title: Decompression, enucleation, and implant placement in the management of a large dentigerous cyst.
abstract: The dentigerous cyst is a developmental odontogenic cyst, accounting for 10% of all cysts of the jaws. The treatment options are decompression, marsupialization, or enucleation regarding the features of the lesions. In this article, a case of a 17-year-old adolescent girl having a large mandibular dentigerous cyst associated with an unerupted third molar is presented. The treatment is composed of decompression for 6 months and enucleation. Decompression and enucleation are a predictable choice in the treatment of large cysts. Radiologic evaluation is mandatory to decide for the appropriate time for the removal of the decompression stents, the enucleation time, and also for the evaluation of the adequate new bone formation for implant placement. The present case emphasizes the success of a conservative approach in the management of a large dentigerous cyst in a young patient and also the maintenance of the new bone formation without using any graft materials for the placement of dental implants.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul, Turkey. sirmacakar@yahoo.com
authors.forename: Sirmahan
authors.initials: S
authors.lastname: Cakarer
authors.forename: Firat
authors.initials: F
authors.lastname: Selvi
authors.forename: Sabri Cemil
authors.initials: SC
authors.lastname: Isler
authors.forename: Cengizhan
authors.initials: C
authors.lastname: Keskin
mesh_terms: D000293:Adolescent; D019299:Decompression, Surgical; D003803:Dentigerous Cyst / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D011862:Radiography, Panoramic; D015607:Stents; D014057:Tomography, X-Ray Computed