Different presentations of the Buccal Bifurcation Cyst: A case series

Jajam, Martín; Niklander, Sven; Faúndez, Felipe; Córdova, Pablo; Martínez-Flores, René

doi:10.1016/j.jormas.2022.101371

Cited by 1 publication

(3 citation statements)

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“…In 1992, the World Health Organization (WHO) incorporated BBC into their histological classification of odontogenic tumors under the designation of "paradental cyst", identifying it as the "mandibular infected buccal cyst" [1]. It is worthy to clarify that BBC develops more commonly on the buccal side of the first and second mandibular molars of children [10,11], while classic PC on the third molars. Classic PC and BBC may share common etiology and microscopic features, so they are currently considered to be the same inflammatory entity that occurs in different sites [12].…”

Section: History Of Terminologymentioning

confidence: 99%

“…Classic PC and BBC may share common etiology and microscopic features, so they are currently considered to be the same inflammatory entity that occurs in different sites [12]. However, due to the different tooth involved and the influence of adjacent anatomical structures, their clinical presentations, imaging features, and treatment methods are different [11]. Therefore, there is currently no consensus on whether the BBC is an independent disease of periodontal cysts.…”

Section: History Of Terminologymentioning

confidence: 99%

“…As for BBC, the mandibular first molars are the most frequent location, and in certain cases, the second mandibular molars might also be impacted. Jajam et al [11] had reported an extremely uncommon case of maxillary first molar occurrence. The most common complaint is jaw swelling.…”

Section: Clinical Featuresmentioning

confidence: 99%

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Current Perspectives on Paradental Cyst: A Literature Review

Li,

Zhao,

You

et al. 2023

Dentistry Journal

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Paradental cyst (PC) is an uncommon type of odontogenic cyst of inflammatory origin, which develops near the cervical margin of the outside of the root of a vital tooth. The category of paradental cyst includes the buccal bifurcation cyst, which is found in the buccal area adjacent to the mandibular first or second molars in children. A conclusive diagnosis of a PC needs to correlate the surgical, radiographic, and histologic findings. When strict diagnosis is neglected, they can be easily misdiagnosed and mistreated. PCs associated with mandibular first and second molars and those associated with the mandibular third molar may have slightly different clinical manifestations but have almost completely different treatment principles due to the distinction in location. For the third molars, removal of both the tooth and the cyst is preferred. However, when the first or second molars are affected, it may be advisable to perform enucleation of the lesion while preserving the associated tooth. There are also more conservative methods to retain vital permanent teeth within the mandibular arch. Additionally, the cyst wall primarily consisted of granulation tissue firmly attached to the periodontal ligament space. The exact origin of these cysts was a subject of ongoing debate, but they were believed to primarily arise from either the reduced enamel epithelium or the inflammatory proliferation of junctional/sulcular epithelium, which originate from the superficial mucosa during tooth eruption. The aim of the present review was to update information on clinical manifestations, diagnosis and treatment strategies of cysts and discuss their pathogenic mechanisms. Raising familiarity with the distinctive features is beneficial for accurately diagnosing these lesions and effectively caring for the patients.

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Section: History Of Terminologymentioning

confidence: 99%

Section: History Of Terminologymentioning

confidence: 99%