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Article: Volume 49 Number 2 Page 148 - February 2022

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  Dental Update 497: 148-151

Paediatric Dentistry/Oral Surgery:  Dentigerous cyst: a rapidly expanding swelling in a young patient

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Abstract: We present a case of a dentigerous cyst associated with an unerupted premolar tooth, and its surgical management in a 4-year-old child. Of note, 8 months prior to presentation, the patient was seen for extraction of multiple primary teeth under general anaesthesia. At the time of extraction, there were no signs of extra- or intra-oral mandibular swellings. Dentigerous cysts are one of the most common paediatric intra-osseous lesions. This case highlights the importance of taking a thorough dental history and the benefit of a multidisciplinary approach. This report also demonstrates the surgical management of this lesion, which included surgical excisional biopsy under general anaesthesia.

Clinical relevance: The reader should consider dentigerous cysts as a differential diagnosis in paediatric patients who present with dental swellings.

Author notes: Aisling Cant, BA BDent Sc, Dip PCD RCSI, MFD RCSI, MSc, Specialist in Paediatric Dentistry, King's College Hospital NHS Foundation Trust. Risha Sanghvi, BDS (Lond), MSc, MFDS RCS (Ed), PGCert (DentEd), Post CCST Registrar in Paediatric Dentistry, Royal National ENT and Eastman Dental Hospitals. Vinod Patel, BDS (Hons), MOralSurg RCS Eng, FDSRCS, PhD, Consultant in Oral Surgery, Guy’s and St Thomas’ NHS Foundation Trust, London. Dania Siddik, IQE, Dip Clin Dent Sc UCL, MFDS RCS Eng, M (PaedDent) RCS Ed, Fellow HEA, FDS (PaedDent) RCS Ed, Honorary lecturer RCS Eng, Consultant in Paediatric Dentistry, Guy’s and St Thomas’ NHS Foundation Trust, London. email: aisling.cant@nhs.net

Objective: The reader should consider dentigerous cysts as a differential diagnosis in paediatric patients who present with dental swellings.

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