Histopathological evaluation of pericoronal tissues associated with embedded teeth
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Published:
Jul 20, 2018
Keywords:
pericoronal tissues; embedded tooth; dentigerous cyst; dental follicle; ameloblastoma; histopathological examination; tooth eruption; pericoronal radiolucency.
Main Article Content
Abstract
Tooth impaction or embedment occurs frequently, and diagnosing the presence of associated pathology with the pericoronal tissues of it can it more complicated for the clinician. The associated lesions of the pericoronal tissues of embedded teeth may vary considerably and impaction or embedment of tooth and associated pathology can result in various the harmful destructions of the surrounding tissues. The accurate diagnosis of pathology associated with the pericoronal tissues of embedded teeth was doubtful with radiographic analysis, therefore histopathology evaluation of these tissues by analyzing and interpreting the sizes, shapes and patterns of cells within the dental follicle can be gold standard examining tool. This article is to compare the differentiations of the pericoronal tissue lesions by radiography and Histopathologic examination. Histopathological examination of pericoronal tissues of embedded tooth can help the practitioners to make accurate diagnoses and can plan a better treatment. After such examinations, clinicians can conclude that whether there is development of pathologic change in the pericoronal tissues of embedded teeth. This study highlights the importance of early detection of the pericoronal pathosis and the mutual work of the oral radiologists, surgeons, and the pathologists.
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How to Cite
1.
Wongsirichat N, Namgyel T, Chaiyasamut T, Boonsiriseth K, Rojvanakarn M. Histopathological evaluation of pericoronal tissues associated with embedded teeth. M Dent J [Internet]. 2018 Jul. 20 [cited 2024 May 2];38(2):169-76. Available from: https://he02.tci-thaijo.org/index.php/mdentjournal/article/view/179324
Section
Review articles
References
1. Vigneswaran AT, Shilpa S. The incidence of cysts and tumors associated with impacted third molars. J Pharm Bioallied Sci 2015; 7(Suppl 1): S251-4. 2015. doi: 10.4103/0975-7406.155940
2. Mesgarzadeh AH, Esmailzadeh H, Abdolrahimi M, Shahamfar M. Pathosis associated with radiographically normal follicular tissues in third molar impactions: A clinicopathological study. Indian J Dent Res 2008; 19: 208-123.
3. Kruger E, Thomson WM, Konthasinghe P. Third molar outcomes from age 18 to 26: Findings from a population-based New Zealand longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol Endodon 92(2):150-5. DOI: 10.1067/moe.2001.115461
4. Becktor K, Kjær I, Koch C. Tooth eruption, epithelial rooth sheath and craniofacial profile in hyper-IgE syndrome: report of two cases. Eur J of Paediatr Dent. 2001; 4: 185–190.
5. Woodroffe S, Mihailidis S, Hughes T, Bockmann M, Seow WK, Gotjamanos T, et al. Primary tooth emergence in Australian children: timing, sequence and patterns of asymmetry. Aust Dent J 2010; 55(3): 245-51.
6. Haidar Z, Shalhoub SY. The incidence of impacted wisdom teeth in a Saudi community. Int J Oral Maxillofac Surg 1986; 15(5): 569-71.
7. Curran AE, Damm DD, Drummond JF. Pathologically significant pericoronal lesions in adults: Histopathologic evaluation. J Oral Maxillofac Surg 2002; 60(6): 613-7.
8. Saravana G, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg 2008; 46(7): 552-3.
9. Adyanthaya S, Jose M. Quality and safety aspects in histopathology laboratory. J Oral Maxillofac Pathol. 2013 Sep-Dec; 17(3): 402–407. doi: 10.4103/0973-029X.125207
10. Svendsen H, Björk A. Third molar impaction—a consequence of late M3 mineralization and early physical maturity. Eur J Orthod 1988; 10(1): 1-12.
11. Rakprasitkul S. Pathologic changes in the pericoronal tissues of unerupted third molars. Quintessence Int 2001 Sep; 32(8): 633-8.
12. Sacerdoti R, Baccetti T. Dentoskeletal features associated with unilateral or bilateral palatal displacement of maxillary canines. Angle Orthod. 2004; 74(6): 725-32.
