Dentigerous cysts are the most common developmental odontogenic cysts of the jaw, arising from impacted, embedded or unerupted permanent teeth. They apparently develop by accumulation of fluid between the reduced enamel epithelium and the tooth crown of an unerupted tooth. There is usually no pain or discomfort associated with the cyst unless there is an acute inflammatory exacerbation. Careful evaluation, coupled with meticulous clinical and radiological investigations could help clinicians to arrive at the correct diagnosis as well as address the implicated etiologies, before instituting the most appropriate therapy. Here, we report a case of a dentigerous cyst in the mixed dentition of a 10-year-old female patient and outline its comprehensive management for the benefit of pediatric and general dentists involved in the care of such patients.

Ameloblastomas have been categorized broadly into three biologic variants: cystic (unicystic), solid, and peripheral. The term plexiform unicystic ameloblastoma refers to a pattern of epithelial proliferation that has been described in cystic lesions of the jaws. Although the histology suggests that cystic ameloblastomas follow a biologically low-grade course, recent evidence suggests that they may often behave clinically as biologically aggressive tumors. This is supported by the high incidence of cortical perforation, tooth resorption, lesion size, bony destruction, and a high rate of recurrence after simple enucleation. This article tries to provide an insight for pediatric dentists regarding this biologically distinct entity. A literature review on the topic has been added along with a case report highlighting the state-of-the-art approach and management of such ameloblastomas, in pediatric patients.