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Multidisciplinary approach with partsch ii treatment for dentigerous cyst associated with supernumerary tooth involving one complete quadrant of maxilla

Author: 
Leneena Gudugunta, Santosh Kumar Vedati, Ravi Babu Yelamanchi, Deepthi Mandava and Varun Reddy Attelli
Subject Area: 
Health Sciences
Abstract: 

A dentigerous (follicular) cyst is a developmental odontogenic cyst, which apparently develops by the accumulation of fluid between the reduced enamel epithelium and the tooth crown of an unerupted tooth. Typically dentigerous cysts are commonly seen in association with impacted third molars and maxillary canines. Only 5–6% of dentigerous cysts are associated with supernumerary teeth. Dentigerous cyst diagnosis in case of presence of full complement of the teeth is rarest of the rare condition. We report a rare case of huge dentigerous cyst associated with an impacted supernumerary tooth which extended throughout the second quadrant of maxilla crossing the midline. The patient was treated in a multidisciplinary way with conservation approach of root canal treatment for affected teeth under local anesthesia followed by enucleation of the cyst and apicectomies of root canal treated teeth under general anesthesia.

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