Patient Profile: Patient is a 72-year old lady who attended her dentist with a lump at the back of her lower jaw. The lump was present for over six months and progressively increasing in size. 

Chief Complaint: “I have a lump at the back of my mouth and every time I bite together it is very sore”

Dental History: Her last dental appointment was over one year ago for a cleaning and she was a regular dental attender with a well maintained dentition. 

Medical History: The patient was diabetic and medicated on Metformin. Hb1aC was reported as favourable. Bloods were all within normal limits and blood pressure was recorded at 135/85 mm/hg.

Extraoral Examination:

• Assessment reported all within normal limits.

Supplemental Information:

• There was no buccal or lingual expansion.
• There was no neurosensory deficit.
• There was no infection but the superior aspect of the cyst was in traumatic occlusion with the upper molars when in centric occlusion.
• CT scan was necessary to determine the relationship of the wisdom tooth to the inferior alveolar nerve.
• The patient had the cyst enucleated and tooth extracted under GA without complication. 
• There was no post-op neurosensory deficit and healing was uneventful.
• Histopathology confirmed a dentigerous cyst.