An Atypical Presentation of Lateral Periodontal Cyst Associated with an Impacted Mandibular Third Molar

Bajrami, Muhamet and Stojanova, Irena and Markovska Arsovska, Mirjana and Shaqiri, Salajdin and Temelkova, Simona and Stavreva, Natasa and Karpuzi, Rinoni (2022) An Atypical Presentation of Lateral Periodontal Cyst Associated with an Impacted Mandibular Third Molar. Journal of Dentistery Apolonia (48-49). pp. 71-77. ISSN 1409-876-8768/1857-6087

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Abstract

A lateral periodontal cyst (LPC) is a relatively rare
benign intra-osseous epithelial developmental odontogenic cyst that accounts for 0.7% to 1.5% of all jaw cysts. LPCs are usually asymptomatic and are discovered incidentally during routine radiological examination. In some cases, a LPC can also be detected by swelling on the vestibular side of the alveolar process. The typical radiological presentation of LPC is a well-defined, round, ovoid teardrop shape or an radiolucency of an inverted pear less than one centimeter in diameter and surrounded by a sclerotic ring.
The aim of this paper is to present a case of LPC associated with an impacted tooth and to emphasize the differential diagnosis as well as to provide new insights regarding etiopathogenesis. Case report: A 40-year-old man checks himself in to the Oral Surgery Clinic with pain in the lower jaw on the left side in the region of the third molar, with the presence of a lateral periodontal cyst. Surgical intervention was performed with the extraction of tooth
38 and enucleation of the lateral periodontal cyst. .
The material was sent for histopathological examination. The pathohistological and immunohistochemical analysis confirmed the diagnosis of a radicular-lateral periodontal cyst in the mandible with the presence of a multi-layered squamous epithelium under which there is an inflammatory infiltrate with granulation tissue and precipitated cholesterol crystals in the wall. With the use of pathohistological and immunohistochemical analyses, the presence of the cellular and humoral immune responses and their role in the etiopathogenesis and development of the lateral periodontal cyst were proven.
Key words: lateral periodontal cyst, pathohistological,
immunohistochemical analysis, surgical intervention,
immune response

Item Type:	Article
Subjects:	Medical and Health Sciences > Basic medicine Medical and Health Sciences > Clinical medicine Medical and Health Sciences > Health biotechnology Medical and Health Sciences > Health sciences Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Mirjana Markovska Arsovska
Date Deposited:	30 Nov 2023 13:12
Last Modified:	30 Nov 2023 13:12
URI:	https://eprints.ugd.edu.mk/id/eprint/32697

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