Abstract
Most jaw cysts originate from odontogenic epithelium and they may be associated with vital or non-vital tooth. Cysts are classified into developmental, neoplastic and inflammatory. There is overall predominance in males, and the mandible is three times affected more than the maxilla. The aim of this case report is to describe a multidisciplinary conservative approach to manage mandibular cystic lesion confined lingually to the anterior region.
Highlights
Odontogenic cysts are pathological epithelial-lined cavity containing fluid or semi-fluid which arise from the epithelial remnants of tooth
Surgical enucleation was performed under local anesthesia
On conventional radiographs and CBCT the radicular cyst appears as round or oval, well-circumscribed, osteolytic, periapical radiolucent lesion confined to the apex of an endodontically involved tooth [5]
Summary
Odontogenic cysts are pathological epithelial-lined cavity containing fluid or semi-fluid which arise from the epithelial remnants of tooth They are broadly classified as inflammatory or developmental in origin according to WHO (World Health Organization) [1]. The epithelial lining of the radicular cyst is usually derived from Rest cells of Malassez in the periapical area of the associated necrotic tooth [1]. On conventional radiographs and CBCT the radicular cyst appears as round or oval, well-circumscribed, osteolytic, periapical radiolucent lesion confined to the apex of an endodontically involved tooth [5]. A 65-year-old female patient reported to the Ministry of Health primary care dental clinic in Bahrain, with a chief complaint of an asymptomatic swelling in the lingual side of the mandible, in the region between the left mandibular lateral incisor (#32) and canine (#33), for the past 2 months. Submucosa showed heavy chronic inflammation with many lymphocytes, plasma cells and histiocytes
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