Autopsy and Case Reports
https://autopsyandcasereports.org/journal/autopsy/article/doi/10.4322/acr.2018.073
Autopsy and Case Reports
Article / Clinical Case Report

Bilateral mandibular buccal bifurcation cyst: a case report emphasizing the role of imaging examination in the diagnosis

Cristhian Reynaldo Gomez Bautista; Noala Vicensoto Moreira Milhan; Milagros Del Valle El Abras Ankha; Renata Falchete do Prado; Ana Sueli Rodrigues Cavalcante; Sergio Lúcio Pereira de Castro Lopes; Ana Lia Anbinder

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Abstract

A mandibular buccal bifurcation cyst is an inflammatory cyst that usually occurs on the buccal aspect of the permanent mandibular first molar of children. This lesion is diagnosed by an association of radiographic, clinical, and histological features. We report a bilateral case of mandibular buccal bifurcation cyst and discuss the main findings of this entity. A 7-year-old girl presented pain and delayed dental eruption in the posterior mandibular region. A cone beam computed tomography was performed and revealed hypodense lesions involving the crown and root of the mandibular first molars, with expansion of the buccal cortical and lingual tilting of the molar roots. A biopsy was carried out, and the common features of an inflammatory odontogenic cyst were histologically observed. The final diagnosis was bilateral mandibular buccal bifurcation cyst. Clinicians need to be aware of this diagnostic possibility in cases of mandibular cysts in children—especially when bilateral—to perform the correct treatment, which should not involve the extraction of the affected tooth.

Keywords

Cysts, Jaw Cysts, Odontogenic Cysts

References

El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ. WHO classification of head and neck tumours. 4th ed. Lyon: IARC; 2017. p. 232-33: Odontogenic cysts of inflammatory origin. English.

Stoneman DW, Worth HM. The mandibular infected buccal cyst--molar area. Dent Radiogr Photogr. 1983;56(1):1-14. [PMID:6574040]

Borgonovo AE, Rigaldo F, Censi R, Conti G, Re D. Large buccal bifurcation cyst in a child: a case report and literature review. Eur J Paediatr Dent. 2014;15(2, Suppl):237-40. [PMID:25101512]

Shear M, Speight P. Cyst of the oral and maxillofacial regions. 4th ed. Oxford: Sheffield; 2007. p. 143-49: Inflammatory paradental cysts. English. [https://doi.org/10.1002/9780470759769]

Main DM. Epithelial jaw cysts: 10 years of the WHO classification. J Oral Pathol. 1985;14(1):1-7. [https://doi.org/10.1111/j.1600-0714.1985.tb00459.x]. [PMID:3918149]

Philipsen HP, Reichart PA, Ogawa I, Suei Y, Takata T. The inflammatory paradental cyst: a critical review of 342 cases from a literature survey, including 17 new cases from the author’s files. J Oral Pathol Med. 2004;33(3):147-55. [https://doi.org/10.1111/j.0904-2512.2004.00139.x]. [PMID:15128056]

Chrcanovic BR, Reis BM, Freire-Maia B. Paradental (mandibular inflammatory buccal) cyst. Head Neck Pathol. 2011;5(2):159-64. [https://doi.org/10.1007/s12105-010-0233-z]. [PMID:21161456]

Ackermann G, Cohen MA, Altini M. The paradental cyst: a clinicopathologic study of 50 cases. Oral Surg Oral Med Oral Pathol. 1987;64(3):308-12. [https://doi.org/10.1016/0030-4220(87)90010-7]. [PMID:3477747]

Colgan CM, Henry J, Napier SS, Cowan CG. Paradental cysts: a role for food impaction in the pathogenesis? A review of cases from Northern Ireland. Br J Oral Maxillofac Surg. 2002;40(2):163-8. [https://doi.org/10.1054/bjom.2001.0750]. [PMID:12180213]

Craig GT. The paradental cyst. A specific inflammatory odontogenic cyst. Br Dent J. 1976;141(1):9-14. [https://doi.org/10.1038/sj.bdj.4803781]. [PMID:1065342]

