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Ramesh R, Sadasivan A. Lateral Periodontal Cyst - A diagnostic dilemma: Report of a rare case with CBCT and histological findings. Int J Surg Case Rep 2020; 75:454-457. [PMID: 33076193 PMCID: PMC7527614 DOI: 10.1016/j.ijscr.2020.09.089] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2020] [Revised: 09/10/2020] [Accepted: 09/11/2020] [Indexed: 12/02/2022] Open
Abstract
Lateral periodontal cyst [LPC] is a rare developmental odontogenic cyst. It is difficult to differentiate a LPC from a cyst of endodontic origin by clinical and radiographic methods. Histopathological evaluation is the only method to confirm diagnosis. Usually seen in association of a vital tooth, but in this case it was seen in a non-vital tooth. LPC is usually seen within bone, but in this case besides Intrabony component there was a gingival presentation as a swelling.
Introduction Lateral Periodontal Cyst (LPC) is considered as a rare developmental odontogenic cyst. It is often diagnosed as an incidental radiographic finding, presenting as a circumscribed round radiolucent area between the roots of vital teeth. LPC usually does not present any clinical features. Differentiating the origin of the lesion from an endodontic or periodontal perspective presents as clinical challenge. Presentation of case A female patient presented with an asymptomatic gingival swelling in the lingual aspect of mandibular anterior region. The associated tooth (#34) was endodontically treated 3 years back. A periapical radiograph showed a well-defined round radiolucency on the tooth. Cone beam computed tomography (CBCT) revealed extensive bone destruction. The lesion was surgically excised and histological examination confirmed the diagnosis of LPC. The site healed satisfactorily post-operatively. The case was followed up for a year without any recurrence seen. Discussion LPC is a very rare clinical entity, the diagnosis of which requires a detailed case history taking, clinical and radiographic examination are essential to get proper assessment of the pathology. It is said to originate from either the remnants of dental lamina, reduced enamel epithelium or rests of Malassez. LPC presents with a typical histological picture which ensures the confirmatory diagnosis. Surgical enucleation with thorough curettage is the treatment of choice. Conclusion By reporting this rare case, we would like to stress to clinicians that there are a wide range of cysts and anatomic structures are present in the canine-premolar region of mandible of which LPC is a rare possibility.
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Affiliation(s)
- Roshni Ramesh
- Department of Periodontics, Government Dental College, Thrissur, Kerala, India.
| | - Arun Sadasivan
- Department of Periodontics, Sree Mookambika Institute of Dental Sciences, Kulashekaram, Tamil Nadu, India.
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Lateral Periodontal Cyst Treated with Enucleation and Guided Bone Regeneration: A Report of a Case and a Review of Pertinent Literature. Case Rep Dent 2019; 2019:4591019. [PMID: 31360553 PMCID: PMC6644300 DOI: 10.1155/2019/4591019] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2019] [Revised: 05/02/2019] [Accepted: 05/16/2019] [Indexed: 11/24/2022] Open
Abstract
Lateral periodontal cyst (LPC) is an uncommon developmental odontogenic cyst arising on the lateral surface of tooth roots. Commonly reported in mandibular canine-premolar or maxillary anterior regions, it presents as a well-circumscribed or tear drop-shaped radiolucency with a sclerotic border. Associated teeth are asymptomatic and vital, and roots may be displaced without resorption. Histopathologically, cystic lining resembles reduced enamel epithelium along with glycogen-rich clear cells and epithelial plaques. Unilateral variant of LPC has low recurrence and is managed by enucleation. A 43-year-old male patient reported with asymptomatic swelling in the left mandibular canine and first premolar region. Both teeth were vital, and radiographs revealed well-circumscribed radiolucency between the roots. Following consent, surgical enucleation and guided bone regeneration (GBR) with xenograft and resorbable collagen membrane were done under local anesthesia. The immediate postoperative period was uneventful, and complete bone fill of cystic cavity and healing of periodontal tissues was observed after a one-year follow-up. Histopathologic examination confirmed the diagnosis. LPC should be a differential diagnosis in cystic lesions lateral to the surface of a tooth and without any associated inflammation. Based on this case report, unicystic LPC can be successfully managed through surgical enucleation with GBR for better periodontal healing.
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Chrcanovic BR, Gomez RS. Gingival cyst of the adult, lateral periodontal cyst, and botryoid odontogenic cyst: An updated systematic review. Oral Dis 2018; 25:26-33. [PMID: 29156092 DOI: 10.1111/odi.12808] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2017] [Revised: 10/11/2017] [Accepted: 11/13/2017] [Indexed: 11/30/2022]
Affiliation(s)
- BR Chrcanovic
- Department of ProsthodonticsFaculty of OdontologyMalmö University Malmö Sweden
| | - RS Gomez
- Department of Oral Surgery and PathologySchool of DentistryUniversidade Federal de Minas Gerais Belo Horizonte Brazil
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Salaria SK, Gulati M, Ahuja S, Goyal S. Periodontal regenerative management of residual tunnel osseous defect results from the enucleation of lateral periodontal cyst in anterior maxilla: A rare case report. J Indian Soc Periodontol 2017; 20:638-642. [PMID: 29238147 PMCID: PMC5713090 DOI: 10.4103/jisp.jisp_296_16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The lateral periodontal cyst (LPC) is a nonkeratinized, noninflammatory developmental cyst occurring adjacent or lateral to tooth root. It is a relatively uncommon lesion found in the maxillary incisors and found mostly in adults during 5th to 7th decades. In this case, 45-year-old male patient reported with occasional mild discomfort between left maxillary central and lateral incisor region since 1 year. Interproximally, a well-defined round radiolucent area with corticated borders was determined radiographically between vital tooth #21 and #22. Preliminary diagnosis of LPC was established based on clinical and radiographical findings. Following enucleation of the lesion, an anticipated residual tunnel osseous defect was observed, which was managed successfully utilizing bone graft and guided tissue regeneration-assisted technique. Cystic tissue removed was examined histologically; hematoxylin- and eosin-stained sections showed features suggestive of LPC. Complete healing of tunnel defect was achieved at 1 year follow-up.
