Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2017, vol. 54, nr 1, January-March, p. 91–95

doi: 10.17219/dmp/65514

Publication type: clinical case

Language: English

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Creative Commons BY-NC-ND 3.0 Open Access

A dentigerous cyst in a patient treated for an odontogenic myxoma of the maxilla: A case report

Torbiel zawiązkowa zęba u pacjenta leczonego z powodu śluzaka zębopochodnego szczęki – opis przypadku

Patrycja Proc1,A,B,C,D, Małgorzata Zubowska2,A,B,C,D, Anna Janas-Naze3,B,E

1 Department of Pediatric Dentistry, Medical University of Łodź, Łodź, Poland

2 Department of Pediatrics, Oncology, Hematology and Diabetology, Medical University of Łódź, Łodź, Poland

3 Department and Clinic of Oral Surgery, Medical University of Łodź, Łodź, Poland


Tumors of the oral cavity are of various origins and can be signs of non-invasive cysts or malignant neoplasms. The paper describes the case of a 9-year-old boy with a tumor in the right side of the maxilla. Having been treated for an odontogenic myxoma at the age of 3, the patient was included in a national program assessing the health of children who had undergone anticancer treatment. The boy remained under oncological supervision, and the tumor was found again in the same region a few years later. It was diagnosed as a dentigerous cyst and surgically excised. In addition, when the patient was 9 several changes in dentition were found that were typical following anticancer therapy: no tooth germs were observed for teeth 13, 35 and 45, and microdontic teeth 25 and 47 were noted. These changes could be attributed to the chemotherapy performed in early childhood. Tumors appearing in the oral cavity always require an in-depth assessment of their nature and origin. Chemotherapy elicits late complications in tooth development in children.

Key words

child, myxoma, dentigerous cyst

Słowa kluczowe

dziecko, śluzak zębopochodny, torbiel zawiązkowa

References (23)

  1. Pawlak W, Kubasiewicz-Ross P, Pałka Ł, Zarzycki R. Cystic lesions of the jaws treated surgically in the Department of Maxillofacial Surgery Wroclaw Medical University in the years 2004–2007. Dent Med Probl. 2009;46:49–53 [in Polish].
  2. Kozarzewska M, Popowski W, Wojtowicz A. Epidemiological analysis of dentigerous cysts in material of Oral Surgery Department Medical University of Warsaw by years 1996–1999. Nowa Stomatol. 2001;6:2, 15–18 [in Polish].
  3. Kramer IRH, Pindborg JJ, Shear M. The WHO histological typing of odontogenic tumorous. A commentary on the second edition. Cancer 1992;70:2988–2994.
  4. Sobczak-Zagalska H, Emerich K. Dentigerous cyst – case reports and proposed treatment. Magazyn Stomatol. 2015;25:1, 31–37 [in Polish].
  5. Puacz P, Koczorowski M, Kaczmarek I, Osmola K. Dentigerous cyst associated with maxillary canine as a reason of occlusion defect. Dev Period Med. 2013;1:72–76 [in Polish].
  6. Benn A, Altini M. Dentigerous cysts of inflammatory origin. A clinicopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81:203–209.
  7. Błochowiak K, Pluskota J, Grajewski S, Sokalski J. Rare case of a huge odontogenic cyst of the mandible. Dent Forum 2013;41:144–49 [in Polish].
  8. Mc Donald RE. Tumors of the oral soft tissues and cysts and tumors of the bone. [In:] Dentistry for the Child and Adolescent. Eds.: Dean JA, Avery DR, Mc Donald RE. Mosby, Elsevier, 2011, 135–141.
  9. Ratajczyk M, Sowa W, Walter A. Molecular basis for formation of the odontogenic inflammatory cysts – review of literature. Dent Med Probl. 2010;47:496–501 [in Polish].
  10. Aquillino RN, Tuji FM, Eid LM, Molina OF, Joo HY, Net FH. Odontogenic myxoma in the maxilla: A case report and characteristic on CT and MR. Oral Oncol. 2006;42:133–136.
  11. Borgiel-Marek H, Jędrusik-Pawłowska M, Drugacz J, Malara P, Wodołażski A, Mazur M. Myxoma of the maxilla and mandible – a report of two cases and literature review. Czas Stomatol. 2005;56:667–672 [in Polish].
  12. Tkaczuk AT, Bhatti M, Caccamese JF, Ord RA, Pereira KD. Cystic lesion of the jaw in children. JAMA Otolaryngol Head Neck Surg. 2015;141:834–839.
  13. Cankurtaran C, Branstetter BF, Chiosea SI, Barnes EL Jr: Ameloblastoma and dentigerous cyst associated with impacted mandibular third molar tooth. Radio Graphics 2010;30:1415–1420.
  14. Mc Millan MD, Smillie AC. Ameloblastomas associated with dentigerous cysts. Oral Surg. 1981;51:489–496.
  15. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, Matsumura T. A radiologic analysis of dentigerous cysts and odonto-genic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91:743–747.
  16. Singaraju S, Wanjari SP, Parwani RN. Odontogenic myxoma of the maxilla: A report of a rare case and review of the literature. J Oral Maxillo-fac Pathol. 2010;14:19–23.
  17. Stypulkowska J. Odontogenic tumors and neoplastic-like changes of the jaw bone: Clinical study and evaluation of treatment results. Folia Medica Cracov. 1998;39:135–141 [in Polish].
  18. Noffke CE, Raubenheimer EJ, Chabikuli NJ, Bouckaert MM. Odontogenic myxoma: Review of the literature and report of 30 cases from South Africa. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104:101–109.
  19. MacDonald-Jankowski DS, Yeung RW, Li T, Lee KM. Computed tomography of odontogenic myxoma. Clin Radiol. 2004;59:281–287.
  20. Gupta P, Jawanda K, Narula R, Singh J. Inflammatory dentigerous cyst mimicking a periapical cyst. J Int Clinic Dent Res Org. 2016;8:
  21. Basile JR, Lin YLA. Case of odontogenic myxoma with unusual histological features mimicking a fibro-osseous process. Head Neck Pathol. 2010;4:253–256.
  22. Kalia V, Kaur S, Vashisht D. Gnathic desmoplastic fibroma mimicking a dentigerous cyst: A case report J Maxillofac Oral Surg. 2015;14 (Suppl 1):150–153.
  23. Proc P, Szczepańska J, Skiba A, Zubowska M, Fendler W, Młynarski W. Dental anomalies as late adverse effect among young children treated from cancer. Cancer Res Treat. 2016;48: 658–667.