Surgical Management of Dentigerous Cyst: A Silent Pathology With Destructive Potential

Dentigerous cysts are common odontogenic cysts associated with the crowns of unerupted teeth and are often detected incidentally due to their asymptomatic nature. This case series presents three patients with radiolucent lesions associated with impacted teeth, all of which were clinically silent yet demonstrated significant cystic expansion on radiographic examination. Surgical enucleation of the cysts along with the extraction of the associated impacted teeth was performed in all cases, and histopathological analysis confirmed the diagnosis of dentigerous cyst. Postoperative follow-up revealed satisfactory bone healing with no evidence of recurrence. These cases highlight the potential for dentigerous cysts to grow silently and cause considerable bone destruction, underscoring the importance of routine radiographic evaluation, early diagnosis, and timely surgical management to prevent complications and ensure favorable outcomes.