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Affiliation(s)
- Sanjeev Kumar Salaria
- Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
| | - Minkle Gulati
- Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
| | - Samir Ahuja
- Department of Periodontology and Oral Implantology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
| | - Sandeep Goyal
- Department of Oral and Maxillofacial Pathology, Surendera Dental College and Research Institute, Sri Ganganagar, Rajasthan, India
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Tjepkema J, Soukup JW, Bell C. Suspected Lateral Periodontal Cyst Presenting Concurrently with Canine Acanthomatous Ameloblastoma in a 2-Year-Old Standard Poodle. J Vet Dent 2017. [PMID: 28639881 DOI: 10.1177/0898756417715918] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Lateral periodontal cysts (LPCs) are odontogenic epithelial cysts composed of nonkeratinized epithelial cells that are in the category of developmental cysts, rather than inflammatory cysts. Lateral periodontal cysts are rare both in people and domestic animals; they are associated with vital teeth and located lateral to a tooth root. Lateral periodontal cysts are typically asymptomatic lesions that are characterized radiographically as a unilocular lucency with well-defined corticated borders. Canine acanthomatous ameloblastoma (CAA) is the most common odontogenic neoplasm in dogs and rarely presents as a cystic lesion. This case report describes the diagnosis and treatment of a cyst that occurred as a swelling apical to a gingival mass that was diagnosed histologically as CAA. Surgical management by conservative gingivectomy, cyst enucleation, and bone grafting was an effective treatment in this patient.
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Affiliation(s)
- Jennifer Tjepkema
- 1 Pacific Coast Veterinary Dentistry & Oral Surgery, Encinitas, CA, USA
| | - Jason W Soukup
- 2 School of Veterinary Medicine, University of Wisconsin, Madison, WI, USA
| | - Cynthia Bell
- 2 School of Veterinary Medicine, University of Wisconsin, Madison, WI, USA
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6
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Abstract
This article reviews a myriad of common and uncommon odontogenic cysts and tumors. The clinical presentation, gross and microscopic features, differential diagnosis, prognosis, and diagnostic pitfalls are addressed for inflammatory cysts (periapical cyst, mandibular infected buccal cyst/paradental cyst), developmental cysts (dentigerous, lateral periodontal, glandular odontogenic, orthokeratinized odontogenic cyst), benign tumors (keratocystic odontogenic tumor, ameloblastoma, adenomatoid odontogenic tumor, calcifying epithelial odontogenic tumor, ameloblastic fibroma and fibroodontoma, odontoma, squamous odontogenic tumor, calcifying cystic odontogenic tumor, primordial odontogenic tumor, central odontogenic fibroma, and odontogenic myxomas), and malignant tumors (clear cell odontogenic carcinoma, ameloblastic carcinoma, ameloblastic fibrosarcoma).
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Affiliation(s)
- Elizabeth Ann Bilodeau
- Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, G-135 Salk Hall, 3501 Terrace Street, Pittsburgh, PA 15261, USA.
| | - Bobby M Collins
- Department of Surgical Science, East Carolina University School of Dental Medicine, 1851 MacGregor Downs Road, Greenville, NC 27834, USA
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Abstract
This article presents various odontogenic cysts and tumors, including periapical cysts, dentigerous cysts, odontogenic keratocysts, orthokeratinized odontogenic cysts, lateral periodontal cysts, glandular odontogenic cysts, ameloblastomas, clear cell odontogenic carcinomas, adenomatoid odontogenic tumors, calcifying epithelial odontogenic tumors, squamous odontogenic tumors, ameloblastic fibromas, ameloblastic fibro-odontomas, odontomas, calcifying cystic odontogenic tumors, and odontogenic myxomas. The authors provide an overview of these cysts and tumors, with microsopic features, gross features, differential diagnosis, prognosis, and potential diagnostic pitfalls.
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Affiliation(s)
- Angela C Chi
- Division of Oral Pathology, Department of Stomatology, College of Dental Medicine, Medical University of South Carolina, MSC 507, 173 Ashley Avenue, Charleston, SC 29425, USA
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8
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Abstract
This article aims to discuss the clinical features, radiological assessment, histopathology and management of a variety of odontogenic cysts. It also highlights the reclassification of odontogenic keratocysts to keratocystic odontogenic tumours.
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Abstract
Odontogenic cysts represent a common form of pathology of the jaws, and the natural history, clinicopathologic findings, and appropriate management strategies are important to the oral and maxillofacial surgeon. Odontogenic cysts in the pediatric populations are important pathologic entities given their potential impact on the growth and development of the maxillofacial complex. Inappropriate management strategies can severely affect the form and function of the growing child. Categorizing pediatric odontogenic cysts into inflammatory or developmental causes provides a convenient way of conceptualizing these various entities and helps facilitate the appropriate diagnosis and the subsequent management.
