Background: Odontogenic cysts are often encountered in the paediatric and adolescent population, dentigerous cyst being the most common. The current report aims to raise the awareness of paediatric dentists about the management of this condition.
Case report: The current report presents a case of a healthy 14 year-old boy with an odontogenic cyst involving two displaced mandibular premolars.
Treatment: The cyst was enucleated surgically and the two premolars were preserved. The diagnosis was a dentigerous cyst.
Follow-up: At 4, 12 and 20 months there was substantial bone healing and non-assisted eruption of the premolars.
Conclusion: A less invasive approach when treating odontogenic cysts in children and adolescents is recommended when possible to preserve the permanent teeth involved.