Management of Dentigerous-Cyst Arising from

Mandibular Incisor: A Case Report

Arismunandar*, Endang Syamsudin*, Melita Sylvyana*, Kiki A. Rizki**

*Department of Oral and Maxillofacial Surgery, Hasan Sadikin General
Teaching Hospital, Faculty of Dentistry, University of Padjadjaran,
Bandung.
**Department of Oncology Surgery, Hasan Sadikin General Teaching
Hospital, Faculty of Medicine, University of Padjadjaran, Bandung.
Abstract
A dentigerous cyst is an epithelial-lined developmental cavity derived from the epithelial remnant of the
tooth-forming organ that encloses the crown of unerupted tooth at cemento-enamel-junction. This lesion
is attached to the cervix of an impacted tooth and grows by expansion of its follicle and cause symptoms
related to expansion and impingement on contiguous structures. There is usually no pain or discomfort
associated with this the cyst, unless swelling may be the major complains of patients. Dentigerous cysts
arise most commonly around permanent mandibular third molars; less common around permanent
maxillary third molars, maxillary cuspids, and mandibular second premolars; and rarely around mandible
incisors. Dentigerous cyst is easy to treat when small. However, extensive cysts are more difficult to
manage, requiring cyst enucleation and extraction of associated teeth, leaving massive defect. Here, we
described a 15-year-old female, who was found of a massive dentigerous cyst arising from un-erupted left
mandibular lateral incisor tooth. Enucleation whole cyst and multiple extraction the affected teeth, was
performed and titanium plate was used to fixture the mandible. The patient should be subject to regular
clinical and radiographic examination due to augment its accurate histopathological diagnosis, prognosis
and recurrent possibility.
A dentigerous cyst is an epithelial-lined developmental cavity derived from the epithelial remnant of the
tooth-forming organ that encloses the crown of unerupted tooth at cemento-enamel-junction. This lesion
is attached to the cervix of an impacted tooth and grows by expansion of its follicle and cause symptoms
related to expansion and impingement on contiguous structures. There is usually no pain or discomfort
associated with this the cyst, unless swelling may be the major complains of patients. Dentigerous cysts
arise most commonly around permanent mandibular third molars; less common around permanent
maxillary third molars, maxillary cuspids, and mandibular second premolars; and rarely around mandible

incisors. Dentigerous cyst is easy to treat when small. However, extensive cysts are more difficult to
manage, requiring cyst enucleation and extraction of associated teeth, leaving massive defect. Here, we
described a 15-year-old female, who was found of a massive dentigerous cyst arising from un-erupted left
mandibular lateral incisor tooth. Enucleation whole cyst and multiple extraction the affected teeth, was
performed and titanium plate was used to fixture the mandible. The patient should be subject to regular
clinical and radiographic examination due to augment its accurate histopathological diagnosis, prognosis
and recurrent possibility.