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10
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Woo SB. Oral Pathology. DENTAL SECRETS 2015:43-70. [DOI: 10.1016/b978-0-323-26278-1.00004-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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11
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Meseli SE, Agrali OB, Peker O, Kuru L. Treatment of lateral periodontal cyst with guided tissue regeneration. Eur J Dent 2014; 8:419-423. [PMID: 25202227 PMCID: PMC4144145 DOI: 10.4103/1305-7456.137661] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Lateral periodontal cyst (LPC), originated from epithelial rests in the periodontal ligament, is a noninflammatory cyst on the lateral surface of the root of a vital tooth. LPC is generally asymptomatic and presents a round or oval uniform lucency with well-defined borders radiographically. In this case report, clinical, histological and radiographical findings and periodontal treatment of 32-year-old female patient, who was referred to Department of Periodontology Clinic of Faculty of Dentistry, Marmara University with a painless hyperplastic lesion on the distobuccal site of the tooth number 12, were presented. The tooth number 12 was vital and a well-defined round radiolucent area with corticated borders was determined radiographically. Preliminary diagnosis was LPC based on clinical and radiographical findings. Mechanical periodontal treatment consisted of oral hygiene instructions, scaling and root planing was applied and flap operation was performed to gain access to the lesion. Following enucleation of the lesion, alveolar bone destruction shaped as a tunnel from labial to palatinal site was observed. The bone cavity was grafted with bovine-derived xenograft, followed by placement of a resorbable collagen membrane. Tissues removed from of the lesion were examined histologically. Hematoxylen-eosin stained sections showed vasculature granulomatous structure underlying squamous epithelium, and destructed bone spaces, all of which were consisted with LPC. Acceptable clinical healing was achieved at 6 months follow-up period. Satisfactory clinical and radiographical outcome can be achieved in the treatment of LPC using regenerative periodontal approach.
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Affiliation(s)
- Suleyman Emre Meseli
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
| | - Omer Birkan Agrali
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
| | - Onder Peker
- Nisantasi Pathology Group Laboratories, Istanbul, Turkiye
| | - Leyla Kuru
- Department of Periodontology, Faculty of Dentistry, Marmara University, Istanbul, Turkiye
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12
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Cisti parodontale laterale: caso clinico. DENTAL CADMOS 2013. [DOI: 10.1016/s0011-8524(13)70022-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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13
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Longoni S, Sartori M, Porcaro G, Devecchi M, Simone M, Carini F. WITHDRAWN: Cisti parodontale laterale: caso clinico. DENTAL CADMOS 2012. [DOI: 10.1016/j.cadmos.2012.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pierse JE, Stern A. Benign cysts and tumors of the paranasal sinuses. Oral Maxillofac Surg Clin North Am 2012; 24:249-64, ix. [PMID: 22341510 DOI: 10.1016/j.coms.2012.01.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
To thoroughly understand the biology of any lesion and render the appropriate management, clear and accurate definitions are paramount. For benign cysts and tumors of the oral maxillofacial region, an accurate depiction of these lesions needs to be elucidated to provide both the treating surgeon and the patient with a clear understanding of the course of treatment and the outcome.
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Affiliation(s)
- Joseph E Pierse
- Department of Dentistry/Oral Maxillofacial Surgery, The Brooklyn Hospital Center, Brooklyn, NY 11201, USA.
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15
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Woo SB. Odontogenic Cysts. ORAL PATHOLOGY 2012:320-339. [DOI: 10.1016/b978-1-4377-2226-0.00014-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
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16
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Siponen M, Neville BW, Damm DD, Allen CM. Multifocal lateral periodontal cysts: a report of 4 cases and review of the literature. ACTA ACUST UNITED AC 2011; 111:225-33. [PMID: 21237438 DOI: 10.1016/j.tripleo.2010.09.072] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2010] [Accepted: 09/23/2010] [Indexed: 01/18/2023]
Abstract
Lateral periodontal cyst (LPC) is a developmental jaw cyst of odontogenic origin. It has characteristic histopathologic features that are identical to those seen in the peripherally occurring gingival cyst of adults (GCA). The polycystic variant of LPC is termed the botryoid odontogenic cyst (BOC). The histogenetic origin of LPC is probably the rests of dental lamina in the alveolar bone. In the case of BOC, it might be that several adjacent epithelial rests simultaneously undergo cystic change and eventually form a polycystic lesion. Few previous examples of multifocal occurrence of LPC can be found in the literature. We report an additional 4 patients with this rare presentation of multiple, separate LPCs, and review the literature on this topic.
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Affiliation(s)
- Maria Siponen
- Oral and Maxillofacial Unit, Department of Otorhinolaryngology, Kuopio University Hospital, Kuopio, Finland.
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17
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de Carvalho LFDCES, Lima CF, Cabral LAG, Brandão AAH, Almeida JD. Lateral periodontal cyst: a case report and literature review. EJOURNAL OF ORAL MAXILLOFACIAL RESEARCH 2011; 1:e5. [PMID: 24421982 PMCID: PMC3886068 DOI: 10.5037/jomr.2010.1405] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2010] [Accepted: 10/21/2010] [Indexed: 12/26/2022]
Abstract
Background The lateral periodontal cyst is considered a developmental odontogenic cyst
with unusual occurrence. In most cases it is preliminary diagnosed as a
radiographic finding, presenting as well circumscribed or as a round or
teardrop-shaped radiolucent area. Due to its location it can easily be
misdiagnosed as a lesion of endodontic origin. Final diagnosis should be
based on histopatological examination. The purpose of this paper is to
report a classic case of lateral periodontal cyst located in the anterior
region of mandible and to review the relevant literature which describes the
clinical, radiological and histopathological features of lateral periodontal
cysts. Methods A 50 years female patient complained of an asymptomatic gingival swelling in
the region between the left mandibular lateral incisor and canine.
