What is a Dentigerous Cyst?
The second most common tooth-derived cyst is the dentigerous cyst, which develops around the crown of an
What are the causes of dentigerous cysts?
It most frequently is found in areas where unerupted teeth are found: wisdom teeth and upper jaw canines, in
decreasing order of frequency.
What are the signs & symptoms of dentigerous cysts?
These cysts can grow very large and can move teeth but, more commonly, they are relatively small.
Most dentigerous cysts are asymptomatic and their discovery is usually an incidental finding on taking an X-ray of
Dentigerous cysts can become quite large and can place the patient at risk from a pathological jaw fracture.
|Photos of dentigerous cysts and their associated teeth
|Jaw X-ray (OPG) showing a very large dentigerous cyst (yellow dots) & tooth (red dots) in the lower right jaw
How is it treated?
Teeth that have dentigerous cysts associated with them are removed together with the cysts.
The cysts are sent off for closer scrutiny under the microscope.
Once removed, they are very unlikely to come back.
Impacted teeth with small areas of shadowing around their crowns (suggesting the presence of normal dental
follicle rather than dentigerous cyst) also may be monitored with serial X-rays. Any increase in the size of the
‘shadowing’ should prompt removal and microscopic analysis.
|Dentigerous Cysts - Key Features
- Arise in bone & contain the crown of an unerupted tooth which is usually
- Are most frequently associated with unerupted 3rd molars (wisdom teeth) and
- Clinical & radiographic features usually provide an accurate pre-operative
diagnosis but confirmation is histological
- Responds to enucleation or marsupialisation and does not recur after