Odontogenic Keratocyst Mimicking Paradental Cyst

Borgonovo, Andrea Enrico; Bernardini, Luigi; Francinetti, Paola; Rizza, F.; Re, Dino

doi:10.1155/2014/974241

Cited by 6 publications

(8 citation statements)

References 17 publications

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“…In 2005, the World Health Organization defined odontogenic keratocysts as intraosseous tumors of odontogenic origin and recommended the term keratocystic odontogenic tumor for this entity. 35 36 This type of lesion accounts for 12% to 14% of all odontogenic cysts of the jaws, with a slight male predilection. 12 35 The mean age of patients is 42 years, with the peak incidence occurring in the second and fifth decades of life.…”

Section: Resultsmentioning

confidence: 99%

“… 35 37 The most common clinical symptoms include swelling, discharge, and pain, which are reported by approximately 40% of patients. 35 36 Radiographically, keratocystic odontogenic tumors demonstrate a well-defined unilocular or multilocular radiolucency with smooth or scalloped and often corticated margins. Keratocystic odontogenic tumors tend to grow in an anteroposterior direction within the jawbone without causing considerable expansion ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Keratocystic odontogenic tumors can also present as an interradicular radiolucency, similar to lateral periodontal cysts. 35 36 37 In some instances, dystrophic calcifications may develop in long-lasting cysts as small radiopacities. 11 …”

Section: Resultsmentioning

confidence: 99%

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Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

2016

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This review article aimed to introduce a category of jaw lesions associated with impacted tooth. General search engines and specialized databases such as Google Scholar, PubMed, PubMed Central, MedLine Plus, Science Direct, Scopus, and well-recognized textbooks were used to find relevant studies using keywords such as "jaw lesion", "jaw disease", "impacted tooth", and "unerupted tooth". More than 250 articles were found, of which approximately 80 were broadly relevant to the topic. We ultimately included 47 articles that were closely related to the topic of interest. When the relevant data were compiled, the following 10 lesions were identified as having a relationship with impacted tooth: dentigerous cysts, calcifying odontogenic cysts, unicystic (mural) ameloblastomas, ameloblastomas, ameloblastic fibromas, adenomatoid odontogenic tumors, keratocystic odontogenic tumors, calcifying epithelial odontogenic tumors, ameloblastic fibro-odontomas, and odontomas. When clinicians encounter a lesion associated with an impacted tooth, they should first consider these entities in the differential diagnosis. This will help dental practitioners make more accurate diagnoses and develop better treatment plans based on patients' radiographs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

2016

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“…Diagnosis can often be no more than hypothetical, despite thorough anamnesis, accurate clinical and radiological analysis. (13) The radiographic features of OKCs are not pathognomonic, particularly in smaller unilocular lesions. When a small unilocular OKC occurs in the anterior sextant of the maxilla, it may simulate other odontogenic and non-odontogenic cysts, such as radicular cyst, lateral periodontal cyst ornasopalatine cyst (12,14).…”

Section: Discussionmentioning

confidence: 98%

Odontogenic Keratocyst Mimicking a Radicular Cyst

2021

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The odontogenic keratocyst (OKC) is a benign intraosseous cyst of the odontogenic origin, characterized by an aggressive behavior with a relatively high recurrence rate.OKC is mostly presented at the 2nd and 3rd decades and predominantly affect males. It affects mandible more than maxilla and is frequently found at the angle of mandible. OKC can clinically and radiographically mimic other benign and less aggressive lesions. It is therefore important to differentiate them from other cysts and tumors, for a proper treatment and reduction of recurrences.We report the case of a 19-year-old woman who presented with a swelling in left mandible. The clinicaland radiographicfeatures were in favor of a radicular cyst.Histological examination, however, contradicted this diagnosis, indicating a case of OKC.

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“…The treatment of inflammatory collateral cysts involves enucleation and extraction or preservation of the affected teeth (Ramos et al 2012). Nonetheless, confirmation of diagnosis through histopathological examination is necessary, as there have been cases where other lesions have mimicked the appearance of an inflammatory collateral cyst such as odontogenic keratocysts (Borgonovo et al 2014).…”

Section: Conventional and Cross-sectional Radiographymentioning

confidence: 99%

The use of localised CBCT to image inflammatory collateral cysts: a retrospective case series demonstrating clinical and radiographic features

Dave

Thomson

Barry

et al. 2019

Eur Arch Paediatr Dent

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Introduction Inflammatory collateral cysts are uncommon cysts primarily affecting first permanent molars during their eruption. There are diagnostic challenges that can be overcome with CBCT imaging. However, given the paediatric age group for this condition, there are patient cooperation and radiation dose factors to consider when justifying the scan. The aim of this case series study is to illustrate the value of CBCT in imaging and diagnosing inflammatory collateral cysts in paediatric patients, to highlight the need for a multidisciplinary approach for this uncommon pathological condition and to review the relevant literature. Case series description and results We present three patients aged between 6 and 11 years of age with inflammatory collateral cysts affecting their first or second permanent molars for which CBCT imaging was utilised. All patients underwent cyst enucleation with preservation or extraction of affected teeth under general anaesthesia. Discussion Inflammatory collateral cysts are likely to be under reported given their indistinct clinical features and radiological signs. Conventional planar radiographs may not reveal this lesions size and full extent. CBCT overcomes these limitations; however, careful assessment of patient cooperation is needed and a low-dose protocol should be used. Conclusions CBCT can provide useful imaging information which is difficult to obtain using conventional radiography, especially in cases where an inflammatory collateral cyst is suspected.

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Odontogenic Keratocyst Mimicking Paradental Cyst

Cited by 6 publications

References 17 publications

Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

Jaw lesions associated with impacted tooth: A radiographic diagnostic guide

Odontogenic Keratocyst Mimicking a Radicular Cyst

The use of localised CBCT to image inflammatory collateral cysts: a retrospective case series demonstrating clinical and radiographic features

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