Lorida O. DVM, PhD Candidate, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki,
Barkoulis A. DVM, MSc student, Companion Animal Clinic, Faculty of Veterinary Medicine, Aristotle University of Thessaloniki,
Patsikas M. DVM, MD, PhD, DiplECVD, Professor, Imaging Diagnostics Unit, School of Veterinary Medicine, Aristotle University of Thessaloniki
Papadimitriou S. DVM, DDS, PhD, Professor, Companion Animals Clinic, School of Veterinary Medicine, Aristotle University of Thessaloniki
Maragos G. DVM, Private Practitioner
Introduction
The aim of this study was to present the diagnosis and treatment of bilateral dentigerous cysts of the 1st mandibular premolars (305, 405), in a young dog.
Clinical case
A 1.5-year-old intact male border collie, presented for a 2 x 1 cm gingival enlargement at 406 area, and absence of 305 and 405. CT-scan and intraoral x-rays revealed extensive bone loss, from 404 up to 406, mild bone loss at 305, impacted 305, 405, and a bilateral dentigerous cyst was diagnosed. Surgical extractions of 404, 405, 406, and 305 were performed encapsulated cyst was removed and the bone defect was scraped, filled with an allogenic bone graft, and sutured.
Results
10 days postoperatively, a traumatic incident resulted in wound dehiscence, which healed by second intention, with the implementation of medical- grade honey. Radiologic examination two months postoperatively indicated bone growth at the cyst sites and 1.5 years postoperatively, the dog is completely healthy.
Conclusions
Dentigerous cysts are surrounded by an epithelial capsule and form around impacted teeth, most frequently the first mandibular premolars. CT-scan and intraoral radiographs are important diagnostic tools. Treatment includes the extraction of affected teeth, excision of the cyst capsule, and bone grafting in cases of extensive bone loss.
References
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- Honzelka SR, Kressin DJ, Chamberlain TP (2014) Modified Conservative Treatment of an Extensive Dentigerous Cyst in a Dog. J Vet Dent 31, 249-254.
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- Babbitt SG, Krakowski Volker M, Luskin IR (2016) Incidence of radiographic cystic lesions associated with unerupted teeth in dogs. J Vet Dent, 226-233.