Radiographic examination revealed a well circumscribed radiolucency with
approximately 0.5 cm diameter with a radiopaque margin between the roots of
the left mandibular lateral incisor and canine. The adjacent teeth had vital
pulp. Results A total enucleation of the lesion was performed, and intraoperative
examination showed a single lesion with no communication between the cyst's
cavity and the oral environment. Histological examination revealed that the
lesion was "lateral periodontal cyst of developmental origin". There was no
recurrence or complications for 24 months follow-up. Conclusions The lateral periodontal cyst can be considered in the differential diagnosis
when a radioloucent lesion appears adjacent to the roots of vital teeth. The
treatment of choice is surgical removal and subsequent histological
evaluation to confirm the diagnosis. Relapses are infrequent.
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Affiliation(s)
- Luis Felipe das Chagas E Silva de Carvalho
- Postgraduation Program in Oral Biopathology, São José dos Campos Dental School, São Paulo State University - UNESP, São José dos Campos, São Paulo, Brazil and Postgraduation Program in Nanosciences and Advanced Materials, Federal University of ABC Santo André, São Paulo Brazil
| | - Celina Faig Lima
- Postgraduation Program in Oral Biopathology, São José dos Campos Dental School, São Paulo State University - UNESP São José dos Campos, São Paulo Brazil
| | - Luiz Antonio Guimarães Cabral
- Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University - UNESP São José dos Campos, São Paulo Brazil
| | - Adriana Aigotti Haberbeck Brandão
- Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University - UNESP São José dos Campos, São Paulo Brazil
| | - Janete Dias Almeida
- Department of Biosciences and Oral Diagnosis, São José dos Campos Dental School, São Paulo State University - UNESP São José dos Campos, São Paulo Brazil
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Lateral periodontal cyst: report of case and review of the literature. Oral Maxillofac Surg 2010; 16:83-7. [PMID: 21127927 DOI: 10.1007/s10006-010-0257-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Accepted: 11/17/2010] [Indexed: 10/18/2022]
Abstract
BACKGROUND As the lateral periodontal cyst (LPC) is an unusual odontogenic cyst, most papers are single case reports or series with a limited number of cases, with few large series. The aim of this study is to report an additional case of LPC, emphasizing the clinical, radiographic, and histopathological features, differential diagnosis, and review of 264 cases reported in the English-language literature. CASE REPORT A 51-year-old male patient presented with a well-delimited, radiolucent, mandibular lesion, located between the roots of the right lower lateral incisor and canine and evidenced during routine radiographic examination. A surgical excision was performed. Microscopically, there was a cystic cavity lined by simple squamous epithelium, compatible with LPC. DISCUSSION LPC is an unusual odontogenic cyst and presents a marked predilection for occurring in the mandible between the roots of canines and premolars. Accurate clinical and imaging exams should be performed for a correct approach and diagnosis.
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Hethcox JM, Mackey SA, Fowler CB, Kirkpatrick TC, Deas DE. Case Report: Diagnosis and Treatment of a Botryoid Odontogenic Cyst Found in the Maxillary Anterior Region. J Endod 2010; 36:751-4. [DOI: 10.1016/j.joen.2010.01.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2009] [Revised: 01/14/2010] [Accepted: 01/15/2010] [Indexed: 10/19/2022]
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Kelsey WP, Kalmar JR, Tatakis DN. Gingival cyst of the adult: regenerative therapy of associated root exposure. A case report and literature review. J Periodontol 2009; 80:2073-81. [PMID: 19961391 DOI: 10.1902/jop.2009.090311] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND The gingival cyst of the adult (GCA) is an uncommon developmental cyst of odontogenic origin most frequently seen near mandibular canines and premolars and is routinely treated with excisional biopsy. This article presents a case of a GCA treated with a combined regenerative approach and reviews the GCA literature with an emphasis on the clinical aspects of this lesion. METHODS A 54 year-old man presented for treatment of generalized severe chronic periodontitis. Clinical examination revealed a cystic lesion in the gingiva of the mandibular canine-premolar area. Radiographs revealed a well-defined radiolucency in the coronal one-third of the tooth roots. Surgical enucleation of the lesion revealed root exposure of the second premolar. Because of the anatomy of the lesion-associated defect, regenerative treatment, using a combination of freeze-dried bone allograft and a collagen membrane, was considered the therapeutic approach of choice. RESULTS The biopsy revealed histologic features consistent with a GCA. Clinical and radiographic examinations 1 year post-surgery indicated uneventful soft tissue healing and bone fill of the initial defect. The review of the literature revealed only one other case of root exposure associated with GCA and no previous report of regenerative therapy. CONCLUSIONS In rare instances, a GCA lesion may result in tooth-root exposure. In such cases, a combined regenerative treatment approach may be used to achieve resolution.
