Lateral periodontal cyst with extremely rare clinical-radiographic presentation

  • Marconi Eduardo Sousa Maciel Santos Faculdade ASCES (Associação Caruaruense de Ensino Superior)
  • Vinícius de Farias de Farias Pereira Faculdade ASCES (Associação Caruaruense de Ensino Superior)
  • Pettely Thaíse de Souza Santos Palmeira Faculdade ASCES (Associação Caruaruense de Ensino Superior)
  • Diego Moura Soares Faculdade ASCES (Associação Caruaruense de Ensino Superior)
  • Danielle Lago Bruno de Faria Faculdade ASCES (Associação Caruaruense de Ensino Superior)
  • Uoston Holder da Silva Faculdade ASCES (Associação Caruaruense de Ensino Superior)
Keywords: Odontogenic cysts, periodontal cyst, Oral Pathology

Abstract

Purpose: The present article describes the clinical, radiographic and histological features of an extremely rare case of lateral periodontal cyst as well as the treatment and postoperative follow-up. Case description: A 43-year-old male patient, mulatto, sought the Stomatology Clinic of the Caruaru Dental School (Brazil) with a complaint of increased volume on the right side of his face for approximately five years. The increase in volume was asymptomatic and facial asymmetry was the main reason he sought treatment. Based on the clinical and imaging exams as well as the lack of pulp vitality in tooth 13, the presumed clinical diagnosis was inflammatory radicular cyst and the surgical plan was total cystic enucleation. Excisional biopsy was performed and sent for pathologic microscopic analysis, which revealed multiple cavities with hyalinization of the connective tissue below the epithelium and the presence of clear non-epithelial cells. Conclusion: The case reported reveals that the extremely rare botryoid variant of lateral periodontal cyst exhibits multilocular presentation and excessive growth. Excisional biopsy was the treatment for this case and no sign of recurrence was observed over the nine-month follow-up period.
Published
2011-04-05
Section
Case Report