Dentigerous cysts in four quadrants: a rare and first reported case

Area of Science:

• Oral and Maxillofacial Surgery
• Odontogenic Cysts
• Developmental Biology

Background:

• Dentigerous cysts are common developmental odontogenic cysts, typically affecting young adults.
• They are frequently associated with impacted or unerupted teeth, particularly mandibular third molars and maxillary canines.
• Bilateral occurrence is usually linked to syndromic conditions.

Observation:

• This report details an exceptionally rare case of non-syndromic dentigerous cysts presenting simultaneously in all four quadrants of the jaw.
• The cysts were associated with impacted molars and supernumerary teeth across both the maxilla and mandible.
• This presentation is unprecedented in the existing medical literature.

Findings:

• The study highlights a unique case of multiple dentigerous cysts in all four quadrants.
• The cysts were linked to impacted permanent molars and supernumerary teeth.
• This represents the first documented instance of such widespread, non-syndromic occurrence.

Implications:

• This case expands the understanding of dentigerous cyst presentation and variability.
• It underscores the importance of comprehensive radiographic evaluation for impacted and supernumerary teeth.
• Further research may explore potential genetic or developmental factors contributing to such rare presentations.