How to treat dentigerous cyst and odontoma present in the lower gums?

Question

Hi doctor,

I have been diagnosed with a dentigerous cyst and compound odontoma inside my lower gums. I have been advised to remove the cyst and to have a biopsy of the cyst for odontoma. I do not have pain and swelling. I visited a dentist a few months ago, where I took an X-ray. We found a small dark area in the X-ray. It was an odontoma with an unerupted canine. It was confirmed again in a CBCT scan. The results came with a dentigerous cyst and an odontoma. I am scared of the surgery done under GA. Is it necessary to remove the cyst?

Surgeons suggest different opinions. One oral surgeon is recommending the removal of the cyst and odontoma and placing a plate on the canine. Another surgeon is recommending the removal of the cyst and odontoma. Another dentist told me to wait and watch, as it is asymptomatic. I am attaching my reports. Please suggest.

Answer 1

Hi,

Welcome to icliniq.com.

If the cysts are small, they can be left untreated. But the problem is that the cysts can create an infection later. They can also cause more issues like tooth mobility, bone loss, or any other transformation. So it is better to remove it. Odontomas are developmental. They also create problems when they are left untreated. But again, there are chances of cyst formation and expansion later. So, if the oral surgeon suggests the removal of the cyst, try to go for it.

I have gone through the reports (attachment removed to protect patient identity). It is better to remove the cyst. Currently, you do not have problems. If it is left untreated, it can form an ameloblastoma in the future. You do not worry. These cysts are found in any person due to an impacted tooth.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

You are welcome.