DENTIGEROUS CYST

Dentigerous Cyst

1. Definition: Dentigerous cyst is a type of odontogenic cyst that forms around the crown of an unerupted tooth.

Types of Dentigerous Cyst

1. Simple Dentigerous Cyst: It is the most common type of dentigerous cyst.
2. Complex Dentigerous Cyst: It is a rare type of dentigerous cyst that is characterized by the presence of a septum or a nodule.
3. Dilated Odontogenic Cyst: It is a rare type of dentigerous cyst that is characterized by the presence of a dilated cystic space.

Causes of Dentigerous Cyst

1. Impaction of Teeth: Impaction of teeth can lead to the formation of dentigerous cyst.
2. Genetic Factors: Genetic factors can play a role in the formation of dentigerous cyst.
3. Infection: Infection can lead to the formation of dentigerous cyst.

Clinical Features of Dentigerous Cyst

1. Swelling: The most common clinical feature of dentigerous cyst is a swelling in the jaw.
2. Pain: Pain is a common symptom of dentigerous cyst.
3. Discoloration: The skin over the swelling may be discolored.
4. Bad Odor: A bad odor may be present from the swelling.
5. Difficulty in Eruption: The tooth may not erupt properly due to the presence of the cyst.

Radiological Findings of Dentigerous Cyst

1. Radiolucency: The radiograph may show a radiolucent area around the crown of the unerupted tooth.
2. Well-defined Border: The border of the cyst is well-defined.
3. Location: The cyst is usually located in the mandible.

Surgical Enucleation

1. Step 1 → The patient is given general anesthesia.
2. Step 2 → An incision is made in the skin over the swelling.
3. Step 3 → The cyst is dissected from the surrounding tissue.
4. Step 4 → The cyst is removed.
5. Step 5 → The wound is closed.

Follow-up Protocol

1. Immediate Follow-up: The patient is followed up immediately after the surgery.
2. Regular Follow-up: The patient is followed up regularly for the next few weeks.
3. Radiographs: Radiographs are taken to check for any recurrence of the cyst.

Homoeopathic Therapeutic Medicines

1. Belladonna: It is used to treat pain and swelling.
2. Hypericum: It is used to treat nerve pain.
3. Arsenicum Album: It is used to treat infection.

Important Points

1. Blood Supply: The blood supply to the dentigerous cyst comes from the surrounding tissue.
2. Nerve Supply: The nerve supply to the dentigerous cyst comes from the inferior alveolar nerve.
3. Clinical Anatomy: The dentigerous cyst is usually located in the mandible and is associated with the unerupted tooth.