PATTERN AND MANAGEMENT OF CYSTS AND TUMORS AROUND IMPACTED TEETH

Abstract

The objective of this study was to see the association of pathologies with impacted teeth and their early management.The study was conducted at a secondary care hospital, Ministry of Health, Riyadh, Saudi Arabia from August 2016 to April 2018. Assessment was done with detailed history, clinical and radiographic examination. Initial radiographs were periapical, orthopantomogram, paranasal sinus view and occlusal view. CT scan and other investigations were advised as per requirement. All pathological samples were sent for histopathological evaluation after surgical excision. A total of 576 panoramic radiographs for impacted teeth were studied and recorded. Only 38 (6.60%) impacted / un-erupted teeth had associated cysts or tumors. Out of 38 lesions, 73.68% were associated with third molars,18.42% with premolars and 7.90% were related with canines. Male to female ratio was 1.8:1. The patient age ranged from 15 to 45 years, with a mean of 25.55+ 7.08 years. Patients between age 15-25 years (mean 21.48+2.6) were the most frequently affected followed by patients between 26 to 35 years (31.09+ 3.08).The most common pathology in the mandible was dentigerous cyst followed by Keratocystic odontogenic tumor while adenomatoid odontogenic tumor was observed commonly on maxillary anterior region during growing age. It can be concluded that maximum number of pathologies are seen in impacted molars (73.70%).Among these pathologies dentigerous cyst was most common(44.73%) followed by odontogenic cyst (28.94%).The most prevalent age range for pathologies was from 15 -25years.Early management can save many vital structures and prevent serious complications. On the basis of our current study, we recommend that early diagnosis and management of impacted teeth is very important to prevent late complications, so regular monitoring of impacted teeth is indicated.