Dentigerous cyst in association with impacted inverted mesiodens: Report of a rare case with a brief review of literature.

Abstract

Dentigerous cyst is a developmental odontogenic cyst, which develops due to fluid accumulation between the reduced enamel epithelium and unerupted tooth crown. The condition is frequently seen with the permanent dentition, usually associated with impacted mandibular third molars and maxillary canines. Rarely, dentigerous cyst occurs in association with a supernumerary tooth. Pain, swelling, and facial asymmetry are occasionally seen; however, they are usually asymptomatic and observed during radiographic examination. Early diagnosis and treatment planning entails thorough history taking, clinical and radiographic examination coupled with histopathology. This article reports an unusual occurrence of dentigerous cyst of anterior maxillary region seen with an inverted impacted mesiodens cyst enucleation along with extraction of the mesiodens was carried out and no complications were observed during the follow-up.