13. Tegginamani AS, Prasad R. Histopathologic evaluation of follicular tissues associated with impacted lower third molars. Journal of oral and maxillofacial pathology. J Oral Maxillofac Pathol. 2013; 17(1): 41–44. doi: 10.4103/0973-029X.110713
14. Açıkgöz A, Açıkgöz G, Tunga U, Otan F. Characteristics and prevalence of non-syndrome multiple supernumerary teeth: a retrospective study. Dentomaxillofac Radiol. 2006 May;35(3):185-90.
15. Knutsson K, Brehmer B, Lysell L, Rohlin M. Pathoses associated with mandibular third molars subjected to removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jul; 82(1): 10-7.
16. Adelsperger J, Campbell JH, Coates DB, Summerlin D-J, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endodon 2000; 89(4): 402-6.
17. Haghanifar S, Moudi E, Seyedmajidi M, Mehdizadeh M, Nosrati K, Abbaszadeh N, et al. Can the follicle-crown ratio of the impacted third molars be a reliable indicator of pathologic problem? J Dent (Shiraz). 2014 Dec; 15(4): 187–191.
18. Glosser JW, Campbell JH. Pathologic change in soft tissues associated with radiographically 'normal' third molar impactions. Br J Oral Maxillofac Surg. 1999 Aug; 37(4): 259-60.
19. Kotrashetti VS, Kale AD, Bhalaerao SS, Hallikeremath SR. Histopathologic changes in soft tissue associated with radiographically normal impacted third molarsใ Indian J Dent Res. 2010;21(3):385–390.
20. Tambuwala AA, Oswal RG, Desale RS, Oswal NP, Mall PE, Sayed AR, et al. An evaluation of pathologic changes in the follicle of impacted mandibular third molars. J Int Oral Health. 2015 Apr; 7(4): 58–62.
21. Adaki SR, Yashodadevi BK, Sujatha S, Santana N, Rakesh N, Adaki R. Incidence of cystic changes in impacted lower third molar. Indian J Dent Res. 2013 Mar-Apr;24(2):183-7. doi: 10.4103/0970-9290.116674.
22. Lin HP, Wang YP, Chen HM, Cheng SJ, Sun A, Chiang CP. A clinicopathological study of 338 dentigerous cysts. J Oral Pathol Med. 2013 Jul;42(6):462-7. doi: 10.1111/jop.12042. Epub 2012 Dec 27.
23. Güven O, KeskIn A, Akal ÜK. The incidence of cysts and tumors around impacted third molars. Int J Oral Maxillofac Surg. 2000 Apr;29(2):131-5.
24. Sewerin I, Von Wowern N. A radiographic four-year follow-up study of asymptomatic mandibular third molars in young adults. Int Dent J 1990 Feb; 40(1): 24-30.
25. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol 1985 Apr;59(4):420-5.
26. Inspection V. A review of impacted permanent maxillary cuspids—diagnosis and prevention. J Can Dent Assoc. 2000 Oct;66(9):497-501.
27. Bishara SE, Ortho D. Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop 1992 Feb; 101(2): 159-71.
28. Agacayak KS, Kose I, Gunes N, Bahsi E, Yaman F, Atilgan S. Dentigerous Cyst With an Impacted Canine: Case Report. J Int Dent Med Res. 2011; 4(1): 21-4.
29. Salati NA, Khwaja KJ, Khan MA. Large dentigerous cyst associated with an impacted canine. Guident. 2011;4(9).
30. Buyukkurt MC, Aras MH, Caglaroglu M. Extraoral removal of a transmigrant mandibular canine associated with a dentigerous cyst. Quintessence Inter 2008;39(9).
31. Utami M, Sulistyani L. Pathologic fracture risk on removal of a mandibular impacted canine associated with dentigerous cyst. Int J Oral Maxillofac Surg 2015; 44: e299-e300.
32. da Silva Santos LM, Bastos LC, Oliveira-Santos C, Da Silva SJA, Neves FS, Campos PSF. Cone-beam computed tomography findings of impacted upper canines. Imaging Sci Dent. 2014 Dec; 44(4): 287–292. Published online 2014 Nov 25. doi: 10.5624/isd.2014.44.4.287
33. Khambete N, Kumar R, Risbud M, Kale L, Sodhi S. Dentigerous cyst associated with an impacted mesiodens: report of 2 cases. Imaging Sci Dent. 2012 Dec; 42(4): 255–260. online 2012 Dec 23. doi: 10.5624/isd.2012.42.4.255
