Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.185-186
Objective: Dentigerous cysts are one of the most common developmental types of odontogenic
cysts occurring in the oral cavity and often manifest as incidental findings on dental radiographs
and/or as asymptomatic swellings. Dentigerous cysts encompass the crown of permanent and
unerupted impacted teeth. In this case, we present the treatment of a dentigerous cyst located
in the mandible.
Case: A 52-year-old male patient without any systemic disease was applied to our clinic for
a routine dental examination. Intraoral examination revealed a painless swelling on palpation
in the mandibular impacted canine region. On radiographic examination, there was a large
radiolucent lesion associated with an impacted canine in the right mandibular region. As a
result of the vitality test, teeth 42,41,31,32,33,34 were found to be vital. The impacted tooth
43 associated with the cyst and the malpositioned tooth 44 were extracted. The cyst was
enucleated. An excisional biopsy was performed and sent for histopathological examination.
The histological evaluation resulted in a dentigerous cyst. The patient was seen one week later
to have his stitches removed and to check his health.
Conclusion: Dentigerous cysts may be treated by enucleation or marsupialization. The
treatment decision is made by considering different criteria, including the size of the cyst, the
location of the cyst, the extraction of an unerupted tooth, and the possibility of a follow-up. In
this case, enucleation treatment was deemed appropriate considering the location and size of
the lesion.