Multiple dentigerous cysts: a case report and review.

Area of Science:

• Oral and Maxillofacial Surgery
• Odontogenic Cysts
• Dental Pathology

Background:

• Dentigerous cysts are common jaw cysts, typically associated with developmental syndromes or systemic diseases when bilateral.
• Bilateral dentigerous cysts without a syndrome are exceptionally rare, with only 18 cases previously reported in the literature.

Observation:

• This case report presents an exceptionally rare instance of dentigerous cysts involving all four quadrants of the jaws.
• The patient did not present with any identifiable developmental syndromes or systemic diseases.
• Radiographic and clinical examinations confirmed the presence of multiple dentigerous cysts across the maxilla and mandible.

Findings:

• This represents the first reported case of dentigerous cysts affecting all four jaw quadrants in the absence of a known syndrome.
• The extensive nature of the cysts suggests a potential localized, idiopathic phenomenon or an unreported variant of cyst development.
• Histopathological examination confirmed the cystic nature and origin from the dental follicle.

Implications:

• This case expands the known spectrum of dentigerous cyst presentation, highlighting the possibility of widespread occurrence independent of systemic factors.
• It underscores the importance of thorough radiographic examination of the entire jaws, even in the absence of syndromic indicators.
• Further research into the etiology of such extensive, non-syndromic dentigerous cysts may reveal new insights into odontogenic cyst pathogenesis.