Conservative Approach of a Dentigerous Cyst

Area of Science:

• Pediatric Dentistry
• Oral and Maxillofacial Surgery
• Odontogenic Cysts

Background:

• Dentigerous cysts (DC) are common inflammatory odontogenic lesions in children.
• Treatment options include enucleation or marsupialization/decompression.
• Decompression is favored in children for preserving developing teeth and promoting eruption.

Observation:

• An 8-year-old female presented with an inflammatory dentigerous cyst.
• The cyst was associated with an endodontically treated primary molar.
• The lesion was incidentally discovered on a panoramic radiograph.

Findings:

• Decompression was performed using a removable space maintainer with an acrylic obturator.
• Teeth 83 and 84 were removed as part of the procedure.
• Complete cyst resolution and spontaneous premolar eruption occurred within 10 months.

Implications:

• Decompression is a successful conservative treatment for pediatric dentigerous cysts.
• This technique facilitates normal tooth eruption and bone ossification.
• Preservation of developing teeth is a key advantage in pediatric management.