Dentigerous cysts originate after a tooth crown is fully formed, causing fluid accumulation between the reduced dental epithelium and tooth substance. Dentigerous cysts are typically treated based on size and whether the involved tooth can be saved. Treatment options include enucleation, marsupialization, or a staged combination of the two. Enucleation involves total removal of the cyst and tooth, while marsupialization creates a window to drain the cyst contents while maintaining the tooth. A staged approach uses marsupialization followed by later enucleation to potentially save the tooth.