Abstract
ABSTRACT Buccal bifurcation cyst is an unusual inflammatory odontogenic cyst of unknown etiology which occurs at the buccal region of the permanent mandibular first molars in children and adolescents aged 6-15 years old. The aim of this manuscript is to present two clinical cases of buccal bifurcation cyst incidentally detected in adolescents referred for tomographic exams (CBCT) as part of the treatment planning for the management of impacted mandibular molars. The first case is very interesting due to the proximity of the lesion to the inferior alveolar canal. In the second case the inferior alveolar canal was not in close proximity to the lesion, but in contact with the mesiobuccal root of the second molar. The diagnosis of Buccal bifurcation cyst is of utmost importance in order to avoid complications during surgical procedures. In addition, the present case reports have highlighted the importance for dental practitioners to be aware of the possibility of a buccal bifurcation cyst being present as an incidental finding in CBCT images, especially in young patients.
Highlights
Buccal bifurcation cyst (BBC) is an unusual inflammatory odontogenic cyst that occurs at the buccal region of the permanent mandibular first or second molars in children aged 6-8 years old [1,2]
BBC does not occur in the maxilla and can be bilateral [3]
The Buccal bifurcation cyst can appears as an incidental finding in cone beam computed tomography scans
Summary
Buccal bifurcation cyst (BBC) is an unusual inflammatory odontogenic cyst that occurs at the buccal region of the permanent mandibular first or second molars in children aged 6-8 years old [1,2]. The first case of bifid mandibular canal was published by Stoneman and Worth in 1983 as the mandibular infected buccal cyst [5]. The Buccal bifurcation cyst can appears as an incidental finding in cone beam computed tomography scans. There are few case reports of BBC in the literature and their frequency in relation to all odontogenic cysts varies between 0.9 and 4.7% [6]. The present article reports two cases of buccal bifurcation cyst incidentally identified in adolescents otherwise referred for tomographic exams as part of the treatment planning for the management of impacted mandibular molars
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