Treatment of Dentigerous Cyst in Pediatric Patients: Two Case Reports

Introduction: Dentigerous cysts are benign developmental lesions of the jaws that grow asymptomatically, usually associated with an impacted tooth. These lesions can cause many complications such as pain, paresthesia, resorption, and tooth displacement over time. The treatment approach in dentigerous cysts generally consists of surgical interventions including marsupialization and enucleation methods. In this study, the treatment of dentigerous cysts in 2 pediatric patients was presented and it was aimed to discuss the outcomes of treatment methods in the light of evidence based dentistry. Case report: The patients were referred to Istanbul Kent University, Department of Pedodontics, for routine check-ups. In the first case, the panaromic radiograph and computed tomography examinations showed large, circular, well-defined uniocular areas covering the crowns of mandibular left and right third molars in an 11-year-old boy. The second case was a 13-year-old girl with swelling in the right mandible region. The panaromic radiograph and computed tomography examinations showed a large, circular, well-defined cyst covering the crown of the mandibular right second premolar. The teeth were extracted, and the enucleation technique was performed in both cases. The lesions were diagnosed as dentigerous cysts according to the pathology results. Long-term clinical and radiographic follow-ups of the patients were planned. Conclusion: Treatment of dentigerous cysts in pediatric patients requires a multidisciplinary approach, and many factors are effective in treatment planning.