Dentigerous Cyst with Cholesterol Clefts in the Mandible: A Rare Case Report

  • Nesrin Saruhan Assistant Professor, Department of Oral and Maxillofacial Surgery, Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir,
  • Emrah Ozmutlu Oral and Maxillofacial Surgery, Eskisehir, TURKEY
  • Caner Aktas Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TURKEY
  • Yigit Ali Ozkubat Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TURKEY
  • Ergin Ozturk Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TURKEY
  • Gorkem Tekin Eskisehir Osmangazi University Faculty of Dentistry, Eskisehir, TURKEY
Keywords: Dentigerous cyst, cholesterol clefts


Dentigerous cysts; are benign odontogenic cysts associated with crowns of impacted teeth. Cholestrol clefts are the microscopic cavities formed in these regions, which result in the formation of cholesterol crystals that accumulate in tissues. In this case, we present the enucleation and treatment of infected dentigerous cyst and the cholesterol clefts found in large volumes. A 58-year-old man with type 2 diabetes admitted to our clinic for routine check-ups. Radiologically, large radiolucency was observed around the number of impacted third tooth. Under general anesthesia, the lesion and associated lesion-related tooth were removed and sent for histopathological examination. Histopathological examination revealed a final diagnosis of infected dentigerous cyst and cholestrol cleft within the cyst lumen. Cholesterol cleft is an inflammatory reaction to cholesterol crystals deposition. Very few cases of cholesterol cleft occurring in the dentigerous cyst of the jaws were reported. Dentigerous cysts can reach large sizes without any finding. Therefore, the areas where the teeth are extracted or unerupted should be examined clinically and radiographically cautiously, in this way possible lesions should be treated before reaching big sizes.


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