Abstract
Dentigerous cysts (CD) are benign odontogenic cysts, commonly located in the mandible and associated with crowns of impacted teeth, odontomas, and rarely to deciduous teeth. Clinically painless, CDs can cause bone expansion and delay in tooth eruption. The objective of this study is to report the case of a female patient, 11 years old, presenting an extensive CD in the maxilla, leading to bone expansion and dental shifts. Panoramic radiography was used as a complementary exam. Initially, the lesion was submitted to decompression for 8 months and after being reduced in size, the remainder was enucleated, and some teeth associated with the lesion were extracted. Post-surgical follow-up 14 months after enucleation demonstrated no recurrence. The approach of extensive cysts with the use of decompression followed by enucleation presents advantages such as simplicity of the surgical technique, low morbidity, and preservation of tissues adjacent to the lesion.
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