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Journal of Oral and Maxillofacial... Mar 1990Four cases of unusual types of jaw-bone cysts (paradental, lateral periodontal/botryoid type, sialo-odontogenic, and intraosseous dermoid cyst) are reported.... (Review)
Review
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.
Topics: Adult; Dermoid Cyst; Female; Humans; Jaw Cysts; Male; Middle Aged; Odontogenic Cysts; Periodontal Cyst
PubMed: 2406400
DOI: 10.1016/0278-2391(90)90390-n -
Compendium of Continuing Education in... Jan 2017The lateral periodontal cyst is a rare benign lesion that is generally asymptomatic and commonly discovered by routine intraoral radiography. Reports on proper...
The lateral periodontal cyst is a rare benign lesion that is generally asymptomatic and commonly discovered by routine intraoral radiography. Reports on proper management of this lesion are readily available. However, the literature is sparse regarding the long-term outcomes following surgery. A traditional radiographic technique does not provide an adequate image of the healing, and a patient may resist the prospect of a reentry procedure. The current report is the first to utilize a cone-beam computed tomography scan to evaluate the healing potential of a freeze-dried bone allograft approximately 18 months postoperatively.
Topics: Bone Transplantation; Cone-Beam Computed Tomography; Female; Humans; Mandibular Diseases; Middle Aged; Periodontal Cyst; Transplantation, Homologous; Treatment Outcome; Wound Healing
PubMed: 28054795
DOI: No ID Found -
Journal of Periodontology Apr 1984The lateral periodontal cyst is a developmental cyst of odontogenic origin which is located along the lateral aspect of a tooth root. Thirty-seven previously unreported...
The lateral periodontal cyst is a developmental cyst of odontogenic origin which is located along the lateral aspect of a tooth root. Thirty-seven previously unreported lateral periodontal cysts ( LPCs ) are presented. Clinical, roentgenographic and histologic features of the LPC are reviewed. Further, the importance of distinguishing the developmental LPC from laterally positioned inflammatory cysts of pulpal or periodontal disease origin and laterally occurring odontogenic keratocysts is stressed.
Topics: Adult; Aged; Diagnosis, Differential; Female; Humans; Male; Mandibular Diseases; Maxillary Diseases; Middle Aged; Periodontal Cyst; Radiography
PubMed: 6585541
DOI: 10.1902/jop.1984.55.4.230 -
Oral Surgery, Oral Medicine, Oral... Aug 2015The aim of this study was to characterize the histologic and immunohistochemical profiles of paradental cyst-lining epithelia to clarify its histopathogenesis.
OBJECTIVE
The aim of this study was to characterize the histologic and immunohistochemical profiles of paradental cyst-lining epithelia to clarify its histopathogenesis.
STUDY DESIGN
Ten surgical specimens of paradental cysts were examined for clinical profiles and to determine the histopathologic characteristics of the lining epithelia. Immunohistochemical profiles for keratin (K) subtypes, as well as for perlecan, UEA-I lectin binding, and proliferating cell nuclear antigen (PCNA), were determined and compared.
RESULTS
The paradental cyst was clinically characterized by its occurrence in young adults (mean age, 36.8 years; male, 42.8, female 27.8). Eight of the 10 cases arose in the retromolar area. The cyst wall was basically granulation tissue that was attached to the periodontal ligament space. Thin irregular anastomosing epithelial cords lined the cyst walls of immature granulation tissue with vascular dilation and hemorrhage. The intercellular space of the lining epithelia was widened with inflammatory cell infiltrates. Immunohistochemically, the lining was positive for K13, K14, K17, K19, UEA-I binding, and perlecan, suggesting its junctional/sulcular epithelial character.
CONCLUSION
The results showed that the paradental cyst was lined by epithelial cells with characteristics of the junctional/sulcular epithelium. The cyst can thus be considered as a kind of inclusion cyst arising in the periodontal pocket, most frequently of the mandibular third molars of young adults.
Topics: Adolescent; Adult; Aged; Biopsy; Female; Humans; Immunohistochemistry; Male; Middle Aged; Periodontal Cyst
PubMed: 26116019
DOI: 10.1016/j.oooo.2015.04.001 -
Oral Radiology Sep 2019Buccal bifurcation cyst (BBC) is an uncommon inflammatory odontogenic cyst that generally occurs at the buccal region of the permanent mandibular first molars in...
Buccal bifurcation cyst (BBC) is an uncommon inflammatory odontogenic cyst that generally occurs at the buccal region of the permanent mandibular first molars in children aged 6-8 years. The diagnosis of BBC cannot be made from the histopathologic features; therefore, diagnosis is primarily based on specific clinical and radiographic findings. In this case report, we present the clinical and radiological findings, including ultrasonography (USG) and cone-beam computed tomography (CBCT) images, of a 10-year-old boy who was referred with a complaint of swelling on the lower right jaw. According to the radiographic and clinical findings, the differential diagnosis of this lesion included lateral radicular cyst, lateral periodontal cyst, dentigerous cyst, eruption cyst, and others. Recently, in addition to classical radiographies and CBCT, USG has been considered important for diagnosis. In particular, if a cyst produces a perforation in the cortical bone, it is helpful to make a pre-diagnosis with USG.
Topics: Child; Cone-Beam Computed Tomography; Humans; Male; Mandibular Diseases; Odontogenic Cysts; Periodontal Cyst; Ultrasonography
PubMed: 30484197
DOI: 10.1007/s11282-018-0339-7 -
Clinical Advances in Periodontics Jun 2022Endodontic-periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after...