34. Kessler H, Kraut RA. Dentigerous cyst associated with an impacted mesiodens. Gen dentist. 1989;37(1):47-9.
35. de Santana Santos T, Piva MR, de Souza Andrade ES, Vajgel A, de Holanda Vasconcelos RJ, Martins-Filho PRS. Ameloblastoma in the Northeast region of Brazil: a review of 112 cases. Journal of oral and maxillofacial pathology. J Oral Maxillofac Pathol. 2014 Sep; 18(Suppl 1): S66–S71. doi: 10.4103/0973-029X.141368
36. Song F, Landes D, Glenny A, Sheldon T. Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J 1997;182(9):339-46.
37. Naves MD, Sette-Dias AC, Abdo EN, Gomez RS. The histopathological examination of the dental follicleof asymptomatic impacted tooth: is it necessary? Arch Oral Res. 2012; 8(1): 67-7.
2. Mesgarzadeh AH, Esmailzadeh H, Abdolrahimi M, Shahamfar M. Pathosis associated with radiographically normal follicular tissues in third molar impactions: A clinicopathological study. Indian J Dent Res 2008; 19: 208-123.
3. Kruger E, Thomson WM, Konthasinghe P. Third molar outcomes from age 18 to 26: Findings from a population-based New Zealand longitudinal study. Oral Surg Oral Med Oral Pathol Oral Radiol Endodon 92(2):150-5. DOI: 10.1067/moe.2001.115461
4. Becktor K, Kjær I, Koch C. Tooth eruption, epithelial rooth sheath and craniofacial profile in hyper-IgE syndrome: report of two cases. Eur J of Paediatr Dent. 2001; 4: 185–190.
5. Woodroffe S, Mihailidis S, Hughes T, Bockmann M, Seow WK, Gotjamanos T, et al. Primary tooth emergence in Australian children: timing, sequence and patterns of asymmetry. Aust Dent J 2010; 55(3): 245-51.
6. Haidar Z, Shalhoub SY. The incidence of impacted wisdom teeth in a Saudi community. Int J Oral Maxillofac Surg 1986; 15(5): 569-71.
7. Curran AE, Damm DD, Drummond JF. Pathologically significant pericoronal lesions in adults: Histopathologic evaluation. J Oral Maxillofac Surg 2002; 60(6): 613-7.
8. Saravana G, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg 2008; 46(7): 552-3.
9. Adyanthaya S, Jose M. Quality and safety aspects in histopathology laboratory. J Oral Maxillofac Pathol. 2013 Sep-Dec; 17(3): 402–407. doi: 10.4103/0973-029X.125207
10. Svendsen H, Björk A. Third molar impaction—a consequence of late M3 mineralization and early physical maturity. Eur J Orthod 1988; 10(1): 1-12.
11. Rakprasitkul S. Pathologic changes in the pericoronal tissues of unerupted third molars. Quintessence Int 2001 Sep; 32(8): 633-8.
12. Sacerdoti R, Baccetti T. Dentoskeletal features associated with unilateral or bilateral palatal displacement of maxillary canines. Angle Orthod. 2004; 74(6): 725-32.
13. Tegginamani AS, Prasad R. Histopathologic evaluation of follicular tissues associated with impacted lower third molars. Journal of oral and maxillofacial pathology. J Oral Maxillofac Pathol. 2013; 17(1): 41–44. doi: 10.4103/0973-029X.110713
14. Açıkgöz A, Açıkgöz G, Tunga U, Otan F. Characteristics and prevalence of non-syndrome multiple supernumerary teeth: a retrospective study. Dentomaxillofac Radiol. 2006 May;35(3):185-90.
15. Knutsson K, Brehmer B, Lysell L, Rohlin M. Pathoses associated with mandibular third molars subjected to removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jul; 82(1): 10-7.
16. Adelsperger J, Campbell JH, Coates DB, Summerlin D-J, Tomich CE. Early soft tissue pathosis associated with impacted third molars without pericoronal radiolucency. Oral Surg Oral Med Oral Pathol Oral Radiol Endodon 2000; 89(4): 402-6.
17. Haghanifar S, Moudi E, Seyedmajidi M, Mehdizadeh M, Nosrati K, Abbaszadeh N, et al. Can the follicle-crown ratio of the impacted third molars be a reliable indicator of pathologic problem? J Dent (Shiraz). 2014 Dec; 15(4): 187–191.
18. Glosser JW, Campbell JH. Pathologic change in soft tissues associated with radiographically 'normal' third molar impactions. Br J Oral Maxillofac Surg. 1999 Aug; 37(4): 259-60.
