Dentigerous Cysts of Maxillofacial Region- A Retrospective Clinico-Pathological Analysis of Patients at a Tertiary Care Centre in Central India

BACKGROUND Dentigerous Cyst (DC) is a common type of cyst encountered in oral cavity. These types of cysts are usually found covering the crowns of unerupted teeth and expand in size due to collection of cystic fluid in the region of dental follicle. They can be treated by marsupialisation or enucleation of the lesion based on the involvement of the lesion with the adjacent structures. We wanted to analyze the demographic distribution, clinical, and radiographic features of DC cases reporting to the dental department at NSCB Medical College, Jabalpur (M.P.). METHODS A retrospective study of clinical, radiographic presentation and management of 13 cases of DC attending OPD of Department of Dentistry and treated by enucleation and marsupialization, at Netaji Subhash Chandra Bose (NSCB) Medical College at Jabalpur (M.P.) from July 2016 till December 2017 was conducted. RESULTS Out of 13 cases 8 patients (61.53%) were males and 5 (38.46%) were females. Wide variation in age was seen (14-47 years). 8 (61.53%) patients had a lesion in mandible and was most commonly associated with mandibular third molar which was encountered in 5 cases (38.46%). Most common presenting symptom was a swelling which was found in 76.92% patients. 9 cases (69.23%) were treated with enucleation and marsupialisation was used to treat 4 cases (30.76%). CONCLUSIONS A male: female ratio of 1.6:1 was reported showing a slight male dominance. DC most commonly involved unerupted mandibular third molars. The prognosis of patients treated with enucleation and marsupialisation is satisfactory.