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Article: Volume 45 Number 11 Page 1063 - December 2018

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  Dent Update 2018; 45: 1063-1082

Oral surgery:  Bilateral Dentigerous Cysts: An Updated Literature Review and Report of a Case with Associated Root Resorption

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Abstract: Dentigerous cysts, though common, rarely present bilaterally. The rarity of bilateral presentation is highlighted by a review of the literature which revealed a total of 77 published cases. This demonstrated that, although 29% were asymptomatic, 58% presented with swelling and 22% with pain. The majority of patients were treated with enucleation alone (73%); 17% were managed with marsupialisation, and 8% treated with a combination of surgical techniques. Of cases reported, 16% had resorption of adjacent teeth, with 8% describing resorption of permanent dentition. This highlights the importance of symptom recognition and appropriate radiographic investigation from the outset to allow prompt, appropriate treatment.

Clinical relevance: Dentigerous cysts are the second most common type of odontogenic cyst, however, their bilateral presentation in a syndrome-free patient is rare. Early recognition of symptoms, knowledge of appropriate investigations and management options are vital for ensuring optimal patient outcome.

Author notes: Zehra Yonel, BDS, MFDS RCS(Edin), PgCert FHEA, Clinical Lecturer in Restorative Dentistry, Department of Restorative Dentistry, Arathi Papineni McIntosh, BSc, BDS, MFDS RCS(Edin), Specialty Trainee in Oral Surgery, Department of Oral Surgery, Neil Donaldson, BDS, MFDS RCPSG, Specialty Trainee in Oral Surgery, Department of Oral Surgery, University of Birmingham, Michael Murphy, BDS, MSc, FDS(OS), Consultant in Oral Surgery, Department of Oral Surgery, University of Birmingham, School of Dentistry, 5 Mill Pool Way, Birmingham B5 7EG and Pankaj Taneja, BDS, MJDF RCS(Eng), MOralSurg(Eng) PG Cert, Oral Surgery Specialist, PhD Student, Department of Dentistry and Oral Health, Section of Orofacial Pain and Jaw Function, Aarhus University, Denmark.

Objective: To provide an updated review of bilateral dentigerous cysts and describe a case.