{"id":14126,"date":"2017-03-25T10:16:22","date_gmt":"2017-03-25T10:16:22","guid":{"rendered":"http:\/\/biomedpharmajournal.org\/?p=14126"},"modified":"2020-04-23T10:27:14","modified_gmt":"2020-04-23T10:27:14","slug":"lateral-periodontal-cyst_a-case-report","status":"publish","type":"post","link":"https:\/\/biomedpharmajournal.org\/staging\/vol10no1\/lateral-periodontal-cyst_a-case-report\/","title":{"rendered":"Lateral Periodontal Cyst_A Case Report"},"content":{"rendered":"

Introduction<\/strong><\/p>\n

The lateral periodontal lateral cyst is a developmental odontogenic cyst defined as a radiolucent lesion, along the lateral aspect of an erupted vital tooth in which an inflammatory etiology and a diagnosis of collateral keratocyst have been excluded based on clinical and histological grounds (1).<\/p>\n

Since the last maxillary cyst classification of the World Health Organization (WHO), described by Kramer et al. in 1992, lateral periodontal cysts (LPCs) have been regarded as an independent condition (2).<\/p>\n

The clinical manifestations tend to be mild, and the diagnosis is generally established by means of a routine radiological exploration, which reveals a radiolucent image with less than 1 cm in size in most cases (3-9). LPCs account for between 0.8% (3) and 1.5% (4) of all maxillary cysts.<\/p>\n

Case Discussion<\/strong><\/p>\n

A 20 year female patient came with a complaint of swelling in the upper front tooth region for the past 2 years. On intra oral examination a swelling was present in the labial aspect extending from 11 to 13 region (fig 1) which was asymptomatic.<\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 1: shows the swelling extending from 11 to 13.<\/strong><\/p>\n

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Panoramic examination showed a well defined radiolucency which was present in between the middle and apical third of 12 and 13 with divergence of roots ( fig 2 and 3).<\/span><\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 2: Showing panoramic view showing a unilocular radiolucency with divergence of 12 and 13.<\/strong><\/p>\n

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 <\/p>\n\n\n\n
\"Figure<\/td>\n\n

Figure 3: showing panoramic view showing a unilocular radiolucency with divergence of 12 and 13.<\/strong><\/p>\n

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The swelling was aspirated which contained a yellowish fluid (fig4). The tissue was measuring 1.5 cm * 1cm\u00a0\u00a0 Surgical enucleation of the cyst was done and sent for histopathologic evaluation . (fig4).<\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 4: shows the enucleated lesion.<\/strong><\/p>\n

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 <\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 5a: postoperative intra oral view<\/strong><\/p>\n

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The H and E stained soft tissue section showed a stratified squamous lining epithelium consisting\u00a0 of 8 \u2013 10 cell layer thickness (fig 5 and\u00a0 6). The epithelial connective tissue interface was flat and devoid of rete ridges. The epithelium showed areas of spongiosis. The stroma was loosely arranged with minimal inflammation.<\/p>\n

The histopathologic evaluation was done to rule out any malignancies.<\/p>\n\n\n\n
\"Figure<\/td>\n\n

Figure 5b: showing shows lining epithelium and a connective tissue stroma.<\/strong><\/p>\n

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 <\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 6: showing 8 to 10 layers of lining epithelium.<\/strong><\/p>\n

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 <\/p>\n\n\n\n
\u00a0\"Figure<\/td>\n\n

Figure 7: review done after one year.<\/strong><\/p>\n

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Discussion<\/strong><\/p>\n

The lateral periodontal cyst is a developmental odontogenic cyst which is usually uncommon. It is located along the lateral aspect of a root of a vital \u00a0tooth. In this case it was seen in the lateral aspect of 12 and 13 region. Lesions has been removed by surgical enucleation. Special care should be taken not do damage the roots of the adjacent teeth. Recurrence is uncommon but has sporadicallly been reported (12). Here the patient was reviewed periodically ( fig7) and no evidence of recurrence.<\/p>\n

References<\/strong><\/p>\n

    \n
  1. Text book of cysts – Shear.<\/li>\n
  2. Kramer IRH, Pindborg JJ, Shear M. WHO Histological Typing of Odontogenic Tumours. 2nd ed. Geneva: Springer-Verlag; 1992. p.34-118.<\/li>\n
  3. Altini M, Shear M. The lateral periodontal cyst: an update. J Oral Pathol Med. 1992 Jul;21(6):245-50.<\/li>\n
  4. Kerezoudis NP, Donta-Bakoyianni C, Siskos G. The lateral periodontal cyst: aetiology, clinical significance and diagnosis. Endod Dent Traumatol. 2000 Aug;16(4):144-50.<\/li>\n
  5. Angelopoulou E, Angelopoulos AP. Lateral periodontal cyst. Review of the literature and report of a case. J Periodontol. 1990 Feb;61(2):126-31.<\/li>\n
  6. Carter LC, Carney YL, Perez-Pudlewski D. Lateral periodontal cyst. Multifactorial analysis of a previously unreported series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Feb;81(2):210-6.<\/li>\n
  7. Lindh C, Larsson A. Unusual jaw-bone cysts. J Oral Maxillofac Surg. 1990 Mar;48(3):258-63.<\/li>\n
  8. Rasmusson LG, Magnusson BC, Borrman H. The lateral periodontal cyst. A histopathological and radiographic study of 32 cases. Br J Oral Maxillofac Surg. 1991 Feb;29(1):54-7.<\/li>\n
  9. Tolson GE, Czuszak CA, Billman MA, Lewis DM. Report of a lateral periodontal cyst and gingival cyst occurring in the same patient. J Periodontol. 1996 May;67(5):541-4.<\/li>\n
  10. Lateral periodontal cyst A case report and review of literature. Luis feliepe das . Journal of oral and maxillofacial research.<\/li>\n
  11. Two cases of lateral periodontal cyst . oral surgery oral medicine and oral pathology feb 1967 vol 2392) pg 183-188.<\/li>\n
  12. Greer RO, Johnson M. Botryoid odontogenic cyst: clinical pathologic analysis of teh cases with three recurrences. J Oral Maxillofac Surg 1988;46:574-579.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

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