Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Harnet, Jean-Claude; Lombardi, Tommaso; Klewansky, P; Rieger, Jean; Tempe, Marie-Hélène; Clavert, J

doi:10.1016/j.joms.2007.08.035

Cited by 100 publications

(160 citation statements)

References 18 publications

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“…As yet, there are no completely plausible theories to explain its etiopathogenesis. The literature has most commonly accepted the hypothesis that the trauma in the altered region results in the formation of a hematoma which, unable to repair itself, instead liquefies 11 . Although this theory has been fairly well disseminated, the patient in this report did not present any history of trauma in the region of the alteration, similar to other reports 12 .…”

Section: Discussionmentioning

confidence: 99%

“…Although this theory has been fairly well disseminated, the patient in this report did not present any history of trauma in the region of the alteration, similar to other reports 12 . Other reported theories relating to SBC development include cystic degeneration of fibro-osseous lesions, vascular anomalies and altered bone metabolism [11][12] .…”

Section: Discussionmentioning

confidence: 99%

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Simple bone cyst in a 7-year-old child

Silveira

Cardoso

Pexe

et al. 2017

RGO, Rev. Gaúch. Odontol.

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RESUMOO cisto ósseo simples, ou cisto ósseo traumático, solitário ou cavidade óssea idiopática é um pseudocisto intra-ósseo descoberto através de um exame radiográfico panorâmico. Comumente, o cisto ósseo simples se apresenta como uma lesão assintomática, radiolúcida, unilocular, sem expansão de corticais, com margens festonando as raízes dentárias vitais da região afetada. A literatura tem recomendado que os aspectos clínicos e radiográficos do cisto ósseo simples são bastante convincentes do seu diagnóstico, portanto a proservação através de exame clínico e radiográfico tem sido sugerida. O presente caso ilustra um caso clínico de um grande cisto ósseo simples, o qual se apresentava multilocular e expansivo, numa criança de 7 anos. Diante da ansiedade dos pais e diagnóstico presuntivo de outras lesões mais agressivas, foi realizada a exploração cirúrgica, a qual confirmou o diagnóstico de cisto ósseo simples. O caso foi acompanhado e, após três anos, foi observada a total remodelação óssea da área afetada. Como conclusão, as lesões radiolúcidas assintomáticas que sugerirem um diagnóstico presuntivo muito indicativo de cisto ósseo simples, podem ser acompanhadas clínica e radiograficamente. Entretanto, as variações de apresentação clínica, como no presente caso clínico, requerem uma confirmação do diagnóstico, a qual é realizada através da exploração cirúrgica. O estabelecimento do diagnóstico torna a condução do caso mais segura para ambos o profissional e o paciente. Termos de indexação:Cisto ósseo solitário. Criança. Diagnóstico diferencial.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Simple bone cyst in a 7-year-old child

Silveira

Cardoso

Pexe

et al. 2017

RGO, Rev. Gaúch. Odontol.

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“…It is a non-neoplastic osseous lesion first described by Lucas and Blum in 1992 [1][2][3]. In 1946, diagnostic criteria specified the absence of epithelial lining and a bony wall surrounding the lesion as characteristics specific to the SBC [4][5][6][7][8][9][10][11]. Ninety percent of SBC cases are reported to be in long bones such as the proximal humerus and femur, however, simple bone cysts only comprise one percent of all cysts affecting the jaw [7].…”

Section: Introductionmentioning

confidence: 99%

3D CBCT Superimposition Use in Evaluation of Simple Bone Cyst Lesion Resolution-A Case Report

Dano¹,

Schmidt²,

Shosho³

et al. 2017

Dentistry

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although in scant amounts with minimal yield of specimen for biopsy [18]. Spontaneous resolution has been reported [12,17], however, curettage eliciting fresh blood and subsequent clot formation will yield predictable consolidation. Within six to twelve months after surgical exploration, remineralization of the lesion and normal radiographic appearance will be observed [3]. Case PresentationA 14-year-old healthy female presented for a consult due to a random radiographic finding in the right inferior portion of the anterior mandible on a panoramic radiograph taken as part of her orthodontic treatment. Patient reported no symptoms and denied any trauma to the mandible.Upon clinical examination: no extra oral swelling or lymphadenopathy found, intra oral exam revealed no fluctuation, no buccal or lingual cortical expansion ( Figures 1A and 1B), all mandibular canines, lateral and central incisors showed normal response to thermal (cold) test and diagnosed vital with no evidence of mobility and had normal probing depths. Figure 2 from a pre-operative CBCT taken on 2014 there is a well-defined, round, lightly corticated mixed-density lesion in the right inferior portion of the anterior mandible. The right border of the lesion lies immediately apical to tooth #27 and the left border just crosses the midline. It slightly thins but does not expand not perforate the buccal or lingual cortices. It has no effect on the nearby dentition, abutting the apical lamina dura of tooth #27 without perforation. The internal structure of the lesion is largely hypodense with a mixed, cloudy hyperdensity in the inferior quarter of the lesion. As demonstrated in

