Large Dentigerous Cyst of the Mandible that Surgically Enucleated Following 9-Months Marsupialization in a Young Female Patient: A Case Report

  • Kadriye Ayça Dere Pamukkale University Department of Oral and Maxillofacial Surgery
  • Sara Samur Ergüven 75th Year Oral and Dental Health Hospital
  • Emre Barış
Keywords: Dentigerous cyst, mandible, marsupialization


Dentigerous cyst is the most common type of developmental odontogenic cyst and it is commonly associated with the crown of an impacted tooth. Owing their asymptomatic behavior it is likely to cause significant bone resorption/ expansion and tooth displacement. This case report presents a large developmental dentigerous cyst located at the ramus mandible of a 30-year-old female patient that was managed conservatively by surgical approach after 9-month marsupialization treatment.


Martínez-Pérez D, Varela-Morales M. Conservative treatment of dentigerous cysts in children: a report of 4 cases. J Oral Maxillofac Surg 2001; 59:331-3.

Ghandour L, Bahmad HF, Bou-Assi S. Conservative treatment of dentigerous cyst by marsupialization in a young female patient: A case report and review of the literature. Case Rep Dent. 2018; 7621363.

Abu-Mostafa N, Abbasi A. Marsupialization of a large dentigerous cyst in the mandible with orthodontic extrusion of three impacted teeth. A case report. J Clin Exp Dent. 2017; 9:e1162-e1166.

Gao L, Wang XL, Li SM, Liu CY, Chen C, Li JW, et al. Decompression as a treatment for odontogenic cystic lesions of the jaw. J Oral Maxillofac Surg. 2014; 72:327-33.

Hou R, Zhou H. Articles of marsupialization and decompression on cystic lesions of the jaws: A literature review. Journal of Oral and Maxillofacial Surgery, Medicine and Pathology. 2013; 299-304.

Singh S, Kaur K, Kochhar GK, Gupta A. Marsupialisation: a treatment modality of a dentigerous cyst. BMJ Case Rep. 2014; 2014-205150.

Wakolbinger R, Beck-Mannagetta J. Long-term results after treatment of extensive odontogenic cysts of the jaws: a review. Clin Oral Investig. 2016; 20: 15-22.

Song IS, Park HS, Seo BM, Lee JH, Kim MJ. Effect of decompression on cystic lesions of the mandible: 3-dimensional volumetric analysis. Br J Oral Maxillofac Surg. 2015; 53: 841-8.

Zhang LL, Yang R, Zhang L, Li W, MacDonald-Jankowski D, Poh CF. Dentigerous cyst: a retrospective clinicopathological analysis of 2082 dentigerous cysts in British Columbia, Canada. Int J Oral Maxillofac Surg. 2010; 39: 878-82.