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

Autor: Bautista CRG; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil., Milhan NVM; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil., Ankha MDVEA; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil., do Prado RF; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil., Cavalcante ASR; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil., Lopes SLPC; São Paulo State University (UNESP), Institute of Science and Technology, Department of Diagnosis and Surgery. São José dos Campos, SP, Brazil., Anbinder AL; São Paulo State University (UNESP), Institute of Science and Technology, Department of Biosciences and Oral Diagnosis. São José dos Campos, SP, Brazil.
Jazyk: angličtina
Zdroj: Autopsy & case reports [Autops Case Rep] 2019 Jun 11; Vol. 9 (2), pp. e2018073. Date of Electronic Publication: 2019 Jun 11 (Print Publication: 2019).
DOI: 10.4322/acr.2018.073
Abstrakt: 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.
Competing Interests: Conflict of Interest: None
Databáze: MEDLINE