Enucleation with Immediate Tooth Replantation of a Dentigerous Cyst. A Case Report

Dentigerous cysts are the most common type of developmental odontogenic cysts arising from the crowns of impacted, embedded, or unerupted teeth. Surgery is commonly recommended for its elimination in view of the damaging effects. Several treatment modalities are available based on some defined guidelines.
A 9 year old boy with a diagnosis of dentigerous cyst involving left mandibular canine is presented. Cyst enucleation was carried out, involved tooth extracted, replanted and loosely splinted. One year follow up shows fully erupted, firm, non-discoloured and vital lower left canine and surrounding teeth, with radiographic evidence of significant resolution of radiolucency.
Cyst enucleation, extraction of involved tooth and immediate replantation should be considered a treatment modality in children. It has the advantage of single surgical approach intervention, reduced hospital appointment, early tooth eruption and physiological restoration of bone.