Abstract
Background
As the lateral periodontal cyst (LPC) is an unusual odontogenic cyst, most papers are single case reports or series with a limited number of cases, with few large series. The aim of this study is to report an additional case of LPC, emphasizing the clinical, radiographic, and histopathological features, differential diagnosis, and review of 264 cases reported in the English-language literature.
Case report
A 51-year-old male patient presented with a well-delimited, radiolucent, mandibular lesion, located between the roots of the right lower lateral incisor and canine and evidenced during routine radiographic examination. A surgical excision was performed. Microscopically, there was a cystic cavity lined by simple squamous epithelium, compatible with LPC.
Discussion
LPC is an unusual odontogenic cyst and presents a marked predilection for occurring in the mandible between the roots of canines and premolars. Accurate clinical and imaging exams should be performed for a correct approach and diagnosis.
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References
Jones AV, Craig GT, Franklin CD (2006) Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 35:500–507
Shear M, Speight PM (2007) Cysts of the maxillofacial regions. Blackwell Munksgaard, Oxford, p 222
Mendes RA, Van der Wall I (2006) An unusual clinicoradiographic presentation of a lateral periodontal cyst–report of two cases. Med Oral Patol Oral Cir Bucal 11:E185–E187
Altini M, Shear M (1992) The lateral periodontal cyst: an update. J Oral Pathol Med 21:245–250
Nart J, Gagari E, Kahn MA, Griffin TJ (2007) Use of guided tissue regeneration in the treatment of a lateral periodontal cyst with a 7-month reentry. J Periodontol 78:1360–1364
Standish SM, Shafer WG (1958) The lateral periodontal cysts. J Periodontol 29:27–33
Cohen DA, Neville BW, Damm DD, White DK (1984) The lateral periodontal cyst. A report of 37 cases. J Periodontol 55:230–234
Carter LC, Carney YL, Perez-Pudlewski D (1996) Lateral periodontal cyst. Multifactorial analysis of a previously unreported series. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81:210–216
Formoso Senande MF, Figueiredo R, Berini Aytés L, Gay Escoda C (2008) Lateral periodontal cysts: a retrospective study of 11 cases. Med Oral Patol Oral Cir Bucal 13:E313–E317
Fantasia JE (1979) Lateral periodontal cyst. An analysis of forty-six cases. Oral Surg Oral Med Oral Pathol 48:237–243
Holder TD, Kunkel PW Jr (1958) Case report of a periodontal cyst. Oral Surg Oral Med Oral Pathol 11:150–154
Kerezoudis NP, Donta-Bakoyianni C, Siskos G (2000) The lateral periodontal cyst: aetiology, clinical significance and diagnosis. Endod Dent Traumatol 16:144–150
Angelopoulou E, Angelopoulos AP (1990) Lateral periodontal cyst. Review of the literature and report of a case. J Periodontol 61:126–131
Greer RO Jr, Johnson M (1988) Botryoid odontogenic cyst: clinicopathologic analysis of ten cases with three recurrences. J Oral Maxillofac Surg 46:574–579
Gurol M, Burkes EJ Jr, Jacoway J (1995) Botryoid odontogenic cyst: analysis of 33 cases. J Periodontol 66:1069–1073
Baker RD, D'Onofrio ED, Corio RL, Crawford BE, Terry BC (1979) Squamous-cell carcinoma arising in a lateral periodontal cyst. Oral Surg Oral Med Oral Pathol 47:495–499
Harless CF Jr (1965) Lateral periodontal cyst: report of two cases. Oral Surg Oral Med Oral Pathol 20:684–689
Wysocki GP, Brannon RB, Gardner DG, Sapp P (1980) Histogenesis of the lateral periodontal cyst and the gingival cyst of the adult. Oral Surg Oral Med Oral Pathol 50:327–334
Gregg TA, O'Brien FV (1982) A comparative study of the gingival and lateral periodontal cysts. Int J Oral Surg 11:316–320
Levin LS, Allen PS, Fetterhoff CK (1983) Lateral periodontal cyst: a case report. J Md State Dent Assoc 26:18–20
Legunn KM (1984) Bilateral occurrence of the lateral periodontal cyst: a case report. Periodontal Case Rep 6:56–59
Ross VA, Craig RM Jr, Vizuete JR (1986) A radiolucent lesion adjacent to the roots of the mandibular right first and second premolars. J Am Dent Assoc 112:235–236
Buchner A, David R, Carpenter W, Leider A (1996) Pigmented lateral periodontal cyst and other pigmented odontogenic lesions. Oral Dis 2:299–302
Tolson GE, Czuszak CA, Billman MA, Lewis DM (1996) Report of a lateral periodontal cyst and gingival cyst occurring in the same patient. J Periodontol 67:541–544
Lehrhaupt NB, Brownstein CN, Deasy MJ (1997) Osseous repair of a lateral periodontal cyst. J Periodontol 68:608–611
Meltzer JA (1999) Lateral periodontal cyst: report of a case with 1-year reentry. Int J Periodontics Restor Dent 19:299–303
Rasmusson LG, Magnusson BC, Borrman H (1991) The lateral periodontal cyst. A histopathological and radiographic study of 32 cases. Br J Oral Maxillofac Surg 29:54–57
Shear M, Pindborg JJ (1975) Microscopic features of the lateral periodontal cyst. Scand J Dent Res 83:103–110
Filipowicz FJ, Page DG (1982) The lateral periodontal cyst and isolated periodontal defects. J Periodontol 53:145–151
Ali M, Baughman RA (2003) Maxillary odontogenic keratocyst: a common and serious clinical misdiagnosis. J Am Dent Assoc 134:877–883
Cairo F, Rotundo R, Ficarra G (2002) A rare lesion of the periodontium: the gingival cyst of the adult–a report of three cases. Int J Periodontics Restor Dent 22:79–83
Peters E, Lau M (2003) Histopathologic examination to confirm diagnosis of periapical lesions: a review. J Can Dent Assoc 69:598–600
Hisatomi M, Asaumi J, Konouchi H, Yanagi Y, Matsuzaki H, Kishi K (2003) Comparison of radiographic and MRI features of a root-diverging odontogenic myxoma, with discussion of the differential diagnosis of lesions likely to move roots. Oral Dis 9:152–157
Acknowledgments
Dr. Silva-Sousa and Dr. Perez are research fellows of the National Council for Scientific and Technological Development (CNPq).
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The authors declare that they have no conflict of interest.
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de Andrade, M., Silva, A.P.P., de Moraes Ramos-Perez, F.M. et al. Lateral periodontal cyst: report of case and review of the literature. Oral Maxillofac Surg 16, 83–87 (2012). https://doi.org/10.1007/s10006-010-0257-2
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DOI: https://doi.org/10.1007/s10006-010-0257-2