Surgical Approach of Maxillary Cysts in Pediatric Patients: Report of Two Clinically Similar Cases with Different Diagnosis

André Pereira Falcão; Leticia Dragonetti Girotti; João Pedro Paulino Mazzon; Luis Alberto Balangio & Luan Borges Venturi

Summary

Extensive odontogenic cysts in children may represent surgical challenges, as they may have common clinical characteristics and different approaches. The main objective of this study is to compare two cases of pediatric odontogenic cysts in maxilla with similar surgical treatment and different histopathological diagnosis. The case series collected included two children, both 12 years old, with encapsulated osteolytic lesions in the region of the maxilla and zygoma body, with clinical and imaging characteristics that suggested odontogenic cysts. The histopathological diagnosis was dentigerous cyst and radicular cyst. In this way, we address the clinical-surgical diagnostic and therapeutic process adopted, analyzing clinical data, such as signs and symptoms, as well as pre- and postoperative tomography scans. Outpatient visits at regular intervals were planned. Both patients achieved significant regression of initial signs and symptoms and returned to their daily activities. It is noticeable that a good stratification of surgical need and planned action in diagnosis and surgery offer benefits with a favorable prognosis for pediatric odontogenic cysts of the jaw.

KEY WORDS: odontogenic cysts, dentigerous cyst, radicular cyst, maxillofacial surgery.

How to cite this article

PEREIRA FALCÃO, A.; DRAGONETTI GIROTTI, L.; PAULINO MAZZON, J. P.; BALANGIO, L. A. & BORGES VENTURI, L. Surgical approach of maxillary cysts in pediatric patients: Report of two clinically similar cases with different diagnosis. Int. J. Odontostomat., 18(2):135-140, 2024.