[Dentigerous cyst: a case report]

Area of Science:

• Odontogenic Tumors
• Pediatric Oncology
• Oral Pathology

Background:

• Maxillary cysts, including benign and malignant odontogenic tumors, have limited prevalence data.
• Dentigerous cysts, a subset of maxillary cysts, are associated with unerupted teeth and typically affect young adults.
• While rare in children, dentigerous cysts can present as unilateral maxillary tumors.

Observation:

• This study details an unusual case of a dentigerous cyst in a healthy child.
• The lesion presented as a unilateral maxillary tumor, requiring careful evaluation.
• The cyst encompassed the crown of a permanent, unerupted, impacted tooth.

Findings:

• Dentigerous cysts are typically slow-growing and asymptomatic until they impact surrounding structures.
• The prevalence in 6-7 year olds is noted at 9.1%, indicating rarity in this age group.
• Management of such pediatric maxillary tumors necessitates a comprehensive, multidisciplinary strategy.

Implications:

• This case underscores the importance of recognizing dentigerous cysts in pediatric patients presenting with maxillary tumors.
• A multidisciplinary approach involving various specialists is vital for optimal patient outcomes.
• Educating pediatricians on the diagnosis and management of these rare conditions is essential.