Inflammatory dentigerous cyst in a pediatric patient: a case report with review
DOI:
https://doi.org/10.18203/2349-3291.ijcp20261922Keywords:
Dentigerous cyst, Inflammatory odontogenic cyst, Pediatric patient, CBCT, Mixed dentitionAbstract
Dentigerous cysts are developmental odontogenic cysts commonly associated with unerupted permanent teeth. However, their occurrence in mixed dentition and presentation as an inflammatory variant is uncommon in pediatric patients. We report a case of an 11-year-old boy presenting with pain and extraoral swelling, initially suggestive of a radicular cyst on CBCT imaging of the left maxillary region revealed a large, well-circumscribed cystic lesion attached to an unerupted premolar tooth, extending into the alveolar arch and encroaching upon the sinus floor. The cyst was surgically removed through a Caldwell-Luc procedure performed under general anesthesia. Timely diagnosis using advanced imaging modalities is crucial, as untreated cysts may expand, compromise surrounding anatomical structures, and in rare instances undergo neoplastic transformation. Complete surgical removal remains the treatment of choice-particularly for larger lesions-to minimize morbidity and prevent further progression. Histopathological evaluation confirmed the lesion to be an inflammatory variant of a dentigerous cyst. This case highlights the importance of meticulous clinical and radiographic assessment, along with prompt surgical management when indicated. Early recognition and appropriate intervention play a vital role in preventing complications and ensuring favorable outcomes in patients with inflammatory dentigerous cysts.
References
Shear M, Speight PM. Cysts of the oral and maxillofacial regions. John Wiley and Sons. 2008.
Philipsen HP, Reichart PA, Ogawa I, Suei Y, Takata T. The inflammatory paradental cyst: a critical review of 342 cases from a literature survey, including 17 new cases from the author's files. J Oral Pathol Med. 2004;33(3):147-55.
Hadziabdic N, Balic A, Cengic E, Katana E, Duratbegovic D, Lazovic Salcin E. A large dentigerous cyst in a child as a complication of deciduous molar endodontic treatment: an interesting case report with short literature review. Case Rep Dentist. 2023;2023(1):4406854.
Smith JL, Kellman RM. Dentigerous cysts presenting as head and neck infections. Otolaryngol Head Neck Surg. 2005;133(5):715-7.
Karakülah I, Karaduran B, Koruyucu M, Gençay K. Management of an Inflammatory Dentigerous Cyst in Pediatric Patient. Int Dental J. 2024;74:S222.
Benn A, Altini M. Dentigerous cysts of inflammatory origin: a clinicopathologic study. Oral Surgery, Oral Medicine, Oral Pathol Oral Radiol Endodontol. 1996;81(2):203-9.
Deboni MC, Brozoski MA, Traina AA, Acay RR, Naclério-Homem MD. Surgical management of dentigerous cyst and keratocystic odontogenic tumor in children: a conservative approach and 7-year follow-up. J Appl Oral Sci. 2012;20:282-5.
Agung AA, Anggreni NK. The effectivity of Cone Beam Computed Tomography (CBCT) in dentigerous cyst management: a literature review. J Radiol Dentomaksilofasial Indon. 2022;6(2):73-80.
Vinereanu A, Bratu A, Didilescu A, Munteanu A. Management of large inflammatory dentigerous cysts adapted to the general condition of the patient: Two case reports. Experimental Therap Med. 2021;22(1):750.
Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surgery, Oral Medicine, Oral Pathol. 1994;77(3):276-80.
Gürsu M, Kılınç Y, Atak Seçen İP. Decompression as a conservative treatment for dentigerous cysts in pediatric patients: a clinical case series and literature review. J Clin Pediat Dentist. 2025;49(4):1.
Al Tuwirqi A, Khzam N. What do we know about dentigerous cysts in children: a review of literature. J Res Med Dent Sci. 2017;5(2):67-79.
Neville BW, Damm DD, Allen CM, Chi AC. Oral and maxillofacial pathology, 4th edi. Elsevier Health Sciences. 2015.
Kumar V, Passi D, Kaushik A. Inflammatory dentigerous cyst in children: report of a case and review of literature. J Oral Biol Craniofac Res 2012;2(1):42-6.
Padmawar N, Mopagar V, Vadvadgi V, Joshi S, Vishwas J, Padubidri M. A novel, non-invasive approach in management of inflammatory dentigerous cyst in young child: A case report and review of literature. Med Sci. 2021;25(114):1887-93.
Patil AS, Jathar PN, Panse AM, Bahutule SR, Patil RU, Patil M. Infected dentigerous cyst and its conservative management: a report of two cases. Int J Clin Pediat Dentist. 2019;12(1):68.
Downloads
Published
How to Cite
Issue
Section
