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Journal of Periodontology Sep 2006The paradental cyst is an odontogenic lesion of inflammatory origin that has few clinical signs and symptoms apart from recurring acute episodes. A well-defined...
BACKGROUND
The paradental cyst is an odontogenic lesion of inflammatory origin that has few clinical signs and symptoms apart from recurring acute episodes. A well-defined radiolucency associated with the roots or distal to the crown may be seen radiographically. The purpose of this article is to report on different aspects of two cases involving paradental cysts. In the first case, the patient complained about recurring pericoronitis. A semilunar-shaped radiolucency on the distal aspect of the mandibular third molar was noted on the periapical radiograph. In the second case, the patient's main complaint was chronic trauma of the overlying mucosa. Radiographs revealed an enlarged pericoronal space.
METHODS
In both cases, the mandibular third molar was extracted due to a lack of space. Lesional samples were sent for histopathologic analysis.
RESULTS
In the first case, the drainage of cystic fluid and a regular concavity were found during tooth removal. In the second case, a nodular lesion was found adhering to the disto-buccal surface of the tooth arising from the distal wall of a periodontal pocket. The histopathologic analysis revealed a hyperplastic stratified squamous epithelium with arcading lining a fibrous capsule with inflammatory infiltrate, resulting in a final diagnosis of a paradental cyst.
CONCLUSIONS
The presence of a paradental cyst should be considered when recurrent inflammatory periodontal processes are associated with partially erupted vital teeth, even when characteristic radiographic findings are absent. Definitive diagnosis requires a clinicopathologic correlation incorporating surgical, radiographic, and histologic findings.
Topics: Adult; Diagnosis, Differential; Humans; Male; Mandibular Diseases; Molar, Third; Periodontal Cyst; Radiography; Tooth Eruption
PubMed: 16945040
DOI: 10.1902/jop.2006.050380 -
Journal of Periodontology Dec 2009The 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... (Review)
Review
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.
Topics: Bicuspid; Biopsy; Bone Transplantation; Collagen; Cuspid; Diagnosis, Differential; Follow-Up Studies; Gingival Diseases; Guided Tissue Regeneration, Periodontal; Humans; Male; Mandible; Membranes, Artificial; Middle Aged; Periodontal Cyst; Tooth Root
PubMed: 19961391
DOI: 10.1902/jop.2009.090311 -
Journal of the Indian Society of... 2012The paradental cyst is a lesion classified and recognized by World Health Organization quite recently, which is related to an inflammatory process, especially... (Review)
Review
The paradental cyst is a lesion classified and recognized by World Health Organization quite recently, which is related to an inflammatory process, especially pericoronitis, involving a tooth in eruption. The aim of this article is to report a rare bilateral case of paradental cyst. An 8-year-old boy presented to the Oral Surgery Department, Dental Clinic, Istituto di Ricerca e Cura a Carattere Scientifico (IRCCS) Fondazione Ospedale Maggiore Policlinico, University of Milan, with the complaint of swelling over the buccal gingiva of his unerupted lower left first molar. Radiographs revealed a radiolucency involving the bifurcation and root area of teeth 36 and 46. The cysts were enucleated, maintaining the affected teeth in site; microscopic evaluation revealed a chronically inflamed cyst lined by a non-keratinized stratified squamous epithelium; the histopathology associated with macroscopic and radiographic examinations permitted the definitive diagnosis of a paradental cyst on the mandibular left and right first molars. The most recent literature shows the rarity of the paradental cyst occurring with bilateral localization. Because the paradental cyst can present variable clinical and radiographic signs, it is mandatory to correlate all clinical, radiographic, and histological data to obtain a definitive diagnosis.
Topics: Child; Connective Tissue; Diagnosis, Differential; Epithelium; Follow-Up Studies; Humans; Male; Mandibular Diseases; Molar; Periodontal Cyst; Radiography, Panoramic; Tomography, X-Ray Computed; Tooth Root
PubMed: 23514690
DOI: 10.4103/0970-4388.108940 -
Nederlands Tijdschrift Voor... Sep 2022A 23-year-old man presented with an irritating sensation at the third molar on the left side of the mandible and a bad taste in his mouth. Radiographic and...
A 23-year-old man presented with an irritating sensation at the third molar on the left side of the mandible and a bad taste in his mouth. Radiographic and histopathological examination revealed the abnormality was caused by a paradental cyst. The paradental cyst is located distal to a lower third molar and, together with the mandibular buccal bifurcation cyst, belongs to the inflammatory collateral cysts. Treatment consists of enucleation of the cyst and removal of the lower third molar. Recurrences do not occur.
Topics: Adult; Face; Humans; Male; Mandible; Mandibular Diseases; Molar, Third; Periodontal Cyst; Young Adult
PubMed: 36074645
DOI: 10.5177/ntvt.2022.09.22017 -
Journal of Periodontology May 1970
Topics: Adolescent; Adult; Aged; Child; Cysts; Female; Gingival Diseases; Humans; Male; Middle Aged; Odontogenic Cysts; Periodontal Cyst; Radiography
PubMed: 5267740
DOI: 10.1902/jop.1970.41.5.249 -
Head and Neck Pathology Jun 2011The paradental cyst is commonly misinterpreted when associated with atypical clinical and radiographic characteristics, in turn causing diagnostic problems. For this...