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Affiliation(s)
- W Patrick Kelsey
- Division of Periodontology, College of Dentistry, The Ohio State University, Columbus, OH 43210, USA
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21
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Tsuneki M, Cheng J, Yamazaki M, Maruyama S, Kobayashi T, Ida-Yonemochi H, Suzuki M, Saku T. Lateral periodontal cyst: a clinicopathological study of 23 cases and an immunohistochemical analysis of its characteristic epithelial plaques in the lining. ACTA ACUST UNITED AC 2008. [DOI: 10.3353/omp.12.89] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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22
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Nart J, Gagari E, Kahn MA, Griffin TJ. Use of guided tissue regeneration in the treatment of a lateral periodontal cyst with a 7-month reentry. J Periodontol 2007; 78:1360-4. [PMID: 17608593 DOI: 10.1902/jop.2007.060483] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND The lateral periodontal cyst (LPC) is an unusual cyst of odontogenic origin, most frequently encountered in the mandible between the roots of canines and premolars. The most common treatment for LPC is surgical enucleation. This article reports a case of an LPC treated with guided tissue regeneration (GTR) and bone allograft. METHODS A 74-year-old woman presented for periodontal examination. Radiographs revealed a cystic lesion with LPC characteristics. After surgical incisions and flap reflection, the cyst was removed and sent for biopsy. Because of the anatomy of the resulting intrabony defect, GTR was considered the ideal treatment. RESULTS The biopsy revealed the histologic features of an LPC. Radiographs at 7 months post-treatment indicated bone fill of the initial defect. Although some attachment loss occurred, the reentry demonstrated a high percentage of bone fill of the defect after 7 months. CONCLUSION Depending on the anatomy of the defect left after the removal of an LPC, GTR, along with bone grafting, can be a very useful tool for its treatment by reducing the attachment loss observed after simple enucleation of the cyst.
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Affiliation(s)
- José Nart
- Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA 02111, USA
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Neville BW. Update on current trends in oral and maxillofacial pathology. Head Neck Pathol 2007; 1:75-80. [PMID: 20614286 PMCID: PMC2807501 DOI: 10.1007/s12105-007-0007-4] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2007] [Accepted: 06/19/2007] [Indexed: 10/22/2022]
Affiliation(s)
- Brad W. Neville
- Division of Oral Pathology, College of Dental Medicine, Medical University of South Carolina, 173 Ashley Avenue, P.O. Box 250507, Charleston, SC 29425 USA
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Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006; 35:500-7. [PMID: 16918602 DOI: 10.1111/j.1600-0714.2006.00455.x] [Citation(s) in RCA: 144] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND The aim of this study was to determine the range of all histologically diagnosed odontogenic cysts along with age range, sex distribution and site of presentation over a 30-year period. METHODS All entries for odontogenic cysts occurring during 1975-2004 inclusive were retrieved and analysed for demographic data. RESULTS A total of 55,446 specimens were received, of these 7121 (12.8%) specimens were diagnosed as odontogenic cysts. Radicular cyst was the most common diagnosis (52.3%), followed by dentigerous cyst (18.1) and odontogenic keratocysts (11.6%). CONCLUSIONS Our study provides demographic data on a large series of odontogenic cysts in a European population. This is one of the largest series reported to date. Cysts such as the paradental cyst have a predilection for certain ages, sexes and sites. Odontogenic keratocysts and glandular odontogenic cysts have a marked propensity to recur as well as behave aggressively. It is essential that such lesions are detected as early as possible to minimize any necessary surgery.
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Affiliation(s)
- A V Jones
- Department of Oral Pathology, School of Clinical Dentistry, Claremont Crescent, Sheffield, UK
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Morimoto Y, Tanaka T, Nishida I, Kito S, Hirashima S, Okabe S, Ohba T. Inflammatory paradental cyst (IPC) in the mandibular premolar region in children. ACTA ACUST UNITED AC 2004; 97:286-93. [PMID: 14970790 DOI: 10.1016/j.tripleo.2003.09.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVES We investigated the occurrence of inflammatory paradental cysts (IPC) in the mandibular premolar, and demonstrated the points of difference with regard to diagnostic features between IPC and dentigerous cysts (DC). MATERIAL AND METHODS We analyzed the radiographs and histology of 60 cases with a cystic lesion associated with inflammation in the mandibular premolar region based on diagnostic criteria as IPC. RESULTS In 4 out of 60 cases, we diagnosed the 4 cysts as IPCs in the mandibular premolar region, and recognized that one form of IPC was similar to a mandibular infected buccal cyst. The other 56 non-IPC cases were diagnosed as DC. On the IPCs, the permanent tooth normally erupted in all 4 cases after treatment, but in one case, the IPC recurred. CONCLUSIONS The present investigation suggested that we might have misdiagnosed IPCs in the mandibular premolar region as DC to date. It is important to consider the differences between IPC and DC with regard to the causes of recurrence during treatment of IPC.
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Affiliation(s)
- Yasuhiro Morimoto
- Department of Dental Radiology, Kyushu Dental College of Japan, Kitakyushu, Japan.
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26
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Abstract
This report describes the case of a 60-year-old male who presented with a radiolucent lesion between his mandibular right premolars. The original radiographic diagnosis was a lateral periodontal cyst, but surgery produced biopsy material that proved to be an ameloblastoma. A discussion on developing a differential diagnosis is presented.
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Affiliation(s)
- Marvin P Levin
- Oregon Health Sciences University, School of Dentistry, Portland, OR 97201-3097, USA
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27
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Abstract
THE LATERAL PERIODONTAL CYSTS is a slow-growing radiolucent, developmental lesion occurring most frequently in males during the sixth decade. As part of the differential diagnosis, it must be distinguished from the collateral keratocyst and the gingival cyst of adults as well as other entities. Speculation remains as to the lateral periodontal cyst's developmental origin. Whether it is from reduced enamel epithelium, remnants of dental lamina, or cell rests of Malassez remains to be determined. The following longitudinal case report describes the review of literature and clinical and histologic findings as well as unusual treatment of a through-and-through perforating lateral periodontal cyst. Due to the large bony defect left after the cyst's removal, a decalcified freeze-dried bone graft was placed to close the defect. The repair of the lesion was followed for 30 months.
