A large radiolucent lesion with impacted teeth: was it an ameloblastoma or a dentigerous cyst? a case report
Abstract
Objectives: This case report aims to describe a large radiolucent lesion associated with an impacted tooth from CBCT radiographs.Case Report: A 19-year-old woman was referred to have a CBCT examination in the dentomaxillofacial radiology unit in Dental Hospital Universitas Padjadjaran with swelling on the palatal side of the face and a lump on the gum at the upper right unerupted canine and premolar. The CBCT examination results showed impacted teeth 13 and 14 with a large radiolucent lesion with a well-defined and corticated border surrounding teeth 13 and 14, expanding into the maxillary sinus and nasal cavity. Oral hygiene was in good condition. The facial profile looked asymmetrical.
Conclusion: Based on the CBCT result in terms of location and radiographic feature, this extensive radiolucent lesion led to a suspect radiodiagnosis of the ameloblastoma. Histology examinations are required to establish a definitive diagnosis. A cyst wall lined with odontogenic squamous epithelium was confirmed in the histology result examination.
References
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Bernaola-Paredes WE, Albuja-Rivadeneira E, Novelli F, Dalcin JF, Vartanian JG, Kohler HF, et al. Refractory Ameloblastoma in the Maxilla: Clinical, Imaging, Histological, Surgical and Mutational Characterization: A Case Series. Craniomaxillofacial Trauma & Reconstruction Open. 2021;6:247275122110337.
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Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine. 2016;25(3):575–85.
Martinelli-Kläy CP, Martinelli CR, Martinelli C, Macedo HR, Lombardi T. Unusual Imaging Features of Dentigerous Cyst: A Case Report. Dent J (Basel). 2019;7(3):76.
Kondamari SK, Taneeru S, Guttikonda VR, Masabattula GK. Ameloblastoma arising in the wall of dentigerous cyst: Report of a rare entity. Journal of Oral and Maxillofacial Pathology. 2018;22(4):S7–10.
Onay O, Suslu AE, Yilmaz T. Huge Dentigerous Cyst in the Maxillary Sinus: A Rare Case in Childhood. Turk Arch Otorhinolaryngol. 2019;57(1):54–6.
Paul S, Mohanan M, Cherian LM, Sanil S, Krishnapriya S, Rasla PC. Ameloblastomatous Transformation of Dentigerous Cyst-Report of Two Rare Cases. Saudi Journal of Pathology and Microbiology. 2022;7(9):376–80.
Thompson LD. Dentigerous cyst. Ear Nose Throat J. 2018 Mar;97(3):57.
Peterson LJ. Principles of Management of Impacted Teeth. In: Ellis E, Hupp JR, Tucker MR. Contemporary Oral and Maxillofacial Surgery. 4th Edition. St. Louis: Mosby; 2003. p.184-213.
Bhardwaj B, Sharma S, Chitlangia P, Agarwal P, Bhamboo A, Rastogi K. Mandibular Dentigerous Cyst in a 10-Year-Old Child. Int J Clin Pediatr Dent. 2016;9(3):281–4.
McKinney SL, Lukes SM. Dentigerous cyst in a young child: a case report. Can J Dent Hyg. 2021 Oct 1;55(3):177-181.
Hutomo FR, Pratiwi ES, Kalanjati VP, Rizqiawan A. Case report: Dentigerous Cyst and Canine Impaction at the Orbital Floor. Folia Medica Indonesiana. 2019;55(3):234-8.
Siregar M, Sitam S, Lita YA, Hadikrishna I. Analysis of Dentigerous Cyst, Ameloblastoma, and Odontogenic Keratocyst Panoramic Radiograph and CBCT: A Scoping Review. ODONTO Dental Journal. 2022;9:115-30.
Bhushan NS, Rao NM, Navatha M, Kumar BK. Ameloblastoma arising from a dentigerous cyst-a case report. J Clin Diagn Res. 2014;8(5):ZD23-5.
Mhsake S. Text Book of Oral Pathology : Chapter 16. Cysts of the Orofacial Region. Vol. 1. India; 2015. p.323–9.
Vidya L, Ranganathan K, Praveen B, Gunaseelan R, Shanmugasundaram S. Cone-beam computed tomography in the management of dentigerous cyst of the jaws: A report of two cases. Indian J Radiol Imaging. 2013;23(4):342–6.
Weiss R, Read-Fuller A. Cone Beam Computed Tomography in Oral and Maxillofacial Surgery: An Evidence-Based Review. Dent J (Basel). 2019;7(2):52.
Işık Aslan B, Üçüncü N. Clinical Consideration and Management of Impacted Maxillary Canine Teeth. In: Emerging Trends in Oral Health Sciences and Dentistry. InTech; 2015.
M Shetty R, Dixit U. Dentigerous Cyst of Inflammatory Origin. Int J Clin Pediatr Dent. 2010;3(3):195–8.
Manjunatha BS, Chikkaramaiah S, Panja P, Koratagere N. Impacted maxillary second premolars: a report of four cases. BMJ Case Rep. 2014;2014:bcr2014205206.
Bernaola-Paredes WE, Albuja-Rivadeneira E, Novelli F, Dalcin JF, Vartanian JG, Kohler HF, et al. Refractory Ameloblastoma in the Maxilla: Clinical, Imaging, Histological, Surgical and Mutational Characterization: A Case Series. Craniomaxillofacial Trauma & Reconstruction Open. 2021;6:247275122110337.
Borghesi A, Nardi C, Giannitto C, Tironi A, Maroldi R, Di Bartolomeo F, et al. Odontogenic keratocyst: imaging features of a benign lesion with an aggressive behaviour. Insights Imaging. 2018;9(5):883–97.
Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine. 2016;25(3):575–85.
Martinelli-Kläy CP, Martinelli CR, Martinelli C, Macedo HR, Lombardi T. Unusual Imaging Features of Dentigerous Cyst: A Case Report. Dent J (Basel). 2019;7(3):76.
Kondamari SK, Taneeru S, Guttikonda VR, Masabattula GK. Ameloblastoma arising in the wall of dentigerous cyst: Report of a rare entity. Journal of Oral and Maxillofacial Pathology. 2018;22(4):S7–10.
Onay O, Suslu AE, Yilmaz T. Huge Dentigerous Cyst in the Maxillary Sinus: A Rare Case in Childhood. Turk Arch Otorhinolaryngol. 2019;57(1):54–6.
Paul S, Mohanan M, Cherian LM, Sanil S, Krishnapriya S, Rasla PC. Ameloblastomatous Transformation of Dentigerous Cyst-Report of Two Rare Cases. Saudi Journal of Pathology and Microbiology. 2022;7(9):376–80.
Published
2023-12-31
How to Cite
RAHMADINI, Galih et al.
A large radiolucent lesion with impacted teeth: was it an ameloblastoma or a dentigerous cyst? a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 7, n. 3, p. 121-126, dec. 2023.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1073>. Date accessed: 27 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v7i3.1073.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
