Management of a Large Dentigerous Cyst with Enucleation and Packing Open with BIPP in 9-year-old Child: A Case Report

Dentigerous cyst is also known as follicular cyst. It is an odontogenic cyst of developmental origin. The dentigerous cyst involves impacted, embedded or submerged tooth by expansion of its follicle. The normal follicular space is mostly 3-4 mm but with dentigerous cyst it can be 5 mm or more. These are second most commonly occurring odontogenic cysts and literature shows occurrence of 24% among true cysts of jaw. It is most commonly associated with mandibular 3rd molar followed by maxillary canine and third molar. Radiographically occurring as unilocular radiolucency around an impacted tooth. In our case the cyst was a large dentigerous cyst occurring in 9-year-old child having mixed dentition. Complete enucleation of the cystic lesion and packing open with bismuth iodoform paraffin paste (BIPP) was done. BIPP dressing was changed at regular intervels and more than 60% of bone formation was complete in around 5 months which was evident on the radiograph. Conclusion: Methods employed for elimination include enucleation, decompression marsupialization but the treatment modality also depends upon age, existing dentition, location and size of the lesion. HOW TO CITE THIS ARTICLE: Gaur G, Agarwal P, Goyal G, et al. Management of a Large Dentigerous Cyst with Enucleation and Packing Open with BIPP in 9-year-old Child: A Case Report. Int J Clin Pediatr Dent 2023;16(3):515-517.