Dentigerous Cyst in Children (Management and Rehabilitation): A Case Report

Dentigerous cyst is the cyst which encircles the crown of an unerupted tooth. Dentigerous cysts usually present as a asymptomatic swelling, found when a non-erupted tooth is investigated or accidentally from panoramic radiographs. It is the second most commonly encountered odontogenic cyst in the oral and maxillofacial region. Frequently it is associated with third molars followed by maxillary canines. Lower premolars are also frequent sites. We reported A 5 years old boy patient came to Oral Surgery Department Hasan Sadikin Hospital Bandung with the swelling at left lower jaw since 6 month ago. From the clinical examination and radiography finding, the patient was diagnosed with dentigerous cyst at 75-36 region and was treated by enucleation biopsy for removal cyst and extraction of teeth 75-36 under general anesthesia. After 3 months, investigation showed there was no recurrence of the cyst and the patient has no complaint. Dentigerous cyst occurs in association with an unerupted tooth, most commonly, mandibular third molars. Other common associations are with maxillary third molars, maxillary canines, and mandibular second premolars. Although these cysts occur more frequently during second and third decades of life, they also can be found in children and adolescents in the mixed dentition stage. Treatment modalities range from enucleation to marsupialization, which may be influenced by the age of the patient, severity of impaction, and root form of associated tooth/teeth. The prognosis of some cysts is very good, rarely recurrence after cyst removal as a whole. The frequency of neoplastic occurrence of this transformation is low. Intraosseous growth of mucous cell on the boundary area of dentigerous cyst can cause mucoepidermoid carcinoma.