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Affiliation(s)
- N B Lehrhaupt
- Department of Periodontics, University of Medicine and Dentistry of New Jersey, Dental School, Newark, USA
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28
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Pompura JR, Sándor GK, Stoneman DW. The buccal bifurcation cyst: a prospective study of treatment outcomes in 44 sites. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1997; 83:215-21. [PMID: 9117753 DOI: 10.1016/s1079-2104(97)90008-1] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVE The clinical, radiographic, and histologic features of the mandibular buccal bifurcation cyst were studied to further define this lesion. The treatment and outcomes were also analyzed. STUDY DESIGN This prospective study, which spanned 3 years, included 32 patients. Their ages ranged from 5.5 to 11 years (mean of 7.5). A total of 44 buccal bifurcation cysts were treated solely with enucleation, and patients were followed up for 2.5 to 3 years. RESULTS All lesions were located at the buccal bifurcation of the mandibular first molar. Tilting of the buccal cusps, causing prominence of the lingual cusps, occurred in 75% of the cases. The lesion extended from the buccal bifurcation to the tooth apex in 81.2%, and a periosteal reaction on the lateral surface of the mandible adjacent to the cyst was noted in 68.8% of the cases. All of the 44 histologic reports were nonspecific, but showed a cyst lining of stratified squamous epithelium with chronic inflammation. Microbiology consisted of mixed oral flora. Complete radiographic healing in all sites without recurrence was noted in 2.5-year follow-up. The periodontal pocket depth around all the involved teeth was normalized. No loss of the mandibular first molars occurred. CONCLUSIONS The mandibular buccal bifurcation cyst is a distinct site-specific and age-specific clinical entity treatable by enucleation without tooth extraction.
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29
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Carter LC, Carney YL, Perez-Pudlewski D. Lateral periodontal cyst. Multifactorial analysis of a previously unreported series. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1996; 81:210-6. [PMID: 8665317 DOI: 10.1016/s1079-2104(96)80417-3] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The objective of the present study was to review a series of 23 lateral periodontal cysts and 2 botryoid odontogenic cysts retrieved from the files of the State University of New York at Buffalo (SUNY) Oral Pathology Biopsy Service for epidemiologic characteristics as well as radiographic findings, clinical presentation, histopathologic features, and management. This study corroborated some previously established characteristics of the lesion but also revealed some surprising aberrations. A significant difference in the age range and mean age by gender was detected with the Student's t test within this population at the 0.05 level. The classic presentation of a lateral periodontal cyst seems to be that of an asymptomatic, small, ovoid, well-corticated radiolucency that occurs in an interradicular locus in the mandibular premolar segment of a middle-aged man. However, lateral periodontal cysts may manifest with pain and cause cortical perforation, may present as large expansile radiolucencies, may arise in the maxillary molar segment, and may develop in young females. Because of the tendency for aggressiveness of other lesions that may present with a similar picture, it is important to establish the final diagnosis of lateral periodontal cyst on a histologic basis in conjunction with the clinical and radiographic findings.
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Affiliation(s)
- L C Carter
- Department of Oral Diagnostic Sciences, State University of New York at Buffalo, School of Dental Medicine 14214-3008, USA
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30
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Nohl FS, Gulabivala K. Odontogenic keratocyst as periradicular radiolucency in the anterior mandible: two case reports. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1996; 81:103-9. [PMID: 8850493 DOI: 10.1016/s1079-2104(96)80157-0] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
The differential diagnosis of periradicular radiolucencies is broad. Unusual clinical or radiographic features or failure to resolve after quality root canal treatment should be viewed with suspicion and a biopsy specimen should be submitted for histologic examination. Two cases are reported in which the presence of radiolucent lesions could have been mistaken for those of pulpal origin but were subsequently found to be odontogenic keratocysts.
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Affiliation(s)
- F S Nohl
- Department of Conservative Dentistry, Eastman Dental Institute, London, U.K
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31
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Hussain K, Edmondson HD, Browne RM. Glandular odontogenic cysts. Diagnosis and treatment. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1995; 79:593-602. [PMID: 7600223 DOI: 10.1016/s1079-2104(05)80101-5] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Four cases of glandular odontogenic cyst are reported. Review of these and 13 previously reported cases indicates that they present as slowly growing, painless, radiolucent swellings with a predilection for the anterior part of the mandible. An incisional biopsy is essential to establish a definitive preoperative diagnosis. The unpredictable and potentially aggressive nature of these lesions is suggested by their extensive nature, penetration of cortical bone, locally invasive potential, and high incidence of recurrence after conservative treatment. In view of this behavior we suggest en bloc excision and primary reconstruction to ensure cure and reduce the operative morbidity.
