Abstract

SARDANA, D; GOYAL, A  and  GAUBA, K. Management of an inflamed dentigerous cyst in a patient with an anterior cross-bite, using a modified obturator. S. Afr. dent. j. [online]. 2016, vol.71, n.6, pp.266-269. ISSN 0375-1562.

Dentigerous cysts, amongst the most common odontogenic cysts occurring in children, are caused by the accumulation of fluid between the reduced enamel epithelium and the crown of the tooth. Both developmental and inflammatory aetiologies have been postulated. Enucleation and marsupialisation have remained the mainstay treatment modalities of such cysts although the former is a more radical option- especially in young children with unerupted and developing permanent teeth. A case of an inflammatory dentigerous cyst (IDC) in an 8-year old patient with an anterior dental cross-bite is presented. This was managed by marsupialisation of the cyst and concurrent correction of the anterior cross-bite (within 3 months) using a modified obturator. This treatment modality had the advantage of reducing the treatment time as well as obviating the need for a second appliance. There was no recurrence of either dentigerous cyst or cross-bite at a one-year follow up.

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