma, OPG,
CEOT, FNAC- straw
OKC, colored fluid.
Calcifying odontogenic cyst
DEPARTMENT OF ORAL MEDICINE AND RADIOLOGY, SIDDHPUR DENTAL COLLEGE AND HOSPITAL
GUIDED BY: DR. DEEP SHAH, DR. JUNED PATHAN, DR. BHARVI SHUKLA
PREPARED BY:: DURVA JAIN, MAHEK JAIN, MAITHILI JANI, PREETI JHA, SHAMBHAVI JHA, KEYURI JADEJA, FINAL YEAR, BATCH B (2022-23)