Description

There are several kinds of odontogenic cysts with a range of clinical significance.


 

Types:

(1) root-related

(2) crown-related

(3) other

 

Root-Related

Features

peri-apical (radicular)

most common, associated with pulpal injury associated with trauma or dental caries

residual

peri-apical cyst remaining after tooth extracted

lateral periodontal

along the roots of mandibular cuspids or bicuspids

botryoid odontogenic

polycystic variant of lateral peri-odontal cyst

 

 

Crown-Related

Features

paradental

partially erupted mandibular third molar

dentigerous

surrounds the crown of a nonerupted permanent tooth, most often a third molar or maxillary cuspid

eruption

bluish or bluish-red dome-shaped lesion affecting an erupting deciduous tooth

 

Other

Features

gingival

congenital, with cystic degeneration of the dental lamina

odontogenic keratocyst

nevoid basal cell cancer syndrome (multiple basal cell carcinomas, skeletal anomalies, dyskeratotic pitting of hands and feet, ectopic soft tissue calcifications, ovarian fibromas, lymphatic mesenteric cysts, hypertelorism, medulloblastoma, etc)

calcifying odontogenic

Gorlin cyst; mandibular cyst with ghost cells, seen as a cystic radiolucency with areas of opacification (calcifications)

glandular odontogenic (sialo-odontogenic)

usually a multi-locular radiolucencies in the anterior mandible

 


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