OBJETIVO: O presente artigo descreve os aspectos clínicos, radiológicos e histopatológicos de um caso extremamente raro de cisto periodontal lateral, bem . 1 ; 22(3): set-dez Cisto lateral: relato de caso Gracielle Rodrigues Tavares * Júlia Magalhães da Costa Lima * Sócrates Steffano da Silva Tavares. Diagnóstico e tratamento de cisto periodontal lateral: Purpose: Lateral periodontal cyst (LPC) is an uncommon type of odontogenic cyst of development.

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Postoperative control was rigorous for this case and follow up was initially carried out on a weekly basis. Presence of separation of the epithelium of the subjacent connective tissue, resulting in a crack, and thickened epithelium or “signs” that sometimes produce mural protuberances or intraluminal protusions Carter et al.

A retrospective study of 11 cases.

The case reported reveals that the extremely rare botryoid variant of lateral periodontal cyst exhibits multilocular presentation and excessive growth. Volume 15, Issue 7 Ver. Latefal of individual modules Basic Module 1 Basic principles of general and dental medicine.

Besides being asymptomatic, the non-inflammatory lesion is located between the roots of two teeth in most cases usually premolars and canines 5. Maxillary sinusitis of odontogenic origin: Odontomas are considered to be developmental anomalies Oral Pathology Compound odontoma diagnosis and treatment: Hematoxylin-eosin stain histological aspect in 40x magnification demonstrating thickening areas of the epithelium.

LateraL periodontaL cyst: case report Cisto periodontal lateral

In this case, the LPC was developed in a woman. But what are odontogenic tissues and how do you get tumors from them in Latsral information. Multilocular lesions are characterized by the presence of cavities, cystic or not, separated by connective or osseous septa. The patient sought for other professional, made further tests and was submitted to enucleation of the lesion. If you do More cistp.

Dental vitality test showed positive result of the mentioned teeth, discarding inflammatory origin. Our article reports a rare case of the polemic odontogenic cyst and presents considerations related to its etiopathogenic, diagnostic and therapeutic aspects.


The differential diagnosis requires the analysis of multiple aspects, such as eruption of the affected tooth, surrounding tissue, lqteral location of the cyst, the incidence of the maxillary bones and adherence to the root surface. In a research conducted by Formoso Senande et al.

The patient continues in follow-up in case of any recurrence is observed.

Lateral periodontal cyst with extremely rare clinical-radiographic presentation

The effect on bone preservation Clinical Histologic comparison of biologic width around teeth versus implants: The treatment of choice is surgical removal by enucleation and curettage, with subsequent histological evaluation to confirm the diagnosis Lima et al.

Effects on adjacent structures. Both present predilection to the inferior canine and bicuspid region, as presented in the present case, and demonstrate epithelium with clear cells nodule The possibility of this lesion representing a clinical variation of the lateral periodontal cyst is source of discussion and doubt among many authors.

Incidence of Entamoeba gingivalis and Trichomonas tenax in. The patient will give a long history of undiagnosed but severe pain, and More information. The diagnosis occurs randomly through routine radiographic examinations, as the majority of these lesions are asymptomatic Kerezoudis et al.

At physical examination, it was observed an increase in volume and crackle in the region of upper laterl left incisor. Dent Clin More information. The differential diagnosis of LPC should be done with entities such as the gingival cyst of adults, inflammatory processes of periodont or periapical, when infected; primary cyst, infrabony pockets, ameloblastoma in early stage, malignant lesions in the initial phase and residual cyst in edentulism patients Pereira et al.

During surgery, strong adhesion of the cystic capsule to the canine root was observed.

Figure 4 – The lumen of the cavity is filled by red blood cells and peeled epithelial cells. Conclusions The vitality of pulpal dental elements involved and the gingival conditions should always be checked.

Although the diagnosis of the BOC is only confirmed after histopathologic examination, clinical, radiographic or macroscopic characteristics laterap of this lesion may help in the indication of complementary treatment modalities during surgery. Original Botryoid odontogenic cyst: To make this website work, we log user data and share it psriodontal processors. Focal epithelial thickening or plaques composed of clear cells rich in glycogen may also be found 3, The histogenesis of this cyst is still uncertain and may arise from the reduced epithelium of the enamel, along the lateral surface of the root of the tooth; from the epithelial rests of Malassez in the ligament; or from the proliferation of remnants of dental lamina Lima et al ; Mendes and van der Waal ; Neville et al ; Pereira et al.


Other evidences suggest the possibility of this lesion represent a variation of the lateral periodontal cyst LPCpromoting discussion and doubt among authors.

Moreover, the fact that it occurs in the crest of the alveolar ridge and presents clear cells, rich in glycogen in the epithelial plate, make the theory of the origin of the LPC in the dental lamina more plausible, because clear cells are also found in the remnants of the dental lamina Lima et al.

The material was sent for histopathological analysis. Even tough some reports point out the proliferative behavior of the BOC, it is believed that the recurrences are related to the difficulty to the complete removal of the lesion due to its multilocular aspect and its thin capsule 58.

Pereira AM et al. The lateral periodontal cyst. The case reported here reveals that the extremely rare botryoid variant of lateral periodontal cyst exhibits multilocular presentation and excessive growth. Development of Teeth Dr. The botryoid odontogenic cyst is a rare asymptomatic lesion characterized by its typical multilocular aspect similar to a bunch of grapes commonly affecting the mandible bicuspids and canine region.

Three hypotheses seek to explain the histogenesis of this cyst that is still uncertain.

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