Spontaneous Tooth Eruption After Conservative Surgical Management of Dentigerous Cysts in Children: A Case Series

Kökten E. D., Güzel C.

28th EACMFS Congress, Athens, Yunanistan, 15 - 18 Eylül 2026, cilt.54, sa.109610, ss.325-326, (Özet Bildiri)

  • Yayın Türü: Bildiri / Özet Bildiri
  • Cilt numarası: 54
  • Doi Numarası: 10.1016/j.jcms.2026.109610
  • Basıldığı Şehir: Athens
  • Basıldığı Ülke: Yunanistan
  • Sayfa Sayıları: ss.325-326
  • İstanbul Medipol Üniversitesi Adresli: Evet

Özet

Objectives: To evaluate whether conservative surgical management of dentigerous cysts in children, without complete cyst enucleation, allows preservation and eruption of the associated permanent teeth while preventing cyst recurrence.
Materials and Methods: A retrospective case series was conducted including pediatric patients diagnosed with dentigerous cysts and treated with a conservative surgical approach at a university oral and maxillofacial surgery clinic. Patients were between 7 and 11 years of age. Surgical management consisted of partial cyst removal while preserving the associated permanent tooth. Clinical and radiographic follow-up was performed to evaluate bone healing, eruption of the involved teeth, and recurrence.
Results: Eight pediatric patients were included. Spontaneous eruption of the involved teeth occurred in 87.5% of cases (7/8) within 6–8 months following surgery. One tooth required orthodontic traction to achieve eruption. Although several patients were later referred for orthodontic alignment after eruption, functional tooth preservation was achieved in all cases. The majority of cysts were associated with mandibular premolars. Radiographic follow-up demonstrated progressive bone remodeling, and no cyst recurrence was observed despite incomplete enucleation. The mean follow-up period was 14 months.
Conclusion: Conservative surgical management of dentigerous cysts in children may allow preservation and eruption of associated permanent teeth without increasing the risk of recurrence. In selected pediatric cases, this approach may represent a safe alternative to complete cyst enucleation.