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Cystic lesion between a deciduous tooth and the succeeding permanent tooth: a retrospective analysis of 87 cases

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2022, v.48 no.6, pp.342-347
https://doi.org/10.5125/jkaoms.2022.48.6.342
Changmo Sohn (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea)
Jihye Ryu (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea)
Inhye Nam (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea)
Sang-Hun Shin (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea)
Jae-Yeol Lee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan, Korea)

Abstract

Objectives: The purpose of this study is to investigate the characteristics of dentigerous and radicular cysts that occur between deciduous and suc-ceeding permanent teeth and to propose considerations for differential diagnosis of cysts at the treatment planning stage in the outpatient clinic. Materials and Methods: A total of 87 patients with a cystic lesion located between a deciduous tooth and the succeeding permanent tooth partici-pated in the study. Twelve variables were analyzed to diagnose such a cyst. For data analysis, Fisher’s exact test was used to determine the statistical significance of the variables. Results: Of the total 87 patients who participated in this study, 69 were diagnosed with dentigerous cysts and 18 were diagnosed with radicular cysts. Seven of the 12 differential factors analyzed in this study were statistically significant: age, location, symptoms, dental caries, endodontic treatment, delayed eruption, and size. Conclusion: Several criteria can be considered for diagnosis of dentigerous cysts or radicular cysts. Age, location, presence of symptoms and dental caries, previous endodontic treatment, cystic size, and delayed eruption of impacted permanent teeth are reliable factors that should be considered when diagnosing dentigerous and radicular cysts.

keywords
Dentigerous cyst, Radicular cyst, Deciduous tooth, Unerupted tooth

Journal of the Korean Association of Oral and Maxillofacial Surgeons