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This study discusses the treatment of an inflammatory cystic lesion in mixed dentition that was successfully managed by the classical combined surgical–orthodontic approach. The marsupialization technique was used with the dual purpose of carrying out an incisional biopsy and decompressing the lesion. Complementary 4-year orthodontic therapy resulted in the esthetic and functional alignment of the involved permanent teeth. The study also discusses the pathogenesis of this kind of lesion which can be considered either a radicular or dentigerous cyst. The authors raise doubts about the rarity of radicular cysts associated with primary teeth and emphasize that the traditional criteria used for diagnosing radicular cysts of deciduous teeth as well as those of inflammatory dentigerous cysts must be revisited

Maxillary osteolytic lesion in a 10-year-old girl: A dentigerous or radicular cyst? A case report and discussion