CALCIFYING ODONTOGENIC CYST: 3-YEAR FOLLOW-UP IN A CHILD PATIENT

Abstract

Calcifying odontogenic cyst (COC) is a development cyst and was first described in 1962 by Gorlin. It is characterized by odontogenic epithelial lining containing calcifications and focal ghost cells. Our study presents a case of an 11-year-old patient who presented an asymptomatic swelling on the right anterior maxilla, with elevation of the ala of the nose for 4 months. Intraoral examination revealed a swelling of the vestibular sulcus and persistence of the temporary lateral incisor. Computed tomography presented a well-defined hypodense image associated with an unerupted tooth. Within the lesion, a hyperdense area was observed as well. The lesion was enucleated and histological examination established a diagnosis of COC. No symptoms were reported after 3 years of follow-up and bone neoformation was observed. This case highlighted the importance of a conservative approach with the preservation of anatomical structures due to the biological behavior of this lesion. Calcifying odontogenic cyst (COC) is a development cyst and was first described in 1962 by Gorlin. It is characterized by odontogenic epithelial lining containing calcifications and focal ghost cells. Our study presents a case of an 11-year-old patient who presented an asymptomatic swelling on the right anterior maxilla, with elevation of the ala of the nose for 4 months. Intraoral examination revealed a swelling of the vestibular sulcus and persistence of the temporary lateral incisor. Computed tomography presented a well-defined hypodense image associated with an unerupted tooth. Within the lesion, a hyperdense area was observed as well. The lesion was enucleated and histological examination established a diagnosis of COC. No symptoms were reported after 3 years of follow-up and bone neoformation was observed. This case highlighted the importance of a conservative approach with the preservation of anatomical structures due to the biological behavior of this lesion.