Fowler CB, Brannon RB. The paradental cyst: a clinicopathologic study of six new cases and review of the literature. J Oral Maxillofac Surg. 1989;47(3):243-8. [https://doi.org/10.1016/0278-2391(89)90226-7]. [PMID:2646404]

Ramos LM, Vargas PA, Coletta RD, Almeida OP, Lopes MA. Bilateral buccal bifurcation cyst: case report and literature review. Head Neck Pathol. 2012;6(4):455-9. [https://doi.org/10.1007/s12105-012-0342-y]. [PMID:22392410]

Lacaita MG, Capodiferro S, Favia G, Santarelli A, Muzio LL. Infected paradental cysts in children: a clinicopathological study of 15 cases. Br J Oral Maxillofac Surg. 2006;44(2):112-5. [https://doi.org/10.1016/j.bjoms.2005.03.011]. [PMID:16203063]

Pelka M, van Waes H. Paradental cyst mimicking a periodontal pocket: case report of a conservative treatment approach. Int J Oral Maxillofac Surg. 2010;39(5):514-6. [https://doi.org/10.1016/j.ijom.2009.11.005]. [PMID:20005075]

Naclério-Homem MG, Deboni MCZ, Simões WA, Traina AA, Chin V. Paradental cyst: case report and review of the literature. J Clin Pediatr Dent. 2004;29(1):83-6. [https://doi.org/10.17796/jcpd.29.1.j7ul1jw240x08335]. [PMID:15554410]

David LA, Sandor GK, Stoneman DW. The buccal bifurcation cyst: in non-surgical treatment an option? J Can Dent Assoc. 1998;64(10):712-6. [PMID:9854359]

Pompura JR, Sandor GK, Stoneman DW. The buccal bifurcation cyst: a prospective study of treatment outcomes in 44 sites. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(2):215-21. [https://doi.org/10.1016/S1079-2104(97)90008-1]. [PMID:9117753]

Zadik Y, Yitschaky O, Neuman T, Nitzan DW. On the self-resolution nature of the buccal bifurcation cyst. J Oral Maxillofac Surg. 2011;69(7):e282-4. [https://doi.org/10.1016/j.joms.2011.02.124]. [PMID:21571416]

Fabbri A, Grossi GB, Borgonovo AE, Speroni S. Paradental cyst of the first molar: a report of two cases. J Indian Soc Pedod Prev Dent. 2010;28(2):116-20. [https://doi.org/10.4103/0970-4388.66753]. [PMID:20660980]

Thoma KH. The circumferential dentigerous cyst. Oral Surg Oral Med Oral Pathol. 1964;18(3):368-71. [https://doi.org/10.1016/0030-4220(64)90090-8]. [PMID:14178914]

Shibata Y, Asaumi J, Yanagi Y, et al. Radiographic examination of dentigerous cysts in the transitional dentition. Dentomaxillofac Radiol. 2004;33(1):17-20. [https://doi.org/10.1259/dmfr/24148363]. [PMID:15140817]

Huang G, Moore L, Logan RM, Gue S. Histological analysis of 41 dentigerous cysts in a paediatric population. J Oral Pathol Med. 2019;48(1):74-8. [https://doi.org/10.1111/jop.12776]. [PMID:30175860]

Fantasia JE. Lateral periodontal cyst. An analysis of forty-six cases. Oral Surg Oral Med Oral Pathol. 1979;48(3):237-43. [https://doi.org/10.1016/0030-4220(79)90010-0]. [PMID:289928]

Levarek RE, Wiltz MJ, Kelsch RD, Kraut RA. Surgical management of the buccal bifurcation cyst: bone grafting as a treatment adjunct to enucleation and curettage. J Oral Maxillofac Surg. 2014;72(10):1966-73. [https://doi.org/10.1016/j.joms.2014.04.028]. [PMID:25234530]

Corona-Rodriguez J, Torres-Labardini R, Velasco-Tizcareño M, Mora-Rincones O. Bilateral buccal bifurcation cyst: case report and literature review. J Oral Maxillofac Surg. 2011;69(6):1694-6. [https://doi.org/10.1016/j.joms.2010.07.030]. [PMID:21211889]

 

 

 


Publication date:
06/11/2019

5cffbb780e8825f11b480c82 autopsy Articles
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