Cisto dentígero associado a terceiro molar incluso: relato de caso

Abstract

The dentigerous cyst is reported as a developmental odontogenic cyst with the highest incidence in the jaws. It is a slow-growing, asymptomatic lesion, associated with unerupted dental elements, and its etiopathogenesis is uncertain, but most cases have a favorable prognosis due to their benign nature. The incidence of dentigerous cysts is mostly related to Caucasian males between the second and third decade of life. The lesion is detected by radiographic examination and confirmed by cytopathological evaluation. Aim: This study aims to emphasize the surgical approach as a therapy, as well as highlighting the importance of the multi-professional histological assessment process for diagnosing dentigerous cysts. Materials and methods: The present study elucidates a case report on the enucleation and curettage of a lesion suggestive of a dentigerous cyst in the lower right third molar, considering aspects consolidated in the available literature, such as the symptoms, behavior and radiographic presentation of the lesion, as well as the patient's characteristics. Discussion: The progress of the healing process and tissue neoformation after the surgical procedure proved to be favorable, but there was a divergence in the diagnostic hypothesis raised by the authors in relation to the result obtained after cytopathological evaluation, suggesting errors in the collection and storage of the cystic content or cytological evaluation.