Abstract
Conservative treatment with intralesional steroid injection in bone cysts is considered a simple, low-cost technique that preserves vital structures, avoiding great defects to the patient. A 49-year-old black woman sought dental care with pain and numbness in the lower left side of the face. Extraoral examination showed tumefaction in the area corresponding to the lower molars. Computed tomography was performed, revealing a circumscribed intraosseous radiolucency in the region of teeth 36. Puncture with cytologic smear had a suggestive diagnosis of simple bone cyst. Minimal surgical access with little amount of soft and hard tissue was submitted to histopathologic examination. During the procedure, intralesional steroid injection was performed as a therapeutic approach. Histopathologic analysis confirmed the diagnosis. Periodical follow-up during 6 months found bone formation into the cystic cavity site, proving the efficacy of the treatment.
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