The dentigerous cyst is a developmental odontogenic asymptomatic cyst, that is associated with the crown of an

unerupted or impacted tooth. Early diagnosis is important to avoid any future complications and choose the best

treatment option. The purpose of this case report is to describe the management of a dentigerous cyst related to

lower second molar in a young female patient using orthodontic traction as a conservative treatment approach.

This procedure helps to spare the patient an unnecessary surgical excision procedure and the associated excessive

bone removal for a safety margin, stimulates bone healing and promotes the eruption of the cyst-associated tooth.

Keywords Dentigerous cyst, Decompression, Orthodontic traction

Phase I intervention in a skeletal

Class III case can involve

maxillary traction with a facemask,

often combined with rapid

maxillary expansion, followed by

orthodontic correction using Class

III mechanics.1 After cessation of

growth, however, treatment options

may be limited to surgical orthodontic

therapy.2,3 Although surgical treatment might produce

the best results, many patients reject

this option due to apprehension,

cost, or esthetic concerns.4-6

Orthodontic camouflage treatment

is possible in borderline cases, but

it is difficult to decompensate the

dentition and correct the occlusion

without jeopardizing the dentalperiodontal

equilibrium.