DENTIGEROUS CYST ASSOCIATED WITH A SUPERNUMERARY TOOTH IN THE MAXILLA

A 50-year-old white man presented with a painless swelling in the anterior region of the maxilla that evolved over 2 years. The cone beam computed tomography showed an extensive osteolytic lesion with defined limits and associated with a supernumerary tooth. Rhizolysis of the teeth #6 to #10 was observed. Both the cyst and attached supernumerary tooth were enucleated. Histopathologic analysis revealed a diagnosis of dentigerous cyst associated with a supernumerary tooth. After 6 months of follow-up, a decrease in the bone defect was observed, as well as an improvement in the periodontal stability of the teeth involved. Clinical and imaging tests will be carried out to continue evaluating the patient and rule out recurrences. Since most of the supernumerary teeth are commonly located in the premaxilla, the clinicians should be attentive because dentigerous cyst could occur in this location.