Atypical presentation of lateral periodontal cyst in an. As the lateral periodontal cyst lpc is an unusual odontogenic cyst, most papers are single case reports or series with a limited number of cases, with few large series. Synonyms for lateral periodontal cyst in free thesaurus. Pdf lateral periodontal cyst treated with enucleation. The head and neck have many blood vessels, so bleeding is a risk during this surgery.
Lateral periodontal cysts are an uncommon type of developmental odontogenic cysts that typically occur along the lateral aspect of teeth, usually involving. Globulomaxillary cyst, lateral periodontal abscess, odontogenic keratocyst cyst, abnormal sac in the body, filled with a fluid or semisolid and enclosed in a membrane. Apr 08, 2012 nonodontogenic cyst defination the epithelial lining is derived from sources other than the toothforming organ 5. The lateral periodontal cyst lpc is a relatively uncommon but widely recognized odontogenic cyst of developmental origin. An unusual clinicoradiographic presentation of a lateral periodontal. It arises from remnants of the dental lamina or from the reduced enamel epithelium. Histopathologically, the lateral periodontal cyst lining is characterized by a thin cuboidal to stratified squamous nonkeratinizing epithelium. The onset of lateral periodontal cyst are insidious and subtle, with a yearly growth rate of 0.
Dec 22, 2016 gingival cyst of the adult is a rare slow growing and asymptomatic lesion that arises from the rests of the dental lamina. Lateral periodontal cyst lpc is a noninflammatory cyst on the lateral surface of the root of a vital tooth. Diagnosis and treatment of lateral periodontal cyst. A rare variant of lateral periodontal cyst, the botryoid cysts represent a polycystic variant of lpc, first described in 1973 by weathers and waldron. Unusual clinicoradiographic presentation of a lateral periodontal. Your nurses will check the fluid from the drain tubes for signs of too much bleeding. Lateral periodontal cyst is a slow growing, nonexpansile developmental odontogenic cyst derived from one or more rests of the dental lamina, containing an embryonic lining of one to three cuboidal. Periapical cysts begin as asymptomatic and progress slowly. T he lateral periodontal cyst is a rare odontogenic cyst of developmental origin. Lateral periodontal cyst synonyms, lateral periodontal cyst. Pdf the lateral periodontal cyst is a nonkeratinized, noninflammatory developmental cyst occuring adjacent to or lateral to a tooth root.
Cysts occur more commonly in the jaws than in any other bone. Commonly reported in mandibular caninepremolar or maxillary anterior. The lateral periodontal cyst lpc is a harmless developmental aberration derived from odontogenic epithelia lying between the roots of vital teeth. Lateral periodontal cyst j indian acad oral med radiol. Lateral periodontal cysts clinical, radiographical and histopathological findings medicine. An abnormal membranous sac in the body containing a gaseous, liquid, or semisolid substance. Lateral periodontal cyst lpc has been pathogenetically linked to the gingival cyst of the adult the former is believed to arise from dental lamina remnants within bone and the latter from dental lamina remnants in soft tissue between the oral epithelium and the periosteum rests of serres. The lateral periodontal cyst, while reputed to be a rare lesion, has in the past been presented as a distinct clin ical entity of primarily odontogenic origin with fairly.
Standish and shafer in 1958 first reported a welldocumented case of a lateral periodontal cyst. Lateral periodontal cyst with extremely rare clinical. The etiology of lpc is unclear and the cell rests of malassez, reduced enamel epithelium or remnants of dental lamina were suggested to cause formation and development of lpc. Lateral periodontal cyst in vivo international institute of. Initially, the cyst swells to a round hard protrusion, but later on the body resorbs some of the cyst wall, leaving a softer accumulation of fluid underneath the mucous membrane. Lateral periodontal cyst financial definition of lateral. Radiographically shows a welldefined, unilocular, round or avoid lucent area.
A cyst is a pathological fluid filledcavity lined by epithelium. Along the lateral surface of the root of vital tooth. Jul, 2015 24 the botryoid odontogenic cyst boc is a polycystic variant of the lateral periodontal cyst. Some bleeding is common right after surgery, but the fluid that drains becomes more yellow as you heal. Lateral periodontal cyst lpc is a relatively rare odontogenic pathology, representing about 0. After vitality testing, would you automatically assume that the tooth is associated with whichever adjacent tooth is vital. No matter how effective dental implants are, and they can be very effective, generally nothing is as good as a natural tooth. The present report describes the case of a miniscule adult gingival cyst in the lower anterior gingiva in a 51yearold male with agenesis of lower premolars and lateral incisors. The lateral periodontal cyst is an uncommon, but wellrecognized type of developmental odontogenic cyst.
Get the facts on causes, symptoms, signs, diagnosis, prevention, and treatment. Oct 08, 2019 a pilonidal cyst is a cyst on the tailbone, near the cleft of the buttocks. Lateral periodontal cyst synonyms, lateral periodontal cyst pronunciation, lateral periodontal cyst translation, english dictionary definition of lateral periodontal cyst. The lateral periodontal cyst is an uncommon but well recognized type of developmental odontogenic cyst. An unfamiliar presentation of a lateral periodontal cyst. Hi there, in the 4th radiography the cyst appears to be associated with the lateral incisor which is nonvital. Radiology of cysts of the jaws columbia university. As pain and other clinical signs are rarely reported. The following classification system is a modification of the world health organization. Lateral periodontal cyst lpc is a rare and strange form of developmental odontogenic cyst.
