Endoscopic Endonasal Approach to a Giant Dentigerous Cyst

Dentigerous cysts constitute 20% of all odontogenic and are often located in the mandible maxilla. They seen at young ages men. Patients usually asymptomatic, diagnosis is established by dental radiographs routine scans. Surgery recommended for dentigerous because ameloblastoma, intraosseous mucoepidermoid carcinoma, or squamous cell carcinoma may develop from them. Generally transoral route preferred over endoscopic In addition to question transnasal versus oral approach cysts, another controversy removal marsupialization entire cyst. our 10-year-old male patient, a cyst that completely filled right maxillary sinus eroded lateral anterior wall was treated with surgery. The 3 permanent teeth were removed endoscopically. No post-operative complications observed. patient’s age location size play an important role choice treatment. Furthermore, most accurate way choose appropriate treatment make decision multidisciplinary approach.