19. Kotrashetti VS, Kale AD, Bhalaerao SS, Hallikeremath SR. Histopathologic changes in soft tissue associated with radiographically normal impacted third molarsใ Indian J Dent Res. 2010;21(3):385–390.
20. Tambuwala AA, Oswal RG, Desale RS, Oswal NP, Mall PE, Sayed AR, et al. An evaluation of pathologic changes in the follicle of impacted mandibular third molars. J Int Oral Health. 2015 Apr; 7(4): 58–62.
21. Adaki SR, Yashodadevi BK, Sujatha S, Santana N, Rakesh N, Adaki R. Incidence of cystic changes in impacted lower third molar. Indian J Dent Res. 2013 Mar-Apr;24(2):183-7. doi: 10.4103/0970-9290.116674.
22. Lin HP, Wang YP, Chen HM, Cheng SJ, Sun A, Chiang CP. A clinicopathological study of 338 dentigerous cysts. J Oral Pathol Med. 2013 Jul;42(6):462-7. doi: 10.1111/jop.12042. Epub 2012 Dec 27.
23. Güven O, KeskIn A, Akal ÜK. The incidence of cysts and tumors around impacted third molars. Int J Oral Maxillofac Surg. 2000 Apr;29(2):131-5.
24. Sewerin I, Von Wowern N. A radiographic four-year follow-up study of asymptomatic mandibular third molars in young adults. Int Dent J 1990 Feb; 40(1): 24-30.
25. Grover PS, Lorton L. The incidence of unerupted permanent teeth and related clinical cases. Oral Surg Oral Med Oral Pathol 1985 Apr;59(4):420-5.
26. Inspection V. A review of impacted permanent maxillary cuspids—diagnosis and prevention. J Can Dent Assoc. 2000 Oct;66(9):497-501.
27. Bishara SE, Ortho D. Impacted maxillary canines: a review. Am J Orthod Dentofacial Orthop 1992 Feb; 101(2): 159-71.
28. Agacayak KS, Kose I, Gunes N, Bahsi E, Yaman F, Atilgan S. Dentigerous Cyst With an Impacted Canine: Case Report. J Int Dent Med Res. 2011; 4(1): 21-4.
29. Salati NA, Khwaja KJ, Khan MA. Large dentigerous cyst associated with an impacted canine. Guident. 2011;4(9).
30. Buyukkurt MC, Aras MH, Caglaroglu M. Extraoral removal of a transmigrant mandibular canine associated with a dentigerous cyst. Quintessence Inter 2008;39(9).
31. Utami M, Sulistyani L. Pathologic fracture risk on removal of a mandibular impacted canine associated with dentigerous cyst. Int J Oral Maxillofac Surg 2015; 44: e299-e300.
32. da Silva Santos LM, Bastos LC, Oliveira-Santos C, Da Silva SJA, Neves FS, Campos PSF. Cone-beam computed tomography findings of impacted upper canines. Imaging Sci Dent. 2014 Dec; 44(4): 287–292. Published online 2014 Nov 25. doi: 10.5624/isd.2014.44.4.287
33. Khambete N, Kumar R, Risbud M, Kale L, Sodhi S. Dentigerous cyst associated with an impacted mesiodens: report of 2 cases. Imaging Sci Dent. 2012 Dec; 42(4): 255–260. online 2012 Dec 23. doi: 10.5624/isd.2012.42.4.255
34. Kessler H, Kraut RA. Dentigerous cyst associated with an impacted mesiodens. Gen dentist. 1989;37(1):47-9.
35. de Santana Santos T, Piva MR, de Souza Andrade ES, Vajgel A, de Holanda Vasconcelos RJ, Martins-Filho PRS. Ameloblastoma in the Northeast region of Brazil: a review of 112 cases. Journal of oral and maxillofacial pathology. J Oral Maxillofac Pathol. 2014 Sep; 18(Suppl 1): S66–S71. doi: 10.4103/0973-029X.141368
36. Song F, Landes D, Glenny A, Sheldon T. Prophylactic removal of impacted third molars: an assessment of published reviews. Br Dent J 1997;182(9):339-46.
37. Naves MD, Sette-Dias AC, Abdo EN, Gomez RS. The histopathological examination of the dental follicleof asymptomatic impacted tooth: is it necessary? Arch Oral Res. 2012; 8(1): 67-7.