Pathology sijren eliasson1, gsran isacsson24 and per ake k6ndella departments of oral radiology, oral pathology2, oral surgery3, school of dentistry, karolinska instituter, huddinge, and postgraduate dental education center4, orebro, sweden s. Lateral periodontal cyst lpc is an uncommon developmental odontogenic cyst arising on the lateral surface of tooth roots. Periodontal cyst article about periodontal cyst by the. Lpc is usually discovered during routine radiographic examination, is located mainly between the roots of vital mandibular canines and premolars, and seldom causes. Periodontal cyst definition of periodontal cyst by the. The periapical cyst exhibits the same clinical and radiographic features as the periapical granuloma i. Radicular cyst or periapical cyst linkedin slideshare.
Treatment of lateral periodontal cyst with guided tissue. This may obliterate the lamina dura of the adjacent teeth. Intraoperative view following surgical removal of a lateral periodontal cyst located between the left lower canine and first premolar. Abstract the lateral periodontal cyst lpc is a relatively uncom mon but widely recognized odontogenic cyst of developmental ori gin. Based on the clinical and imaging exams as well as the lack of pulp vitality in tooth, the presumed clinical diagnosis was inflammatory radicular cyst and the. Subsequent infection of the cyst causes swelling and pain. If you can imagine a balloon filled with fluid, then youll have no problem imagining what a cyst is.
Facts you should know about lateral periodontal cyst. Jan 14, 2016 the diagnosis of lateral periodontal cyst is primarily based on histopathologic features, as certain characteristic histologic features separate it from other odontogenic cysts. Adjacent teeth vitality is of great importance when contemplating a presurgical working diagnosis of lateral periodontal cyst as missing adjacent teeth or past endodontic treatment would affect and confuse the differential diagnosis. Botryoid odontogenic cyst boc was first described in 1973 by weathers and waldron and it is usually described in the literature as a multicystic variant of lateral periodontal cyst lpc 1. Endodontists are dentists who have at least 23 years of advanced training in root canals and saving teeth. A cyst is, in its simplest terms, a sac filled with a fluid or semi.
Patient became extremely apprehensive whenever an effort was made to apply rubber dam, which contraindicated its usage. Apical periodontal cyst definition of apical periodontal. Lateral periodontal cyst definition of lateral periodontal. Lateral periodontal cysts med oral patol oral cir bucal. Lateral periodontal cyst treated with enucleation and guided bone. A multilocular lateral peridontal cyst is referred to as a botryoid odontogenic cyst. Periodontal cyst article about periodontal cyst by the free. They are usually symptomless and are discovered during routine radiological examination of the teeth. Serman this is an area where radiology plays an important role in assisting with the diagnosis, determining the size of the lesion and the relationship to adjacent structure. Some authors have postulated that the lateral periodontal cyst is the intrabony counterpart of the gingival cyst in the adult.
It is considered to be developmental and not as a result of inflammation process or infection. Differential diagnosis included nasopalatine cyst, median palatal cyst, traumatic bone cyst, and globulomaxillary cyst. Odontogenic cysts, tumors, and related jaw lesions preceptor. The most common location of a lateral periodontal cyst is. Lateral periodontal cyst ddmfr oral and maxillofacial. This lesion develops in the alveolar bone alongside an erupted vital tooth. Periodontal cyst located in the upper maxilla between the left lateral incisor and the left canine a panoramic radiography view.
The acronym for lateral periodontal cyst role of the periodontium. Lateral periodontal cyst article about lateral periodontal. Lateral periodontal cyst synonyms, lateral periodontal. The bilateral lateral periodontal cyst is a rare nasological entity, which despite clinical and radiological presentation is being diagnosed by histological characteristics. Nov 22, 2009 the lateral periodontal cyst arises from some of tissue remnants of periodontal ligament. It occurs on the lateral periodontal region of a vital tooth and has specific histologic features. Some investigators have noted a greater tendency for periapical cysts to be larger, to cause root. It is found mostly in adults and has no sex predilection.
Lateral periodontal cyst medical condition youtube. Lateral periodontal cyst lpc is an unusual cyst of odontogenic origin, most frequently found in the mandible between the roots of canines and premolars and corresponding to 0. Periodontal cyst definition of periodontal cyst by the free. Periapical cysts, also known as radicular cysts, are the most frequent cystic lesion related to teeth see mandibular lesions and result from infection of the tooth on imaging, they generally appear as a round or pearshaped, unilocular, lucent lesion in the periapical region, measuring may 18, 2015 symptoms, risk factors and treatments of lateral periodontal cyst medical condition the lateral periodontal cyst is a cyst that arises from the epithelial rest of malassez which is a remnant. By definition, lpcs are the cysts occurring in the lateral periodontal position and in which an inflammatory aetiology and a diagnosis of collateral primordial cyst have been excluded on clinical and histological grounds. Doctor answers on symptoms, diagnosis, treatment, and more. Oral pathology periapical cyst radicular cyst apical periodontal cyst types of radicular cyst periapical cyst 1.
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