Effectiveness of conservative treatment of dentigerous cyst in the pediatric patient: A systematic review

doi:10.1016/j.jormas.2024.102115

Q2 · DentistryImpact Factor · 1.759

AutoresCarlos Cobo-Vázquez, Laura Fernández-Gutiérrez, Borja Pérez-Fernández, Luis Sánchez‐Labrador, Natalia Martínez Rodríguez, José María Martínez González, Cristina Méniz-García

Por qué importa

Este artículo revisa sistemáticamente la efectividad de los tratamientos conservadores para quistes dentígeros en pacientes pediátricos, evaluando la erupción del diente permanente asociado. Se analizaron datos de estudios publicados entre 2012 y 2023, centrándose en pacientes menores de 18 años con quistes asociados a dientes permanentes reposicionables. Las técnicas evaluadas incluyeron marsupialización, enucleación y descompresión. Los resultados indican porcentajes significativos de erupción espontánea, siendo la marsupialización del 83% y la descompresión del 100%. No se reportaron recurrencias. Esta evidencia subraya el potencial de los enfoques conservadores para preservar la dentición, ofreciendo alternativas valiosas frente a la extracción, con un enfoque en el manejo de estas patologías comunes en la práctica infantil.

Abstract original

The dentigerous cyst is defined as a pathological cavity whose origin is produced by developmental alterations. Most usual treatment is the enucleation of the cyst with the extraction of the tooth. The current approach tends to preserve the tooth. The aim of this study was to determine the total and partial success of the conservative treatment of the dentigerous cyst in terms of eruption of the associated permanent tooth. Pub-Med, Scopus and the Cochrane Central Register of Controlled Trials were searched from January 2012 to December 2023, including patients aged 18 years old or less with a dentigerous cyst associated with a repositionable permanent tooth in the arch. 118 articles were found and 24 were included in full text. 40 cases were reported in the mandible (83 %) and 8 in the maxilla (17 %). 29 cases of marsupialization were included (60 %), 17 of enucleation (36 %) and 2 of decompression (4 %). The percentage of teeth that erupted spontaneously, either completely or partially, after marsupialization, enucleation and decompression was 83 %, 59 % and 100 % respectively. No recurrences have been described in any case. This study highlights that the conservative treatment was a predictable procedure with a total success of 83 % by marsupialization and 100 % after decompression.

Leer texto completo ↗DOI · 10.1016/j.jormas.2024.102115

Autor Doctor&Cols

Carlos M. Cobo Vázquez
Cirugía Oral e Implantología

Cómo citar

Cobo-Vázquez C, Fernández-Gutiérrez L, Pérez-Fernández B, Sánchez‐Labrador L, Rodríguez NM, González JMM, et al. Effectiveness of conservative treatment of dentigerous cyst in the pediatric patient: A systematic review. Journal of Stomatology Oral and Maxillofacial Surgery. 2024. doi:10.1016/j.jormas.2024.102115