Concurrent Dentigerous Cysts Associated With Impacted Mandibular Premolars: A Rare Case Report

Background: Dentigerous cysts are common odontogenic cysts associated with impacted teeth; however, their occurrence in children, particularly in association with premolars and as multiple lesions in non-syndromic patients, is rare.
Case Presentation: A 9-year-old female presented with a slowly enlarging, painless swelling of the left mandible. Clinical and radiographic examination, including panoramic radiography and CBCT, revealed two distinct cystic lesions associated with impacted mandibular premolars, causing significant cortical expansion and facial asymmetry. A provisional diagnosis of adjacent dentigerous cysts was made.
Conclusion: This case highlights the rare occurrence of multiple inflammatory dentigerous cysts in a non-syndromic paediatric patient. Early diagnosis through careful clinical and radiographic evaluation is essential to prevent extensive jaw destruction and preserve the developing dentition.