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Medical Science Monitor Basic Research


Bilateral Mandibular Dentigerous Cysts Presenting as an Incidental Finding: A Case Report

Unknown etiology, Challenging differential diagnosis

Amal M. Sindi

Saudi Arabia Department of Oral Diagnostic Science, Faculty of Dentistry, King Abdul Aziz University, Jeddah, Saudi Arabia

Am J Case Rep 2019; 20:1148-1151

DOI: 10.12659/AJCR.917943

Available online: 2019-08-05

Published: 2019-08-05


BACKGROUND: Dentigerous cysts are slow-growing odontogenic cysts that usually develop unilaterally as part of a pre-existing syndrome. Non-syndromic bilateral dentigerous cysts are extremely rare, but clinicians should be aware of this condition to ensure prompt diagnosis and management and to prevent complications.
CASE REPORT: A case is presented of bilateral mandibular dentigerous cysts that were discovered incidentally in a 44-year-old man who presented for extraction of a retained maxillary deciduous tooth. Histological examination of the tissue specimens following bilateral enucleation confirmed the diagnosis of bilateral dentigerous cysts.
CONCLUSIONS: In this case, incidental bilateral dentigerous cysts were identified and treated by enucleation. The absence of an associated syndrome should not exclude the possibility of the diagnosis of dentigerous cysts, which should be removed to prevent future complications.

Keywords: Dentigerous Cyst, Odontogenic Cysts, Tooth, Impacted