Uncommon Presentation of a Residual Cyst

Purpose Residual cysts are inflammatory cysts of the jaws that develop when epithelium associated with a previous cyst is not completely removed. These cysts are often asymptomatic and discovered incidentally during radiologic examinations of edentulous areas. This case report documents an uncommon...

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Main Authors: Nazgol Zamanian, A. Karimi, J. Bukhari, A. J. Davies, F. Mashkoor, L. B. Daly
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of the California Dental Association
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/19424396.2024.2413577
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author Nazgol Zamanian
A. Karimi
J. Bukhari
A. J. Davies
F. Mashkoor
L. B. Daly
author_facet Nazgol Zamanian
A. Karimi
J. Bukhari
A. J. Davies
F. Mashkoor
L. B. Daly
author_sort Nazgol Zamanian
collection DOAJ
description Purpose Residual cysts are inflammatory cysts of the jaws that develop when epithelium associated with a previous cyst is not completely removed. These cysts are often asymptomatic and discovered incidentally during radiologic examinations of edentulous areas. This case report documents an uncommon presentation of a residual cyst with internal calcifications.Methodology This study is a case report. An 82-year-old male patient presented to our clinic, where full mouth imaging revealed a corticated radiolucency extending from the area of tooth no. 8 to the area of tooth no. 13. CBCT imaging showe curvilinear calcification at the epicenter of the lesion. Following the biopsy with oral surgery and microscopic examination with oral pathology, the lesion was diagnosed as residual cyst.Conclusion This case report underscores the complexity of radiographic differential diagnosis and the importance of evaluating the patient, particularly when a lesion presents with atypical radiographic features.Impact The findings of this case report contribute to the existing literature on the diagnosis and management of residual cysts, particularly those with uncommon presentations. By documenting the diagnostic journey of a residual cyst characterized by an initial mixed-density appearance, this report emphasizes the critical role of a holistic approach in developing a differential diagnosis.
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spelling doaj-art-bfa21d6ba7eb4f43a583af81fef5480b2025-08-20T01:57:05ZengTaylor & Francis GroupJournal of the California Dental Association1942-43962024-12-0152110.1080/19424396.2024.2413577Uncommon Presentation of a Residual CystNazgol Zamanian0A. Karimi1J. Bukhari2A. J. Davies3F. Mashkoor4L. B. Daly5International Dental Studies program Class of 2025, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, USAInternational Dental Studies program Class of 2026, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, USABeamReaders, New York, USADepartment of Oral and Maxillofacial Surgery, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, USADepartment of Oral and Maxillofacial Surgery, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, USADepartment of Diagnostic Sciences, University of the Pacific Arthur A. Dugoni School of Dentistry, San Francisco, USAPurpose Residual cysts are inflammatory cysts of the jaws that develop when epithelium associated with a previous cyst is not completely removed. These cysts are often asymptomatic and discovered incidentally during radiologic examinations of edentulous areas. This case report documents an uncommon presentation of a residual cyst with internal calcifications.Methodology This study is a case report. An 82-year-old male patient presented to our clinic, where full mouth imaging revealed a corticated radiolucency extending from the area of tooth no. 8 to the area of tooth no. 13. CBCT imaging showe curvilinear calcification at the epicenter of the lesion. Following the biopsy with oral surgery and microscopic examination with oral pathology, the lesion was diagnosed as residual cyst.Conclusion This case report underscores the complexity of radiographic differential diagnosis and the importance of evaluating the patient, particularly when a lesion presents with atypical radiographic features.Impact The findings of this case report contribute to the existing literature on the diagnosis and management of residual cysts, particularly those with uncommon presentations. By documenting the diagnostic journey of a residual cyst characterized by an initial mixed-density appearance, this report emphasizes the critical role of a holistic approach in developing a differential diagnosis.https://www.tandfonline.com/doi/10.1080/19424396.2024.2413577Cystodontogenic cystinflammatory odontogenic cystresidual cystinternal calcificationsradiographic differential diagnosis
spellingShingle Nazgol Zamanian
A. Karimi
J. Bukhari
A. J. Davies
F. Mashkoor
L. B. Daly
Uncommon Presentation of a Residual Cyst
Journal of the California Dental Association
Cyst
odontogenic cyst
inflammatory odontogenic cyst
residual cyst
internal calcifications
radiographic differential diagnosis
title Uncommon Presentation of a Residual Cyst
title_full Uncommon Presentation of a Residual Cyst
title_fullStr Uncommon Presentation of a Residual Cyst
title_full_unstemmed Uncommon Presentation of a Residual Cyst
title_short Uncommon Presentation of a Residual Cyst
title_sort uncommon presentation of a residual cyst
topic Cyst
odontogenic cyst
inflammatory odontogenic cyst
residual cyst
internal calcifications
radiographic differential diagnosis
url https://www.tandfonline.com/doi/10.1080/19424396.2024.2413577
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AT lbdaly uncommonpresentationofaresidualcyst