Dentigerous Cyst
Dentigerous cysts arise from the dental follicle.
Two prominent theories explain their formation
Fluid Accumulation Theory:
- Fluid accumulates between the Reduced Enamel Epithelium (REE) and the crown of the tooth.
- This causes pressure, leading to the proliferation of the REE into a cyst.
Breakdown of Stellate Reticulum:
- Fluid forms between the Inner Enamel Epithelium (IEE) and Outer Enamel Epithelium (OEE).
- This incites the proliferation of the outer enamel epithelium, resulting in cyst formation.
Notable Features
Clinical Features
- Associated with the 3rd molar in the mandible.
- 2nd most frequent location: maxillary canine region, followed by the posterior maxilla.
- Peak incidence in teens (20s).
- Male: female = 1.6:1.
- Can attain 10-15 cm.
- Not painful unless secondarily infected or the size creates a pathologic fracture.
- Bony expansion and facial fullness.
Radiological Features
- Three Variants:
- Central
- Lateral
- Circumferential
- Smooth, unilocular lesion, but multilocular may occur.
- Radiolucent area surrounded by a thin sclerotic line representing bony reaction.
Histological Features
Inflamed Cyst:
- Rete ridges.
- Rushton bodies.
- Cholesterol clefts.
Uninflamed Cyst:
- Lining resembles REE.
- Constitutes 2-3 rows of cuboidal or flattened epithelium.
- Mucous cells present.
- Wall is composed of mucopolysaccharides.
- Dystrophic calcifications present.
Treatment Options
- Enucleation
Preferred treatment and widely performed at Richardson’s Face Hospitals, known for the Best Cysts and tumor removal in India. - Marsupialisation
Less ideal, as it runs the risk of allowing an ameloblastoma in situ or a microinvasive ameloblastoma or other neoplastic transformations of the cyst lining to develop into a more invasive disease. - Caldwell-Luc
Used for large dentigerous cysts in the maxilla.
Consultation
Looking for Cysts & Tumor Removal specialists?
Schedule a consultation with our expert surgeons at Richardsons Face Hospitals, India’s First Face Hospital, to discuss your goals, evaluate your suitability, and develop a customized treatment plan tailored to your unique needs.
Meet the Doctors
Meet the dedicated experts who help you look as vibrant and energized on the outside as you feel on the inside.
Dr. Pearlin
Dr. Rishita Lamechwal
M.D.S.
Dr. Sunil Richardson
MDS, DIP.N.B, MOMSRCPS
Dr. Shweta Richardson
BDS
Dr. Rosemary Mathew
Dr. Aprjeetha
Dr. Harish
Videos about Dentigerous Cyst
Related videos about Dentigerous Cyst
Dentigerous Cyst Gallery
Browse our gallery to see how we turn back the clock, helping our patients look as vibrant and confident as they feel.
TMJ joint Reconstruction with Orthognathic Surgery
Smile Designing
Revision Nose Re-contouring Surgery
Orbital Tumour and Craniofacial Surgery
Nosejob Augmentative Rhinoplasty
Male Rhinoplasty
Single-Day Prosthesis
Facemakeover With Jaw Surgery and Nose Surgery
Facemakeover
Cosmetic Rhinoplasty
Testimonials
Real stories, radiant results: read firsthand experiences from our patients.
I took my son to Richardsons Face Hospital, Bengaluru for smile correction due to dental imperfaction . I am highly satisfied and very pleased with the treatment of my son and care he received. Dr. Rosemary Mathew and Dr. Pearlin Peter took great care of my son throughout the process.l am impressed by their dedication towards the patient.I would highly recommend all my friends and also those in search for best dental smile treatment and any other dental imperfactions.
I underwent facial feminization surgery at Richardsons Face Hospitals and had a smooth experience overall. From admission to discharge, the care provided was consistent and well-organized. The medical team explained procedures clearly, monitored recovery regularly, and addressed concerns when required. Nursing staff were attentive and supportive during the post-operative period.
The should improve the surgery coordination.
my experience was satisfactory, and I appreciate the care and professionalism shown during my treatment.
Excellent Experience at Richardson’s Face Hospital!
I’m extremely happy with my experience at Richardson’s Face Hospital. I had undergone hemangioma surgery, and the results were far better than I expected. Dr. Sunil Richardson and his entire team were very professional, caring, and supportive throughout the entire process.
They explained every step clearly, made me feel comfortable, and ensured that I was confident before the surgery. The post surgery care and follow up were excellent as well. The hospital was clean, well-equipped, and the staff were always friendly and attentive.
I’m truly thankful to the team for giving me such a positive and life-changing experience. Highly recommend Richardson’s Face Hospital to anyone Looking for safe and effective facial or cosmetic surgery!