Giuseppe Pio Patianna^1,2*, Michele Lanzilotti², Greta Toma³, Gian Luca Pancrazi³, Raffaele Vinci^2,3,4

¹Adjunct Professor, Oral Surgery Postgraduate School, Vita-Salute San Raffaele University, Milan, Italy
²Department of Dentistry, IRCCS San Raffaele Hospital and Dental School, Vita-Salute San Raffaele University, Italy
³Oral Surgery Postgraduate School, Vita-Salute San Raffaele University, Milan, Italy
⁴Associate Professor, Dental School, Vita-Salute San Raffaele University and IRCCS San Raffaele, Milan, Italy

*Corresponding Author: Giuseppe Pio Patianna, Department of Dentistry, IRCCS San Raffaele Hospital and Oral Surgery Postgraduate School, Vita-Salute San Raffaele University, Milan, Italy.

Received: March 20, 2024; Published: March 28, 2024

Abstract

A Case report showing the removal of a dentigerous cyst associated with an ectopic wisdom tooth in the maxillary sinus combining endoscopic and intraoral approach is presented.
A woman aged 30 sought care at San Raffaele Hospital's Dentistry Department in Milan, Italy. She presented with a one-year history of nasal congestion, frequent runny nose, and sinusitis. Rigid nasal endoscopy revealed a sizable, irritated mass extending into the right maxillary sinus. A subsequent computed tomography scan confirmed the presence of a substantial soft-tissue density housing a tooth within the right maxillary sinus. Under general anesthesia, by means of endoscopic and intraoral approach it was possible to remove the dentigerous cyst associated to the ectopic wisdom tooth. The postoperative course was uneventful.
This case report suggests that in case of dentigerous cyst associated to wisdom teeth into the maxillary sinus cavity, combined trans-nasal endoscopy and intraoral approach may represent a valid alternative to more demolishing traditional surgeries.

Keywords: Dentigerous Cyst; Ectopic Third Molar; Maxillary; Surgical Approach; Endoscopic Approach; Wisdom Tooth

References

1. Srinivasa Prasad T., et al. “Dentigerous cyst associated with an ectopic third molar in the maxillary sinus: a rare entity”. Indian Journal of Dental Research 18 (2007): 141-143.
2. Bodner L., et al. “Teeth in the maxillary sinus— imaging and management”. Journal of Laryngology and Otology 111 (1997): 820-826.
3. Tournas AS., et al. “Multiple unilateral maxillary dentigerous cysts in a nonsyndromic patient: a case report and review of the literature”. International Journal of Pediatric Otorhinolaryngology Extra 1 (2006): 100-106.
4. Di Pasquale P and Shermetaro C. “Endoscopic removal of a dentigerous cyst producing unilateral maxillary sinus opacification on computed tomography”. Ear Nose Throat Journal 85 (2006): 747-748.
5. Courtot R., et al. “Surgical approach of ectopic maxillary third molar avulsion: Systematic review and meta-analysis”. Journal of Stomatology, Oral and Maxillofacial Surgery 1 (2021): 77-82.
6. Barzilai G., et al. “Indications for the Caldwell-Luc approach in the endoscopic era”. Otolaryngology–Head and Neck Surgery2 (2005): 219-220.
7. Aoki N., et al. “Multidisciplinary approach for treatment of a dentigerous cyst - marsupialization, orthodontic treatment, and implant placement: a case report”. Journal of Medical Case Reports 1 (2018): 305.
8. Nahajowski M., et al. “Factors influencing an eruption of teeth associated with a dentigerous cyst: a systematic review and meta-analysis”. BMC Oral Health1 (2021): 180.
9. Iwai T., et al. “Safe method of extraction to prevent a deeply-impacted maxillary third molar being displaced into the maxillary sinus”. British Journal of Oral and Maxillofacial Surgery 51 (2013): e75–76.
10. Allen DZ., et al. “Presentation of an iatrogenically displaced third molar into the maxillary sinus in a 14-year-old patient successfully removed with an endoscopic approach: a case report and a review of the literature”. Journal of Surgery Case Reports 10 (2020).
11. Lamb JF., et al. “Ectopic molar in the maxillary sinus precipitating a mucocele: a case report and literature review”. Ear Nose Throat Journal8 (2009): e6-e11.
12. Buyukkurt MC., et al. “Dentigerous cyst associated with an ectopic tooth in the maxillary sinus: a report of 3 cases and review of the literature”. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 1 (2010): 67-71.
13. Barry JY., et al. “Endoscopic resection of maxillary sinus keratocystic odontogenic tumors”. Laryngoscope 126 (2016): 2216e2219.
14. Jain K and Goyal P. “Endoscopic surgical treatment of maxillary odontogenic cysts”. International Forum Allergy Rhinology 5 (2015): 602e604.
15. Marino MJ., et al. “Management of odontogenic cysts by endonasal endoscopic techniques: a systematic review and case series”. American Journal of Rhinology and Allergy 32 (2018): 40e45.
16. Seno S., et al. “Endoscopic sinus surgery for the odontogenic maxillary cysts”. Rhinology 47 (2009): 305.

Citation

Citation: Giuseppe Pio Patianna., et al. “A Combined Endoscopic and Intraoral Approach for the Removal of a Dentigerous Cyst Associated with an Ectopic Wisdom Tooth in the Maxillary Sinus: A Case Report". Acta Scientific Dental Sciences 8.4 (2024): 65-70.

Copyright

Copyright: © 2024 Giuseppe Pio Patianna., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.