Update on a rare mandibular osteolytic lesion in childhood: the buccal bifurcation cyst

Grauwe, Annelore De; Mangione, Francesca; Mitsea, Anastasia; Kalyvas, Demos; Yfanti, Zafeiroula; Ahbab, Golgis; Salmon, Benjamin; Jacobs, Reinhilde

doi:10.1259/bjrcr.20170109

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…The pathogenesis of inflammatory collateral cysts is postulated to be a combination of the accumulation of microbial plaque and a break in oral mucosa during tooth eruption. This initiates the release of inflammatory mediators and the formation of non-keratinised, hyperplastic stratified squamous cystic lining with inflammatory infiltration on the lateral root surface (De Grauwe et al 2018;Maruyama et al 2015;Philipsen et al 2004). Factors that predispose to plaque accumulation such as enamel pearls at the bifurcation are likely to be contributing factors.…”

Section: Inflammatory Collateral Cystmentioning

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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Section: Inflammatory Collateral Cystmentioning

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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“…Buccal bifurcation cyst (BBC) is an unusual inflammatory odontogenic cyst that occurs at the buccal region of the permanent mandibular first or second molars in children aged 6-8 years old [1,2]. Some authors reported that it is most common in 6-to 15-year-old patients and it is not found in adults [3,4]. BBC does not occur in the maxilla and can be bilateral [3].…”

Section: Introductionmentioning

confidence: 99%

“…The BBC diagnosis is primarily based on specific clinical and radiographic findings and it cannot be dignosed from the histopathologic features [1]. CBCT characteristics include buccal expansion, sometimes interradicular bone loss, periosteal bone reaction and resorption of the vestibular plate [4]. The treatment of choice is enucleation and curettage of the lesion without extraction of the vital involved tooth.…”

Section: Introductionmentioning

confidence: 99%

Buccal bifurcation cyst as an incidental finding in cone beam computed tomography scans

Oliveira

Junqueira

Melo

2018

RGO, Rev. Gaúch. Odontol.

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Buccal bifurcation cyst is an unusual inflammatory odontogenic cyst of unknown etiology which occurs at the buccal region of the permanent mandibular first molars in children and adolescents aged 6-15 years old. The aim of this manuscript is to present two clinical cases of buccal bifurcation cyst incidentally detected in adolescents referred for tomographic exams (CBCT) as part of the treatment planning for the management of impacted mandibular molars. The first case is very interesting due to the proximity of the lesion to the inferior alveolar canal. In the second case the inferior alveolar canal was not in close proximity to the lesion, but in contact with the mesiobuccal root of the second molar. The diagnosis of Buccal bifurcation cyst is of utmost importance in order to avoid complications during surgical procedures. In addition, the present case reports have highlighted the importance for dental practitioners to be aware of the possibility of a buccal bifurcation cyst being present as an incidental finding in CBCT images, especially in young patients.

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Cisto da bifurcação vestibular: Relato de caso clínico

Custódio

Calderoni

Melo

et al. 2021

RSD

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O cisto da bifurcação vestibular é um cisto odontogênico inflamatório incomum que se desenvolve na face vestibular do primeiro molar inferior permanente, em crianças de 5 a 13 anos. Clinicamente apresenta sensibilidade, edema, bolsa periodontal e secreção com gosto desagradável. Radiograficamente, se mostra como uma lesão radiolúcida unilocular e bem delimitada envolvendo a bifurcação vestibular e a região da raiz do dente em questão. Os ápices radiculares dos molares estão, caracteristicamente, voltados para a cortical lingual mandibular. Este estudo teve como objetivo relatar um caso clínico de uma criança com cisto da bifurcação vestibular. Trata-se de um paciente do gênero masculino, 7 anos de idade, apresentando edema na região da mandíbula direita, dor a palpação, presença de abscesso periodontal com secreção purulenta na região do dente 85 e 46. Na tomografia computadorizada de feixe cônico (TCFC) mostrou imagem radiolúcida bem delimitada, expansiva e unilocular envolvendo a coroa e a bifurcação vestibular do elemento 46, rompendo a cortical óssea alveolar vestibular, compatível com Cisto da Bifurcação Vestibular. Concluiu-se que o cisto da bifurcação vestibular é uma doença pediátrica que ocorre na área de bifurcação da face vestibular de um primeiro molar inferior permanente em erupção e aparece principalmente na primeira década de vida.

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Update on a rare mandibular osteolytic lesion in childhood: the buccal bifurcation cyst

Cited by 4 publications

References 12 publications

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

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

Buccal bifurcation cyst as an incidental finding in cone beam computed tomography scans

Cisto da bifurcação vestibular: Relato de caso clínico

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