INTRODUCTION
Endodontic-periodontal combined lesions pose a treatment challenge for clinicians, especially when the lesion is persistent and does not show signs of healing after initial endodontic treatment. This case report describes interdisciplinary management of a non-healing combined endodontic-periodontal lesion related to a peri-apical cyst, through a combined approach of apicoectomy and guided tissue regeneration (GTR) with enamel matrix derivative (EMD). Most documented cases have been treated in a sequential manner, with minimal literature present on the effects of a combined approach utilizing EMD for the treatment of these lesions.
CASE PRESENTATION
A 72-year-old male patient presented with an endodontic-periodontal lesion at tooth #31 initially treated with nonsurgical root canal therapy. The lesion was not responsive to initial endodontic treatment. The patient was informed of questionable prognosis, however wished to save the tooth. Tooth #31 was treated via a combination approach of apicoectomy with bioceramic putty retrograde filling, followed by GTR of the defect using allograft, EMD, and resorbable barrier membrane. The lesion was biopsied and diagnosed as a periapical cyst. Clinical and radiographic examination at 1 year showed resolution of lesion, reduction in probing depths, and good bone fill of the defect.
CONCLUSION
Traditionally, endodontic-periodontal lesions, which were not responsive to initial therapy, would be given a questionable prognosis and be extracted. This case demonstrates that non-healing, peri-apical lesions may be cystic in nature and effectively managed utilizing a combined approach, with apicoectomy and GTR with EMD, to produce a stable outcome.
Topics: Aged; Apicoectomy; Guided Tissue Regeneration, Periodontal; Humans; Male; Radicular Cyst; Root Canal Therapy
PubMed: 33547724
DOI: 10.1002/cap.10149 -
International Journal of Oral and... Dec 1990Oral focal mucinosis (OFM) is an uncommon clinicopathological entity which is considered to be the oral counterpart of cutaneous focal mucinosis and/or cutaneous myxoid...
Oral focal mucinosis (OFM) is an uncommon clinicopathological entity which is considered to be the oral counterpart of cutaneous focal mucinosis and/or cutaneous myxoid cyst. It is comprised of a clinically elevated mass with a histological picture of localized areas of myxomatous connective tissue. The present study adds 15 new cases of OFM to the literature and analyzes their clinical, histological and histochemical features. Most of the lesions were located in the gingiva and alveolar mucosa. The nature of the lesion is unclear and it is suggested that the mucinous accumulation is the result of fibroblastic overproduction of hyaluronic acid.
Topics: Adolescent; Adult; Collagen; Connective Tissue; Diagnosis, Differential; Female; Fibroblasts; Fibroma; Gingival Diseases; Humans; Male; Middle Aged; Mouth Diseases; Mouth Mucosa; Mouth Neoplasms; Mucins; Myxoma; Periodontal Cyst
PubMed: 2128309
DOI: 10.1016/s0901-5027(05)80076-1 -
Journal de Biologie Buccale Sep 1989Odontogenic cysts present problems of diagnosis, radiology and histopathology. This review of the literature considers the current system of classification and reveals a... (Review)
Review
Odontogenic cysts present problems of diagnosis, radiology and histopathology. This review of the literature considers the current system of classification and reveals a level of agreement with regard to the major categories of cysts. The term "developmental odontogenic cyst" embraces primordial cysts (or odontogenic keratocysts), gingival cysts (newborn and adult), lateral periodontal cysts, eruption and dentigerous cysts and odontogenic calcified cysts (Gorlin cysts). "Inflammatory odontogenic cyst" includes: the radicular cysts and its etiological variance, residual cysts, inflammatory collateral cysts, periodontal cysts and inflammatory follicular cysts. Clinical symptoms are not in themselves sufficient to differentiate between several of the different categories. A combination of clinical and histopathological evidence is essential if a definitive diagnosis is to be achieved and the risk of carcinoma eliminated. Developmental or inflammatory cysts arise from cells involved in the development of the dental organ.
Topics: Dentigerous Cyst; Humans; Jaw Diseases; Odontogenic Cysts; Periodontal Cyst
PubMed: 2681180
DOI: No ID Found -
Journal of the Massachusetts Dental... 2008
Topics: Diagnosis, Differential; Gingival Diseases; Humans; Periodontal Cyst
PubMed: 19146122
DOI: No ID Found -
Acta Chirurgica Iugoslavica 2008The radicular cysts are result of inflammatory process in the periapical tissues associated with necrotic and infected pulps. Humoral and cellular immune responses play... (Review)
Review
The radicular cysts are result of inflammatory process in the periapical tissues associated with necrotic and infected pulps. Humoral and cellular immune responses play a central role in the pathogenesis of these lesions. The most important role in the growth of these lesion have proinflammatore cytokine TNF-alpha, IL-1 and IL-6. Cytokine can be secreted by macrophages, monocytes and other cells of the immune system and can participate in skeletal homeostasis including osteoclastic formation, and bone resorption in maxillofacial region. The aim of this study is to give a consise rewiew for mechanism of growth of maxilofacial radicular cysts, indicated of clinical aspect, as well as expalined role of cytokine in this pathophysiology process.
Topics: Humans; Radicular Cyst
PubMed: 18510067
DOI: 10.2298/aci0801087c