{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T21:00:06Z","timestamp":1793912406061,"version":"4.8.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>In dental practice, impacted canines are common clinical conditions that compromise tooth mobility, thereby severely affecting functionality and esthetics. They also represent a significant challenge, particularly when associated with odontogenic pathologies such as dentigerous cysts and odontomas. These entities, despite benign, can cause complications, including tooth displacement, root resorption, and alterations in normal eruption, compromising both esthetics and function. We present the case of a 15-year-old female patient with no relevant medical history who attended for orthodontic treatment planning. Computed tomography scans revealed bilateral impaction of the mandibular canines, associated with radiolucent images consistent with dentigerous cysts. A mixed radiolucent-radiopaque image was also observed in the area of the lower right first premolar, suggesting an odontoma. Surgical management was proposed, including enucleation of the cysts, removal of the odontoma, and placement of orthodontic appliances on the exposed canines to facilitate their movement. Histopathological analysis confirmed the diagnosis of two dentigerous cysts and one compound odontoma. In the surgical follow-up, the intervention area evolved satisfactorily, with no signs of complications, such as infection, delayed healing, or recurrence of the lesion. One of the most complex clinical challenges is managing impacted mandibular canines when associated with odontogenic pathologies. The implementation of advanced diagnostic tools such as computed tomography, along with appropriate surgical techniques and strategic orthodontic planning, effectively addresses these clinical presentations. Timely multidisciplinary treatment promotes the resolution of associated pathologies and optimizes dental alignment, contributing to improved masticatory function and facial esthetics. These comprehensive approaches are essential to ensure predictable and successful outcomes in certain complex cases.<\/jats:p>","DOI":"10.1177\/2050313x251371958","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T01:55:33Z","timestamp":1756346133000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Diagnosis and surgical management of impacted mandibular canines associated with a dentigerous cyst and odontoma: A case report"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1645-8705","authenticated-orcid":false,"given":"Fernando","family":"Guti\u00e9rrez-Maldonado","sequence":"first","affiliation":[{"name":"Department of Medical and Life Sciences, La Ci\u00e9nega University Center, University of Guadalajara (CUCIENEGA-UdeG), Ocotl\u00e1n, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6112-8779","authenticated-orcid":false,"given":"Gustavo Eder","family":"Gonz\u00e1lez-Alvarez","sequence":"additional","affiliation":[{"name":"Department of Medical and Life Sciences, La Ci\u00e9nega University Center, University of Guadalajara (CUCIENEGA-UdeG), Ocotl\u00e1n, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-1843-384X","authenticated-orcid":false,"given":"Melissa","family":"Mart\u00ednez-Nieto","sequence":"additional","affiliation":[{"name":"Department of Integrated Dentistry Clinics, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6727-7969","authenticated-orcid":false,"given":"Mario Alberto","family":"Alarc\u00f3n-S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Molecular Biology in Medicine Program, University Center of Health Sciences, University of Guadalajara (CUCS-UdeG), Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1608-8732","authenticated-orcid":false,"given":"Lilibeth-Stephania","family":"Escoto-Vasquez","sequence":"additional","affiliation":[{"name":"Postgraduate Division, Department of Oral Medicine and Pathology, Dental School, National Autonomous University of Mexico, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8329-3205","authenticated-orcid":false,"given":"Artak","family":"Heboyan","sequence":"additional","affiliation":[{"name":"Department of Research Analytics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India"},{"name":"Department of Prosthodontics, Faculty of Stomatology, Yerevan State Medical University after Mkhitar Heratsi, Armenia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0712-0334","authenticated-orcid":false,"given":"Ruth","family":"Rodr\u00edguez-Monta\u00f1o","sequence":"additional","affiliation":[{"name":"Department of Health and Illness as an Individual and Collective Process, University Center of Tlajomulco, University of Guadalajara (CUTLAJO-UdeG), Tlajomulco de Zu\u00f1iga, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0569-1387","authenticated-orcid":false,"given":"Sarah Monserrat","family":"Lomel\u00ed-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Medical and Life Sciences, La Ci\u00e9nega University Center, University of Guadalajara (CUCIENEGA-UdeG), Ocotl\u00e1n, Jalisco, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,8,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/jos.jos_65_23"},{"issue":"9","key":"e_1_3_3_3_2","article-title":"Odontomas are associated with impacted permanent teeth in orthodontic patients","volume":"11","author":"Da Silva VSA","year":"2019","unstructured":"Da Silva VSA, Pedreira RPG, Sperandio FF, et al Odontomas are associated with impacted permanent teeth in orthodontic patients. J Clin Exp Dent 2019; 11(9): e790\u2013e794.","journal-title":"J Clin Exp Dent"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ortho.2019.03.019"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-018-1829-2"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2020.06.029"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsps.2021.03.010"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4067\/S0718-381X2011000300003"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajodo.2004.06.009"},{"issue":"8","key":"e_1_3_3_10_2","article-title":"Management of permanent teeth in dentigerous cysts in children: a case report","volume":"15","author":"Antunes D","year":"2023","unstructured":"Antunes D, Albisetti A, Fricain M, et al Management of permanent teeth in dentigerous cysts in children: a case report. Cureus 2023; 15(8): e44062.","journal-title":"Cureus"},{"issue":"3","key":"e_1_3_3_11_2","first-page":"177","article-title":"Dentigerous cyst in a young child: a case report","volume":"55","author":"McKinney SL","year":"2021","unstructured":"McKinney SL, Lukes SM. Dentigerous cyst in a young child: a case report. Can J Dent Hyg 2021; 55(3): 177\u2013181.","journal-title":"Can J Dent Hyg"},{"key":"e_1_3_3_12_2","first-page":"149","article-title":"Dentigerous cyst: enucleation or marsupialization? (a case report)","volume":"40","author":"Rajae EG","year":"2021","unstructured":"Rajae EG, Karima EH. Dentigerous cyst: enucleation or marsupialization? (a case report). 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