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“…The presence of congested capillary vessels is uncommon. 3 The sites most affected by SBCs are the long bones (90%), with a high prevalence in the metaphyseal region of the humerus and femur (65% and 25%, respectively). Jawbone lesions are less common (1%-10%).…”

Section: Introductionmentioning

confidence: 99%

“…Sometimes, a cyst or neoplasm may induce root resorption of the adjacent teeth. 2,7,8 In rare cases, SBC have been reported to heal naturally during the follow-up period. 9 However, in addition to the SBC's own set of radiographic char- The recurrence rate of SBCs has been described as greater than 20%, especially in regard to abnormal SBCs.…”

Section: Introductionmentioning

confidence: 99%

Reabsorção radicular extensa associada a cisto ósseo simples mandibular

Frascino

Martins

Lemos

et al. 2014

Clin. Lab. Res. Dent.

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This article reports an unusual case of a simple mandibular bone cyst with remarkable tooth resorption and pain. An 18-year-old woman was referred to our oral and maxillofacial surgery and trauma clinic, complaining of pain in the left third mandibular molar region. A radiographic exam revealed a well-demarcated radiolucent lesion in the left mandible with marked fi rst molar distal root resorption. Based on the differential diagnoses, an incisional biopsy was performed through a bone window, under local anesthesia. Surgical exploration revealed a simple bone cavity fi lled with sanguineous fl uid, with no cyst wall or tumoral tissue. Histopathological examination revealed thin, fi brous connective tissue with no epithelial coverage and permeated by extensive hemorrhage. Painful symptoms seemed to be caused by a caries lesion in the adjacent second molar and were resolved by tooth restoration with composite resin. A radiographic postoperative follow-up exam after two months suggests that there was complete bone healing and that tooth resorption had seemingly ceased. The fi nal diagnosis was a simple bone cyst with unusual tooth resorption.Bone Cysts; Tooth Resorption; Surgery, Oral; Pathology, Oral; Diagnosis.Reabsorção radicular extensa associada a cisto ósseo simples mandibular • Este artigo relata um caso incomum de um cisto ósseo simples em mandíbula que apresentou reabsorção radicular e dor. Uma paciente do sexo feminino, com 18 anos de idade, foi encaminhada ao nosso serviço de cirurgia e traumatologia oral e maxilo facial com queixa de dor na região do terceiro molar inferior esquerdo. O exame radiográfi co revelou uma lesão radiolúcida bem delimitada localizada na mandíbula esquerda com reabsorção acentuada da raiz distal do primeiro molar. Com base nos diagnósticos diferenciais, foi realizada biópsia incisional sob anestesia local por meio da exposição de uma janela óssea. A exploração cirúrgica da lesão revelou uma cavidade óssea simples preenchida com fl uido sanguíneo, sem a presença de parede cística ou de tecido tumoral. O exame histopatológico revelou delicado tecido conjuntivo fi broso sem cobertura epitelial entremeado por extensa hemorragia. Os sintomas dolorosos pareciam ser provenientes de lesão de cárie no segundo molar. A queixa de dor cessou com a restauração do dente por meio de resina composta. O exame radiográfi co após três meses de acompanhamento pós-operatório sugere completa reparação óssea e aparente interrupção da reabsorção da raiz dentária. O diagnóstico fi nal foi cisto ósseo simples, acompanhado de incomum reabsorção do dente.

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Solitary Bone Cyst of the Jaws: A Review of the Etiopathogenic Hypotheses

Cited by 100 publications

References 18 publications

Simple bone cyst in a 7-year-old child

Simple bone cyst in a 7-year-old child

3D CBCT Superimposition Use in Evaluation of Simple Bone Cyst Lesion Resolution-A Case Report

Reabsorção radicular extensa associada a cisto ósseo simples mandibular

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