Akdeniz Dental Journal, cilt.4, sa.2, ss.140-146, 2025 (Hakemli Dergi)
Dentigerous cysts are among the most common odontogenic cystic lesions
observed in children. They are typically asymptomatic and often
discovered incidentally during routine radiographic examinations. While
conventional treatments generally involve enucleation of the cyst and
extraction of the associated tooth, conservative approaches such as
decompression are increasingly recommended in pediatric patients to
preserve permanent teeth and maintain normal jaw development.
This case series presents three pediatric patients treated for
dentigerous cysts at our clinic using decompression tube placement. In
all cases, the cystic lesions were associated with unerupted permanent
tooth crowns. The overlying primary teeth, nearing natural exfoliation,
were extracted to gain access to the cystic cavity and allow
decompression tube placement. Radiographic follow-up at six months
revealed complete cyst resolution and bone regeneration in all cases,
after which the decompression tubes were removed. No enucleation was
performed.
The decompression technique is an effective and minimally invasive
method for managing dentigerous cysts in pediatric patients,
particularly for preserving developing permanent teeth. The cases
presented support the successful outcomes of this conservative treatment
approach.