Conservative Management of Dentigerous Cysts in Mixed Dentition: a Case Series


DERE M. C., BÜYÜKASLAN Z. D., ÇAKIRLI T., ÖZEÇ A. İ.

Akdeniz Dental Journal, cilt.4, sa.2, ss.140-146, 2025 (Hakemli Dergi)

Özet

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.