{"id":68,"date":"2016-08-18T21:31:41","date_gmt":"2016-08-18T21:31:41","guid":{"rendered":"https:\/\/equinedentalacademy.com\/wp2\/2016\/08\/18\/bilateral-dentigerous-cysts-2\/"},"modified":"2016-08-18T21:31:41","modified_gmt":"2016-08-18T21:31:41","slug":"bilateral-dentigerous-cysts-2","status":"publish","type":"post","link":"https:\/\/equinedentalacademy.com\/wp2\/bilateral-dentigerous-cysts-2\/","title":{"rendered":"Bilateral Dentigerous Cysts"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><a class=\"gtfy-1 gtfy-2\" href=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-4.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 9\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-9.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/a><\/p>\n<p><a href=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-rad.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 8\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-8-1.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/a><\/p>\n<p><a href=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-follow-1.jpg\"><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 7\" src=\"http:\/\/academyofequinedentistry.files.wordpress.com\/2010\/03\/dentigerous-cyst-7.png\" alt=\"\" width=\"418\" height=\"313\" \/><\/a><\/p>\n<h2>Bilateral Dentigerous Cysts<\/h2>\n<p>Bilateral dentigerous cysts are uncommon.\u00a0 A dentigerous cyst, also called an erratic\u00a0tooth, can\u00a0developed\u00a0from one or a conglomerate of teeth, surrounded by a sack or cyst of which the inside is covered with mucous membrane.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 6\" src=\"http:\/\/academyofequinedentistry.files.wordpress.com\/2010\/03\/dentigerous-cyst-6.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/p>\n<p>Inside the mouth, the number of teeth is normal.\u00a0 This deformation can be found unilaterally or bilaterally and even in other parts of the body, such as the lymph nodes and testicles.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst.jpg\" alt=\"\" width=\"417\" height=\"340\" \/><\/p>\n<p>The origin is located under the temporalis muscle, close to or ankylosed against the temporal bone.\u00a0 Sometimes, only the cyst is present and no teeth or material can be found.\u00a0 The cyst usually breaks and drains, forming a chronic drain tract on the cranial edge of the auricle.\u00a0 Although a foal is born with this deviation, it often remains unnoticed for a long period of time.\u00a0 Not until the mucous membrane becomes contaminated with bacteria and starts to produce a honey-like secretion, and in a later stage, muco-purulent exudates, does the dentigerous cyst become visible.\u00a0 This often happens at the age of 1-2 years, but it can occur at a later age.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 2\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-2.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst 4\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-4.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/p>\n<p>The symptoms are a chronic dirty ear and\/or swelling on the base of the ear, sometimes hard, sometimes fluctuating.\u00a0 When pressure is added, secretum will come out of the drain tract.\u00a0 The drain tract is located on the edge of the auricle and runs down the auricle under the temporalis muscle.\u00a0 Radiographs will confirm the size and location of the erratic tooth.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst rad\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-rad.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/p>\n<p>Treatment for dentigerous cysts is surgical removable under general anesthesia or standing with sedation and local anesthesia.\u00a0 The drain tract, cyst and erratic tooth must be removed completely for a successful outcome.<\/p>\n<p>Surgery starts with a 6-8 cm skin incision directed ventral from the base of the ear.\u00a0 The cystic lining should be dissected away from the surrounding tissues and completely removed.\u00a0 The origin of the cyst is the erratic tooth which is found under the temporalis muscle. Usually the aberrant tooth material is tightly adhered to the temporal bone and can be removed with an osteotome and mallet.<\/p>\n<p>After removing the complete cyst and all of the enhancing tissue, the wound can be closed in three layers, obliterating as much dead space as possible and incorporating a Penrose drain tube.\u00a0 Dissolvable suture material is used for the muscle and subcutaneous layer and the dermis is closed with a separate non-absorbable suture.\u00a0 A drain tube can be removed after the hemorrhagic secretion stops.<\/p>\n<p><strong>Field Case<\/strong>: A Yearling QH was referred to the wet lab for evaluation and possible treatment of bilateral dentigerous cysts.\u00a0 There was a large draining cyst below the left ear and a small similar cyst below the right ear.\u00a0 Lateral oblique radiographs were taken and it was clearly visible that there was an odontoma present under each temporalis muscle.<\/p>\n<p>Surgical removal of both cysts and odontoma was performed to resolve the abnormality.\u00a0 The surgery was performed on the horse standing with sedation and local anesthesia.\u00a0 The lining of the cysts was completely removed, along with the erratic tooth materials which were adhered to the temporal bones.\u00a0 The surgery site was sutured in three layers and Penrose drain tube was incorporated within the surgical site and vented through a stab incision below the suture line.\u00a0 The drain tube and suture were removed in two weeks.\u00a0 Partial dehiscence of the outer suture line occurred 7 days after surgery and the remaining sutures and drain tube were removed 14 days after surgery.\u00a0 A Three-month follow up revealed compete healing of the surgical area with no signs of drainage or swelling.<\/p>\n<p>B. W. Fletcher, DVM<\/p>\n<p><strong><em><img loading=\"lazy\" decoding=\"async\" title=\"dentigerous cyst follow\" src=\"https:\/\/equinedentalacademy.com\/wp2\/wp-content\/uploads\/2022\/09\/dentigerous-cyst-follow-1.jpg\" alt=\"\" width=\"418\" height=\"313\" \/><\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Bilateral Dentigerous Cysts Bilateral dentigerous cysts are uncommon.\u00a0 A dentigerous cyst, also called an [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_gutenify_countdown_timer_type":"fixed","_gutenify_countdown_timer_evergreen_hours":24,"_gutenify_countdown_timer_evergreen_minutes":0,"_gutenify_countdown_timer_date":"","_gutenify_countdown_timer_timezone":"US\/Eastern","_gutenify_countdown_timer_end_action":"none","_gutenify_countdown_timer_hide_selector":"","_gutenify_countdown_timer_redirect_url":"","footnotes":""},"categories":[7,3],"tags":[8],"class_list":["post-68","post","type-post","status-publish","format-standard","hentry","category-cyst","category-equine-dentistry","tag-cyst"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Equine Dentistry School | Case Study | Bilateral Dentigerous Cysts<\/title>\n<meta name=\"description\" content=\"Learn horse dentistry at the Academy of Equine Dentistry in Glenns Ferry, Idaho. 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