Clinical and radiographic characteristics of dentigerous cysts: a cluster case study of 31 cases

Tóm tắt

Objective: This study aimed to analyze the clinical and radiographic characteristics of dentigerous cyst (DC) patients came to the Department of Odonto-Stomatology, Bach Mai Hospital, focusing on demographics, symptom presentation and cyst features. Subjects and Methods: The study included 31 patients diagnosed with DC at the Department of Odonto-Stomatology, Bach Mai Hospital, Vietnam. Data on age, gender, clinical symptoms, cyst size, location, radiographic findings, and complications were collected and analyzed using SPSS 16.0. Statistical significance was set at p < 0.05. Results: The median patient age was 24.4 ± 11.7 years, with the highest prevalence in the 21–30 age group (41.9%). Males were more frequently affected (67.7%) than females. Common presenting symptoms included facial deformity (41.9%) and swelling/pain (25.8%). Most cysts were solitary (87.1%) and exhibited bone swelling (83.8%). Radiographically, central-type cysts predominated (67.6%), and 29.7% caused adjacent root resorption. Larger cysts (>5 cm) showed higher infection rates (66.7%). Fully developed teeth within cysts were observed in 51.4% of cases. Conclusion: DC predominantly affects young males, often presenting with asymptomatic bone expansion. Early diagnosis is crucial to give properly treatment to prevent complications such as infection and bone destruction. The study underscores the importance of radiographic evaluation in detecting DC and guiding treatment.