Dentigerous cyst in the anterior maxilla of pediatric patients: clinical manifestations and surgical management

Abstract

Background: Dentigerous cysts are common developmental odontogenic cysts that, if left untreated, can cause significant anatomical and dental complications, particularly in pediatric patients. This case series describes two pediatric cases of dentigerous cysts in the anterior maxilla, emphasizing their clinical presentation and management. Cases: The first case involved a 7-year-old boy with facial swelling caused by a cyst surrounding an impacted canine. The second case involved an 8-year-old boy with malocclusion caused by a cyst associated with a supernumerary tooth. Radiographic examinations of both cases revealed well-defined cystic lesions in the anterior maxilla. Surgical enucleation of the cysts and extraction of the associated teeth were performed under general anesthesia. Histopathological analysis confirmed the diagnosis of dentigerous cysts in both the patients. Conclusions: This case series underscores the critical importance of early diagnosis and intervention in pediatric patients with dentigerous cysts to prevent potential complications such as facial asymmetry and malocclusion. Regular dental checkups play a vital role in the early detection and management of these lesions. Additionally, a multidisciplinary approach involving oral surgeons, pediatric dentists, and orthodontists is essential to ensure comprehensive long-term care and optimal oral health outcomes in these patients.