Gingival cyst

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This topic has 2 replies, 3 voices, and was last updated 11/06/2011 at 1:25 pm by Anonymous.

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10/06/2011 at 4:28 pm #17290

sushantpatel_doc
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Definition
•Gingival cyst of the adult is a rare lesion located in the gingiva.

Etiology
•Remnants of the dental lamina.

Clinical features
•It appears as a painless, well-circumscribed swelling, 0.5–1 cmin diameter (Fig. ).
•The mandibular premolar and canine area is the site of predilection, and the condition is more frequent in patients over 40 years of age.
•The clinical diagnosis should be confirmed by laboratory tests.

Laboratory tests
•Histopathological examination.

Differential diagnosis
•Lateral periodontal cyst,
•periodontal abscess,
•mucocele,
•fibroma,
•peripheral ossifying fibroma,
•neurofibroma.

Treatment
•Surgical removal.

11/06/2011 at 1:25 pm #17298

Anonymous

DIFFERENTIAL DIAGNOSIS

ODONTOGENIC KERATOCYST
Keratin debris

Diagnostic Pearls

* Nonkeratinized to orthokeratinized stratified squamous epithelium
* Corrugated surface mucosa with separation from underlying stroma
* Peripheral palisading of basal cells

LATERAL PERIODONTAL CYST
Cyst with thin squamous lining

Diagnostic Pearls

* Thin squamous lining with focal thickening
* Clear cells
* Besides a tooth near the crest of alveolar ridge
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