Lateral Periodontal Cyst: a Case Report and Literature Review

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...

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Main Authors: Luis Felipe das Chagas e Silva de Carvalho, Celina Faig Lima, Luiz Antonio Guimarães Cabral, Adriana Aigotti Haberbeck Brandão, Janete Dias Almeida
Format: Article
Language:English
Published: Lithuanian University of Health Sciences, Faculty of Odontology 2010-10-01
Series:eJournal of Oral Maxillofacial Research
Subjects:
Online Access:http://www.ejomr.org/JOMR/archives/2010/4/e5/v1n4e5ht.pdf
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author Luis Felipe das Chagas e Silva de Carvalho
Celina Faig Lima
Luiz Antonio Guimarães Cabral
Adriana Aigotti Haberbeck Brandão
Janete Dias Almeida
author_facet Luis Felipe das Chagas e Silva de Carvalho
Celina Faig Lima
Luiz Antonio Guimarães Cabral
Adriana Aigotti Haberbeck Brandão
Janete Dias Almeida
author_sort Luis Felipe das Chagas e Silva de Carvalho
collection DOAJ
description 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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publishDate 2010-10-01
publisher Lithuanian University of Health Sciences, Faculty of Odontology
record_format Article
series eJournal of Oral Maxillofacial Research
spelling doaj-art-e144eea3f3584e1f8f87969dd5ff8b3e2025-08-20T03:39:25ZengLithuanian University of Health Sciences, Faculty of OdontologyeJournal of Oral Maxillofacial Research2029-283X2010-10-0114e5Lateral Periodontal Cyst: a Case Report and Literature ReviewLuis Felipe das Chagas e Silva de CarvalhoCelina Faig LimaLuiz Antonio Guimarães CabralAdriana Aigotti Haberbeck BrandãoJanete Dias AlmeidaBackground: 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.http://www.ejomr.org/JOMR/archives/2010/4/e5/v1n4e5ht.pdfperiodontal cystapicalradicular cystodontogenic cystsjaw cysts
spellingShingle Luis Felipe das Chagas e Silva de Carvalho
Celina Faig Lima
Luiz Antonio Guimarães Cabral
Adriana Aigotti Haberbeck Brandão
Janete Dias Almeida
Lateral Periodontal Cyst: a Case Report and Literature Review
eJournal of Oral Maxillofacial Research
periodontal cyst
apical
radicular cyst
odontogenic cysts
jaw cysts
title Lateral Periodontal Cyst: a Case Report and Literature Review
title_full Lateral Periodontal Cyst: a Case Report and Literature Review
title_fullStr Lateral Periodontal Cyst: a Case Report and Literature Review
title_full_unstemmed Lateral Periodontal Cyst: a Case Report and Literature Review
title_short Lateral Periodontal Cyst: a Case Report and Literature Review
title_sort lateral periodontal cyst a case report and literature review
topic periodontal cyst
apical
radicular cyst
odontogenic cysts
jaw cysts
url http://www.ejomr.org/JOMR/archives/2010/4/e5/v1n4e5ht.pdf
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AT celinafaiglima lateralperiodontalcystacasereportandliteraturereview
AT luizantonioguimaraescabral lateralperiodontalcystacasereportandliteraturereview
AT adrianaaigottihaberbeckbrandao lateralperiodontalcystacasereportandliteraturereview
AT janetediasalmeida lateralperiodontalcystacasereportandliteraturereview