A bunch of grapes with a bag of marbles: The concurrence of the botryoid odontogenic cyst with a compound odontoma

Abstract

AbstractThe botryoid odontogenic cyst is considered a rare multilocular variant of the lateral periodontal cyst. The clinical, radiological and histopathological features of a case with a coinciding compound odontoma, affecting the anterior mandible, are presented. A 33‐year‐old South African male presented with an asymptomatic, progressive, firm swelling of the right anterior mandible. Radiographic examination revealed a multilocular, radiolucent lesion with a corticated border causing buccal expansion and erosion of the buccal plate. In addition, well‐defined denticles were present impeding the eruption of the right mandibular canine. Removal of the lesion resulted in the loss of four teeth. Histopathological results provided a final diagnosis of a botryoid odontogenic cyst and a concurrent compound odontoma.Statement of Clinical SignificanceThe botryoid odontogenic cyst is a rare entity and, thus, the information provided in this report contributes to the growing repository of literature surrounding these cysts. Furthermore, the concurrence of a compound odontoma contributes to its rarity.