Upper lip swelling caused by a large dentigerous cyst with mesiodens

Swelling of upper lip can results from various diseases such as salivary tumors, infections and inflammatory diseases and cyst, typically involving unerrupted teeth, are sometimes associated with supernumerary teeth in the maxillary anterior incisor region called the mesiodens. Mesiodens with dentigerous cyst is actually a rare case in the world and of course in Bangladesh. The overall prevalence of this type of cyst is only 0.15-1.9% of the total population. Recently we have experienced this kind of case like dentigerous cyst with mesiodens in the department of dentistry, Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Hospital. The patient was 24 years old male young complaining of slow growing painless swelling on the upper lip region for the last several years. Clinical examination revealed a soft intra oral swelling in the labial surface of maxillary incisor region and there was also extra orally upper lip swelling. Radiographic examination demonstrated a large radiolucent area with a mesiodens extending to the root of both lateral incisors. The patient was treated surgically by enucleation of total cysts and surgical extraction of mesiodens under local anesthesia.