1. The small dentigerous cyst. A diagnostic dilemma.
- Author
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Daley TD and Wysocki GP
- Subjects
- Adolescent, Adult, Age Distribution, Aged, Aged, 80 and over, Child, Child, Preschool, Dentigerous Cyst diagnosis, Dentigerous Cyst epidemiology, Diagnosis, Differential, Female, Humans, Incidence, Male, Middle Aged, Ontario epidemiology, Sex Distribution, Dental Sac anatomy & histology, Dentigerous Cyst pathology
- Abstract
The dentigerous (follicular) cyst is recognized as one of the most common lesions of the jaws. Clinical, radiographic, histologic, and prognostic characteristics are well established for medium to large pericoronal cysts that are lined by nonkeratinized stratified squamous epithelium. However, it can be difficult, if not impossible, to distinguish between a small dentigerous cyst and a large dental follicle despite the availability of both radiographic and histologic information. Epidemiologic data derived from a comparative study of 1662 dentigerous cysts and 824 dental follicles showed considerable overlap in age distribution and site predilection and were therefore of minimal use in reaching a final diagnosis. At present, it appears that identifying a cystic cavity at the time of surgery may be the only reliable way to arrive at a definitive diagnosis when radiographic and histologic features are insufficient to distinguish between a small dentigerous cyst and a large dental follicle.
- Published
- 1995
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