Bilateral dentigerous cysts: an updated literature review and report of a case with associated root resorption

Abstract

Abstract: Dentigerous cysts, though common, rarely present bilaterally. The rarity of bilateral presentation is highlighted by a review of the literature which revealed a total of 77 published cases. This demonstrated that, although 29% were asymptomatic, 58% presented with swelling and 22% with pain. The majority of patients were treated with enucleation alone (73%); 17% were managed with marsupialisation, and 8% treated with a combination of surgical techniques. Of cases reported, 16% had resorption of adjacent teeth, with 8% describing resorption of permanent dentition. This highlights the importance of symptom recognition and appropriate radiographic investigation from the outset to allow prompt, appropriate treatment. CPD/Clinical Relevance: Dentigerous cysts are the second most common type of odontogenic cyst, however, their bilateral presentation in a syndrome-free patient is rare. Early recognition of symptoms, knowledge of appropriate investigations and management options are vital for ensuring optimal patient outcome.