Odontogenic cyst
 | This article may be too technical for most readers to understand. (June 2023) |
Odontogenic cyst are a group of
mandible and maxilla
are the only bones with epithelial components. That odontogenic epithelium is critical in normal tooth development. However, epithelial rests may be the origin for the cyst lining later.
Not all oral cysts are odontogenic cysts. For example, mucous cyst of the oral mucosa and nasolabial duct cyst
are not of odontogenic origin.
In addition, there are several conditions with so-called (
Stafne static bone cyst, to the aggressive aneurysmal bone cyst.[1]
Classification[2]
- I. Cysts of the jaws
- A. Epithelial-lined cysts
- 1. Developmental origin
- (a) Odontogenic
- i. Gingival cyst of infants
- ii. Odontogenic keratocyst
- iii. Dentigerous cyst
- iv. Eruption cyst
- v. Gingival cyst of adults
- vi. Developmental lateral periodontal cyst
- vii. Botryoid odontogenic cyst
- viii. Glandular odontogenic cyst
- ix. Calcifying odontogenic cyst
- (b) Non-odontogenic
- i. Midpalatal raphé cyst of infants
- ii. Nasopalatine duct cyst
- iii. Nasolabial cyst
- (a) Odontogenic
- 2. Inflammatory origin
- i. Radicular cyst, apical and lateral
- ii. Residual cyst
- iii. Paradental cyst and juvenile paradental cyst
- iv. Inflammatory collateral cyst
- 1. Developmental origin
- B. Non-epithelial-lined cysts
- 1. Solitary bone cyst
- 2. Aneurysmal bone cyst
- A. Epithelial-lined cysts
- II. Cysts associated with the maxillary antrum
- 1. Mucocele
- 2. Retention cyst
- 3. Pseudocyst
- 4. Postoperative maxillary cyst
- III. Cysts of the soft tissues of the mouth, face and neck
- 1. Dermoid and epidermoid cysts
- 2. Lymphoepithelial (branchial) cyst
- 3. Thyroglossal duct cyst
- 4. Anterior median lingual cyst (intralingual cyst of foregut origin)
- 5. Oral cysts with gastric or intestinal epithelium (oral alimentary tract cyst)
- 6. Cystic hygroma
- 7. Nasopharyngeal cyst
- 8. Thymic cyst
- 9. Cysts of the salivary glands: mucous extravasation cyst; mucous retention cyst; ranula; polycystic (dysgenetic) disease of the parotid
- 10. Parasitic cysts: hydatid cyst; Cysticercus cellulosae; trichinosis
- Buccal bifurcation cyst
- Calcifying odontogenic cyst
- Dentigerous cyst (associated with the crowns of non-erupted teeth)
- Glandular odontogenic cyst
- Nevoid basal cell carcinoma syndrome.
- Paradental cyst
- Periapical cyst (The periapical cyst, otherwise known as radicular cyst, is the most common odontogenic cyst.)
- Radicular cyst (associated with the roots of non-vital teeth, also known as Periapical cyst)
- Residual cyst
Cystic neoplasm
Most cysts in the body are
benign (dysfunctional) tumors, the result of plugged ducts or other natural body outlets for secretions. However, sometimes these masses are considered neoplasm
:
- Keratocyst
- Calcifying odontogenic cyst
- According to the current (2005) classification of the World Health Organization, both (parakeratizied) odontogenic keratocyst and calcifying odontogenic cyst have neoplastic characteristics, thus renamed as Keratocystic odontogenic tumor and Calcifying odontogenic tumor, respectively.
- Cystic ameloblastoma
- Long standing squamous cell carcinoma and mucoepidermoid carcinoma.
Diagnosis
On histopathology, cholesterol clefts indicate mainly a periapical (radicular) cyst[4] or an inflamed dentigerous cyst.[5]
Treatment
Treatment ranges from simple
symptomatic.[7]
See also
- Cyst
- Mucous cyst of the oral mucosa
References
- PMID 22118925.
- ISBN 978-14051-4937-2.
- ^ Leandro Bezerra Borges; Francisco Vagnaldo Fechine; Mário Rogério Lima Mota; Fabrício Bitu Sousa; Ana Paula Negreiros Nunes Alves (2012). "Odontogenic lesions of the jaw: a clinical-pathological study of 461 cases". Revista Gaúcha de Odontologia. 60 (1).
- ^ Annie S. Morrison; Kelly Magliocca. "Mandible & maxilla - Odontogenic cysts - Periapical (radicular) cyst". Pathology Outlines. Topic Completed: 1 March 2014. Revised: 13 December 2019
- ^ Kelly Magliocca; Annie S. Morrison. "Mandible & maxilla - Odontogenic cysts - Dentigerous". Pathology Outlines. Topic Completed: 1 October 2013. Revised: 2 December 2019
- ^ Pou, Anna. "Odontogenic cysts and tumors". UTMB Department of otolaryngology. Archived from the original on 23 August 2012. Retrieved 11 September 2012.
- ]