Dentigerous Cyst in Anterior Maxilla: A Rare Occurrence

Dentigerous cyst is a developmental odontogenic cyst. It is also named as follicular cyst in which there is accumulation of fluid between reduced enamel epithelium and follicle. It most commonly involves the mandibular third molars. Their occurrence in anterior maxilla is rare and may mimic other radiolucent lesion, posing diagnostic challenge.

A 9-year-old boy presented to the Department of Pediatric and Preventive Dentistry, Mahatma Gandhi Dental College & Hospital, Jaipur, with a chief complaint of progressive painless swelling in upper right front region since 2-3 months. This swelling was initially smaller in size, but increased gradually. Surgical enucleation of cystic lesion with secondary healing was performed.The histopathological examination confirmed the diagnosis of dentigerous cyst.

Dentigerous cyst is one of the typically frequent cysts of odontogenic origin. This developmental cyst is invariably connected with an erupting tooth and is formed as a result of fluid accumulation between the follicle and the reduced enamel epithelium of an erupting tooth. Early diagnosis and management are important to prevent complications such as bone destruction and displacement of unerupted teeth. In this case, enucleation of the entire cystic lining without extracting the involved permanent tooth was done to advocate secondary healing of the site instead of primary closure.

This case highlights an unusual presentation of dentigerous cyst in anterior maxilla. Timely diagnosis and quicker management can save the affected tooth and help in chewing, speech, occlusion maintenance, and overall health of the growing child.

Amit, Meghpara M, Marwah N, et al. Dentigerous Cyst in Anterior Maxilla: A Rare Occurrence. Int J Clin Pediatr Dent 2026;19(3):408-411.