Clinicopathologic Variability and Spectrum of Dentigerous Cysts: A Case Series

Background: Dentigerous cysts are developmental odontogenic cysts associated with impacted or unerupted teeth and are usually asymptomatic, though occasional aggressive behaviour has been reported. Case Series: Three patients with uncommon presentations of dentigerous cysts were managed at a tertiary care centre, including a large mandibular lesion with root resorption in an elderly patient, bilateral mandibular cysts in a paediatric patient, and an incidentally detected maxillary cyst. Surgical enucleation with or without extraction was performed. Histopathology confirmed infected dentigerous cysts. Six-month follow-up showed satisfactory healing without recurrence. Conclusion: Dentigerous cysts may show variable clinical behaviour, ranging from incidental findings to aggressive lesions causing bone destruction. The cases presented here highlight the diversity in age, location, and clinical presentation of dentigerous cysts. Early diagnosis and complete surgical enucleation in these patients resulted in favourable outcomes, emphasizing the importance of individualized management to prevent recurrence or potential complications.