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Affiliation(s)
- K Hussain
- Department of Oral and Maxillofacial Surgery, Dental Hospital and School, Birmingham, UK
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32
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Semba I, Kitano M, Mimura T, Sonoda S, Miyawaki A. Glandular odontogenic cyst: analysis of cytokeratin expression and clinicopathological features. J Oral Pathol Med 1994; 23:377-82. [PMID: 7529316 DOI: 10.1111/j.1600-0714.1994.tb00079.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The glandular odontogenic cyst (GOC) is a rare odontogenic cyst which is still controversial in regard to classification, terminology, and origin. The first Japanese case of GOC is reported. Immunohistochemical examination for expression of cytokeratins and epithelial membrane antigen by monoclonal antibodies suggested that the lining epithelium was of odontogenic origin with metaplastic mucus-laden cells. We have reviewed the literature and compared the clinicopathological findings of the reported case of GOC with those of botryoid odontogenic cysts (BOC). The anatomical location, age range, and sex of GOC cases were very similar to those of BOC. GOC appears to be a multiocular and mucoepidermoid variant of non-keratinizing odontogenic cysts, which also includes BOC. GOC should be separated from the other types of odontogenic cyst and central mucoepidermoid tumours of salivary gland origin.
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Affiliation(s)
- I Semba
- Department of Oral Pathology, Kagoshima University Dental School, Japan
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33
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Abstract
Lateral periodontal cysts account for 0.8% of all jaw cysts seen in our department. Published reports have indicated that they occur most frequently in the 5th to 7th decades, that there is a male preponderance and that they are located mainly in the mandibular canine-premolar region. In our own series of 20 cases, 10 were found in the anterior maxilla. We have distinguished unicystic and multicystic (including botryoid) varieties. They were lined predominantly or exclusively by thin reduced enamel epithelium-like tissue which contained many clear cells and epithelial thickenings referred to as plaques. Glycogen was present in the epithelium of two-thirds of our cases although not exclusively in the clear cells, many of which showed no positivity. Two of our examples of the botryoid variety were different histologically, being lined predominantly by non-keratinizing stratified squamous epithelium with crowded and pyknotic nuclei and no clear cells. One case contained melanin while another showed epithelial crypt formation and superficial palisaded low columnar cells as seen in the glandular odontogenic cyst. This raised the question of whether the latter may form part of the clinicopathologic spectrum of lateral periodontal cyst. The histogenesis of lateral periodontal cysts is uncertain but we favour origin from reduced enamel epithelium.
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Affiliation(s)
- M Altini
- Department of Oral Pathology, University of the Witwatersrand, Wits, South Africa
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34
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Rasmusson LG, Magnusson BC, Borrman H. The lateral periodontal cyst. A histopathological and radiographic study of 32 cases. Br J Oral Maxillofac Surg 1991; 29:54-7. [PMID: 2004079 DOI: 10.1016/0266-4356(91)90177-7] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The lateral periodontal cyst is a developmental odontogenic cyst usually found in the premolar area of the lower jaw. The clinical, radiographic and histopathological features of 32 previously unreported lateral periodontal cysts were reviewed. In four cases the follow-up, which extended over several years, was also studied. Different theories of pathogenesis are discussed.
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Affiliation(s)
- L G Rasmusson
- Department of Oral Pathology, Faculty of Odontology, Gothenburg University, Sweden
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35
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Fantasia JE. Lateral Periodontal Cysts, Botryoid Odontogenic Cysts, and Glandular Odontogenic Cysts. Oral Maxillofac Surg Clin North Am 1991. [DOI: 10.1016/s1042-3699(20)30483-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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36
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Abstract
Four cases of unusual types of jaw-bone cysts (paradental, lateral periodontal/botryoid type, sialo-odontogenic, and intraosseous dermoid cyst) are reported. Radiographic and histopathologic features are described. Current literature is reviewed with special attention given to radiographic, histogenetic, and histopathologic aspects of these entities.
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37
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Angelopoulou E, Angelopoulos AP. Lateral periodontal cyst. Review of the literature and report of a case. J Periodontol 1990; 61:126-31. [PMID: 2179517 DOI: 10.1902/jop.1990.61.2.126] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The lateral periodontal cyst is a rare odontogenic cyst of developmental origin. It occurs on the lateral periodontal region of a vital tooth and has specific histologic features. In this paper a case of a lateral periodontal cyst is presented and cases previously reported in the literature are reviewed. The present case concerns a 50-year old woman who presented for an asymptomatic gingival swelling of the left canine mandibular region of 2 month's duration. X-ray examination showed a well circumscribed radiolucency with a radiopaque margin lying between the roots of the lateral incisor and canine. The associated teeth were vital. Enucleation of the lesion was performed. The histologic examination of the specimen showed a cyst lined by thin non-keratinized epithelium with focal thickenings containing clear cells.
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Affiliation(s)
- E Angelopoulou
- Department of Oral Pathology, Dental School, University of Athens, Greece
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38
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Eliasson S, Isacsson G, Köndell PA. Lateral periodontal cysts. Clinical, radiographical and histopathological findings. Int J Oral Maxillofac Surg 1989; 18:191-3. [PMID: 2507663 DOI: 10.1016/s0901-5027(89)80048-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
21 lesions, clinically and radiographically diagnosed as lateral periodontal cysts (LPC), were retrospectively studied. The majority of the lesions were symptomless and were located in the premolar-canine-incisor region and predominantly in the mandible. 15 cases had the typical lining consistent with the diagnosis LPC. Three lesions were odontogenic keratocysts and 3 were inflammatory cysts. It was concluded that cysts in a lateral periodontal position are usually LPC but the diagnoses of keratocyst and inflammatory cyst must be considered.