The paradental cyst is commonly misinterpreted when associated with atypical clinical and radiographic characteristics, in turn causing diagnostic problems. For this reason, the study of the differential diagnosis of this lesion has become extremely important. In addition, the correlation of clinical, histologic, and radiographic findings are also of great value in obtaining accurate diagnoses. The minor variations in the clinical appearance of paradental cysts make it feasible to consider the two main groups of cysts separately: those associated with 1st and 2nd permanent molars of the mandible and those associated with the 3rd mandibular molar. Moreover, this distinction in localization may well dictate the necessary treatment. Bearing in mind the minor clinical variations, the present article aims to discuss the differential diagnosis of this lesion and its different possible treatments by presenting a case report to illustrate the findings.
Topics: Child; Diagnosis, Differential; Female; Humans; Mandible; Mandibular Diseases; Molar; Periodontal Cyst; Periostitis; Radicular Cyst; Radiography; Treatment Outcome
PubMed: 21161456
DOI: 10.1007/s12105-010-0233-z -
Journal (Canadian Dental Association) Nov 1998The mandibular buccal bifurcation cyst (BBC) was first described by Stoneman and Worth in 1983. It is a lesion with a specific location, classically the buccal surface... (Review)
Review
The mandibular buccal bifurcation cyst (BBC) was first described by Stoneman and Worth in 1983. It is a lesion with a specific location, classically the buccal surface of the mandibular first molar and less frequently the mandibular second molar. There have been numerous reports in the literature describing the BBC and its treatment. Treatment advocated thus far includes extraction of the involved first molar, marsupialization and enucleation of the cyst. In their most recent article, Pompura, Sándor and Stoneman reported on the successful treatment of 44 cysts with enucleation without tooth extraction. This article will describe the diagnostic features of the BBC and present three cases with a total of five cysts, which were treated non-surgically and ultimately resolved. The authors, therefore, propose that a more conservative non-surgical approach to these lesions may be considered.
Topics: Cheek; Child; Furcation Defects; Humans; Male; Mandible; Molar; Periodontal Cyst; Radiography; Remission, Spontaneous; Terminology as Topic; Time Factors
PubMed: 9854359
DOI: No ID Found -
Revista Cubana de Estomatologia 1982
Topics: Adult; Dental Pulp Necrosis; Female; Humans; Periodontal Cyst
PubMed: 6963673
DOI: No ID Found -
European Journal of Paediatric Dentistry Jul 2014WHO defines the mandibular buccal bifurcation cyst as a cyst occurring near the cervical margin of the lateral aspect of a root as a consequence of inflammatory process... (Review)
Review
BACKGROUND
WHO defines the mandibular buccal bifurcation cyst as a cyst occurring near the cervical margin of the lateral aspect of a root as a consequence of inflammatory process in a periodontal pocket. The pathogenesis of these cysts is still debated, but they are most likely originated from reduced enamel epithelium or from inflammatory proliferation of epithelial cell rests of Malassez that come from the superficial mucosa of a tooth in eruption. The aim of this article was to describe a case of large buccal bifurcation cyst of a permanent mandibular first molar.
CASE REPORT
A 6-year-old boy was referred to Department of Oral Riabilitation of the Istituto Stomatologico Italiano, University of Milan, Italy, with the complaint of hard swelling over the buccal gingiva and a deep probing depth located on the buccal aspect. Radiograph revealed a well-defined semilunar-shaped radiolucency, marked by a fine radiopaque line on the buccal aspect of the partially-erupted lower right first molar and it was large enough to include a small part of the crown of the second right molar. As reported in the literature the treatment of choice is enucleation and curettage of the lesion without extraction of the vital involved tooth. This procedure has shown excellent results in both the short- and long-term. The definitive diagnosis of paradental cysts can be assessed by histopathologic analysis.
Topics: Cheek; Child; Humans; Male; Periodontal Cyst; Tomography, X-Ray Computed
PubMed: 25101512
DOI: No ID Found -
Journal of Oral Pathology & Medicine :... Aug 1992A retrospective study is reported of 14 cases of gingival cyst of adults. Clinical data were pooled with well-documented cases in the literature. Most cases occurred in...
A retrospective study is reported of 14 cases of gingival cyst of adults. Clinical data were pooled with well-documented cases in the literature. Most cases occurred in the 5th and 6th decades and in the premolar-canine-incisor area. Microscopically, the epithelial lining ranged from a thin, flat to cuboidal layer, 1-3 cells thick, resembling reduced enamel epithelium, to a nonkeratinized stratified squamous epithelium without rete ridges, of about 5-6 layers. Epithelial cells were frequently atrophic and this could involve the full thickness of the epithelium leaving an amorphous band of eosinophilic material. Plaque-like epithelial thickenings are sometimes present. Multicystic or "botryoid" forms may occur. The cysts are of developmental origin, arising either from basal cell extensions of overlying epithelium; or from postfunctional odontogenic epithelial residues of the dental lamina or rests of Malassez; or from junctional epithelium in the gingival crevice. The latter theory of origin is favored.
Topics: Adolescent; Adult; Aged; Child; Female; Gingival Diseases; Humans; Male; Middle Aged; Periodontal Cyst; Retrospective Studies
PubMed: 1522532
DOI: 10.1111/j.1600-0714.1992.tb01017.x