Combined therapy of marsupialization and enucleation for maxillary dentigerous cyst management

Abstract

Dentigerous cyst is a one of the most common cysts in oral and maxillofacial field. The goal of dentigerous cyst treatment is to eliminate pathological abnormalities and preserve the tooth with minimal surgical intervention. One of the treatment is marsupialization which will reduce the pressure on the cyst which will reduce the size of the bone defect. The case study aimed to present the advantages of enucleation following marsupialization on large maxillary dentigerous cysts in terms of preservation of vital structures around the cyst cavity. This study is a serial case reports of an 18-year-old female and 15-year-old male that had their dentigerous cyst removed by using combined therapy of marsupialization and enucleation. Dentigerous cyst was treated with marsupialization followed by cyst enucleation. The combination of marsupialization and enucleation therapy can be used in the treatment of extensive maxillary dentigerous cysts because it can provide advantages in preserving the teeth and important surrounding structures and provide a good prognosis.