A case report of odontogenic cyst by CBCT analysis: a calcifying odontogenic cyst or dentigerous cyst?
Abstract
Objectives: Odontogenic cysts are pathologic cavities filled with fluid originating from the odontogenic epithelium remnants forming teeth. Dentigerous and calcifying odontogenic cysts are examples of cysts that form during development. Based on how they form, they are one type of odontogenic cyst. Many lesions have similar characteristics, making it challenging to differentiate them.Case Report: An oral surgeon referred a 19-year-old male patient for a CBCT radiographic examination of the maxilla, which revealed a dentigerous cyst in the patient's clinical report. The patient's overall health was delicate. An intraoral examination revealed no edema, symmetrical, painless facial structure, and no clinical signs of periodontal disease nor dental caries. A panoramic radiograph showed a multilocular, well-defined, and corticated radiolucent lesion that made teeth 11–12 and 21–23 shifted.
Conclusion: Clinical and imaging variables play essential roles in the diagnosis and differential diagnosis of odontogenic cysts. CBCT radiography could be a suitable modality for diagnosing odontogenic cysts, although histopathology is the gold standard for a definitive diagnosis.
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Di Donna E, Keller LM, Neri A, Perez A, Lombardi T. Maxillary distomolar associated with dentigerous cyst: an unusual entity. Oral. 2022;2(1):1–6.
Vinereanu A, Bratu A, Didilescu A, Munteanu A. Management of large inflammatory dentigerous cysts adapted to the general condition of the patient: Two case reports. Exp Ther Med. 2021 May 12;22(1):750.
Franklin JRB, Vieira EL, Brito LNS, Castro JFL, Godoy GP. Epidemiological evaluation of jaw cysts according to the new WHO classification: a 30‑year retrospective analysis. Braz Oral Res. 2021;35:e129.
Terauchi M, Akiya S, Kumagai J, Ohyama Y, Yamaguchi S. An analysis of dentigerous cysts developed around a mandibular third molar by panoramic radiographs. Dent J (Basel). 2019;7(1):13.
Hutomo FR, Pratiwi ES, Kalanjati VP, Rizqiawan A. Case report: Dentigerous Cyst and Canine Impaction at the Orbital Floor. Folia Medica Indonesiana. 2019 Oct 3;55(3):234-7.
El-Naggar A, Chan J, editors. WHO Classification of Head and Neck Tumours. 4th ed. Lyon (France): IARC; 2017. p.232–42.
Weiss R, Read-Fuller A. Cone Beam Computed Tomography in Oral and Maxillofacial Surgery: An Evidence-Based Review. Dent J (Basel). 2019 May 2;7(2).
Caruso DP, Lee CC, Peacock ZS. What factors differentiate dentigerous cysts from other pericoronal lesions? Oral Surg Oral Med Oral Pathol Oral Radiol. 2022;133(1):8–14.
Kaczor-Urbanowicz K, Zadurska M, Czochrowska E. Impacted Teeth: An Interdisciplinary Perspective. Advances in Clinical and Experimental Medicine. 2016;25(3):575–85.
Rahmadini G, Ramadhan FR, Nurrachman AS, Pramanik F. A suspect of large dentigerous cyst associated with impacted canine evaluated by CBCT: a case report in a young patient. Jurnal Radiologi Dentomaksilofasial Indonesia. 2023; 7(1):41-6.
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.
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.
Chen J, Lv D, Li M, Zhao W, He Y. The correlation between the three-dimensional radiolucency area around the crown of impacted maxillary canines and dentigerous cysts. Dentomaxillofac Radiol. 2020;49(1):20190454.
Fakhrurrazi. Kista Dentigerous Pada Anak-Anak. Cakradonya Dental Journal. 2014;6(1):623–8.
Damayanti MA, Firman RN, Ramadhan FR, Rachmawati I, Rahman FUA, Nurrachman AS, et al. Imaging analysis 3D CBCT of a suspected infected radicular cyst in the mandible. Jurnal Radiologi Dentomaksilofasial Indonesia. 2022;6(3):119-24.
Mascitti M, Togni L, Muzio LL, Campisi G, Mazzoni F, Santarelli A. Cysts: A 30-Year Retrospective Clinicopathological Study. Proceedings 2019, 35:31.
Thambi N, Anjana G, Sunil EA, Manjooran T, Nair A, Jaleel D. Nidhu Thambi et al Inflamed Dentigerous Cyst: A Case Report and Review 1. Review Oral Maxillofac Pathol J. 2016;7 (2) : 744–7.
Wang LL, Olmo H. Odontogenic Cysts. Florida: StatPearls;2022.
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.
Khandeparker RV, Khandeparker PV, Virginkar A, Savant K. Bilateral Maxillary Dentigerous Cysts in a Nonsyndromic Child: A Rare Presentation and Review of the Literature. Case Rep Dent. 2018;1-5.
Published
2025-06-09
How to Cite
AGUSTIN, Sylvia et al.
A case report of odontogenic cyst by CBCT analysis: a calcifying odontogenic cyst or dentigerous cyst?.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 9, n. 1, p. 41-46, june 2025.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/1227>. Date accessed: 18 june 2025.
doi: https://doi.org/10.32793/jrdi.v9i1.1227.
Section
Case Report
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