Abstract
In maxillomandibular complex lesions of various etiolopathogenesis may occur. Commonly, lesions are solitary, however, in in rare cases, multiple lesions with distinct natures affect the maxillo-mandibular complex. Until now, the recent literature, there are no reports of simultaneous impairment of periapical cysts, dentigerous and cementoblastoma in the same patient. We report the case of a 38-year-old with syndromic appearance, short stature, brachyfacial, showing hypertelorism, but no definitive diagnosis with multiple oral lesions in the jaws. In the reported case, a residual periapical cyst associated with the swelling in the anterior region of the maxilla occurring simultaneously to a dentigerous cyst and associated with tooth 35 cementoblastoma included. Despite the simultaneous involvement of multiple lesions with different etiopathogenesis is uncommon in the literature, this report seeks to emphasize the importance of thorough and systematic clinical examination, promoting proper conduct of maxillary lesions and perform the correct treatment.
Highlights
The maxillomandibular complex is home to several lesions, usually solitary, such as odontogenic cysts and tumors
Jaw cysts are classified as true cysts or pseudocysts, depending on the presence or absence of lining epithelium; as inflammatory or developmental based on their pathogenesis, and odontogenic or non-odontogenic according to the tissue of origin (Tamiolakis et al, 2019)
The present study aims to report an unusual simultaneous occurrence of a residual cyst associated with the mandibular tooth 35 included dentigerous cyst and cementoblastoma in the same patient
Summary
The maxillomandibular complex is home to several lesions, usually solitary, such as odontogenic cysts and tumors. Jaw cysts are classified as true cysts or pseudocysts, depending on the presence or absence of lining epithelium; as inflammatory or developmental based on their pathogenesis, and odontogenic or non-odontogenic according to the tissue of origin (Tamiolakis et al, 2019). Odontogenic cysts, such as the dentigerous cyst and the residual cyst, originate in remnants of the dental lamina or enamel organ but have different etiological factors (Khosravi et al, 2013; Johnson et al, 2014; Kammer et al, 2020). It is characterized as a large mass of cementum or cementum-like tissue that is attached to the roots of a tooth (Garg et al, 2019)
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