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Affiliation(s)
- S Eliasson
- Department of Oral Radiology, School of Dentistry, Karolinska Institutet, Huddinge, Sweden
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39
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Vedtofte P, Praetorius F. The inflammatory paradental cyst. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1989; 68:182-8. [PMID: 2780019 DOI: 10.1016/0030-4220(89)90190-4] [Citation(s) in RCA: 32] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The inflammatory paradental cyst has previously been described as the collateral inflammatory cyst, the inflammatory lateral periodontal cyst, the paradental cyst, or the mandibular infected buccal cyst. Clinical, radiographic, and histologic features of 29 inflammatory paradental cysts diagnosed over a 5-year period were studied. The cysts occurred in relation to a partly or fully erupted tooth with a vital pulp. Twenty-seven of the cysts were located in the mandible and the remaining two in the maxilla. The mandibular cysts were in all cases associated with a molar. The observation that the cysts are diagnosed within a few years after tooth eruption and the demonstration of a statistically significant difference (p = 0.001) in age distribution and in the type of tooth involved suggest that eruption is important for the development of the cysts. The consistent finding of a hyperplastic, nonkeratinized stratified squamous epithelium with an intense inflammation in the connective tissue is in accordance with the hypothesis that inflammation is important for the development of these cysts.
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Affiliation(s)
- P Vedtofte
- Department of Oral and Maxillofacial Surgery, Royal Dental College, Copenhagen, Denmark
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40
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Abstract
Cysts located in the maxilla between the roots of an erupted lateral incisor and a canine were studied. Radicular cysts were excluded by the prerequisite of a positive pulp vitality test in both adjacent teeth, and odontogenic keratocysts were excluded by histologic examination. In the period from 1971-1987, 8 cysts were found which fulfilled the criteria for inclusion. The average age of the patients was 18.8 yr. All cysts were lined by a hyperplastic non-keratinized stratified squamous epithelium and there was always a heavy infiltrate of inflammatory cells in the connective tissue. The clinical and histologic features were similar to those previously reported for inflammatory paradental cysts (IPC) in the mandible. Therefore, it seems justified to suggest that some of the previously described globulomaxillary cysts are in fact IPCs.
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Affiliation(s)
- P Vedtofte
- Department of Oral and Maxillofacial Surgery, Royal Dental College, Copenhagen, Denmark
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41
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Heikinheimo K, Happonen RP, Forssell K, Kuusilehto A, Virtanen I. A botryoid odontogenic cyst with multiple recurrences. Int J Oral Maxillofac Surg 1989; 18:10-3. [PMID: 2469746 DOI: 10.1016/s0901-5027(89)80006-2] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A botryoid odontogenic cyst (BOC) which recurred 4 times over a period of 9 years is presented. Immunocytochemical comparison of cytokeratin composition of the cyst epithelium with that of the overlying oral epithelium showed distinct differences. The cyst epithelium expressed keratins typical of both simple and nonkeratinizing squamous epithelia. The keratin profile of BOC is in line with previous findings on odontogenic epithelia, thus confirming its odontogenic origin.
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Affiliation(s)
- K Heikinheimo
- Department of Oral Diseases, University Central Hospital of Turku, Finland
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42
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Phelan JA, Kritchman D, Fusco-Ramer M, Freedman PD, Lumerman H. Recurrent botryoid odontogenic cyst (lateral periodontal cyst). ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1988; 66:345-8. [PMID: 3174070 DOI: 10.1016/0030-4220(88)90243-5] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The terms botryoid odontogenic cyst and lateral periodontal cyst have both been used to describe a histologically distinct type of cyst characterized by a thin epithelial lining exhibiting focal thickenings or plaques. The cyst reported herein is a well-documented example of this type of cyst, which exhibited persistent and recurrent behavior.
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Affiliation(s)
- J A Phelan
- New York University College of Dentistry, St. Lukes-Roosevelt Hospital Center, Brooklyn
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43
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Padayachee A, Van Wyk CW. Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialo-odontogenic cyst? JOURNAL OF ORAL PATHOLOGY 1987; 16:499-504. [PMID: 3127563 DOI: 10.1111/j.1600-0714.1987.tb00680.x] [Citation(s) in RCA: 99] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Two cases are reported with identical clinical, radiographical and histological features. These features share a combination of the botryoid odontogenic cyst and a central mucoepidermoid tumour, and it is suggested that the term sialo-odontogenic cyst be adopted for such lesions to avoid confusion and mismanagement.
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Affiliation(s)
- A Padayachee
- Department of Oral Pathology, Faculty of Dentistry, University of Stellenbosch, Tygerberg, South Africa
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44
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Abstract
Three previously unreported cases of botryoid odontogenic cyst, one of which recurred 9 years after initial surgical removal, are presented. The botryoid odontogenic cyst has a predilection for occurrence in the mandibular canine-premolar region and in persons over the age of 50 years. Periodic radiographic postoperative evaluations are recommended for these lesions, since the possibility of recurrence might be enhanced by their polycystic nature.
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45
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Ross VA, Craig RM, Vizuete JR. A radiolucent lesion adjacent to the roots of the mandibular right first and second premolars. J Am Dent Assoc 1986; 112:235-6. [PMID: 3456382 DOI: 10.14219/jada.archive.1986.0342] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A distinct odontogenic cyst of developmental origin, the lateral periodontal cyst has characteristic clinical, radiographic, and histopathologic findings. In addition to inflammatory lesions, lateral periodontal cysts may appear similar radiographically to an ameloblastoma or odontogenic keratocyst in its early stage; therefore, clinical and histologic correlations are necessary to establish the diagnosis and ensure proper treatment.
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