Here we add an unusual case of calcifying odontogenic cyst coc in. Malignant transformation of an odontogenic cyst in a. Santos pp, freitas vs, freitas rde a, pinto lp, souza lb 2011 botryoid odontogenic cyst. Arise from the epithelial rests in the periodontium lateral to the root. Lateral periodontal cyst with extremely rare clinical. Same features as lateral periodontal cyst above except. Calcifying odontogenic keratocyst annals of clinical case reports. Odontogenic cysts are classified according to the stages of odontogenesis at which they occur. The lesions blend into the surrounding normal bone with an imperceptible border, an important distinction from cementoossifying fibroma.
Three angels broadcasting network 3abn recommended for you new. Odontogenic cysts ioannis chatzistefanou, vassilios kogias and. Nonodontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Classification by etiology developmental 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 inflammatory i.
Glandular odontogenic cysts gocs are rare intrabony solitary or multiloculated cysts of odontogenic origin. Superoinferiorly extending about 2 cm below the line joining corner. Primary intraosseous carcinoma of the jaws pioscc might arise from odontogenic epithelium, more commonly from a previous odontogenic cyst. This study aimed at evaluating histological features of 52 cases of calcifying odontogenic cyst coc, which is an uncommon benign. The membrane of this type of cyst comes from the epithelial cells that produce the teeth. Odontogenic cysts periapical cyst radicular cyst, apical periodontal cyst periapical cysts are the most common odontogenic cyst, accounting for more than half of all cysts of the jaws. Has many features of odontogenic tumor, therefore it is placed in the category of tumors in the latest who classification of odontogenic cysts and tumors. The botryoid odontogenic cyst is a rare asymptomatic lesion characterized by its typical multilocular aspect similar to a bunch of grapes commonly affecting the mandible bicuspids and canine region. Botryoid odontogenic cyst with extensive clear cells. Pdf histologic variants of calcifying odontogenic cyst. A botryoid odontogenic cyst boc which recurred 4 times over a period of 9 years is presented. C botryoid odontogenic cyst gingival cysts c gingival cysts of adults c gingival of infants alveolar cyst glandular odontogenic cyst calcifying odontogenic cyst orthokeratinised odontogenic cyst table 1 figure 1 radicular cyst at the apex of a dead tooth with necrotic pulp. Botryoid odontogenic cyst boc is a rare developmental odontogenic cyst. Some authors consider it to be a variant of lateral periodontal cyst lpc with higher risk of recurrence.
Exploration of proliferative activity, apoptosis and expression of tp53 and bcl2 compared to the histologically identical lateral periodontal and gingival cysts. Diagnosing the most common odontogenic cystic and osseous. Odontogenic cysts are subclassified as inflammatory or. Often patients with this condition are symptomatic. It is a noninflammatory odontogenic cyst which has striking predilection for mandibular caninepremolar region. A total of 67 cases of boc were identified since 1973 first case 5 up to the last case in 2005 7. A 42yearold male patient with botryoid odontogenic cyst boc was treated by surgical removal.
Botryoid odontogenic cyst boc is considered as an unusual multilocular variant of lateral periodontal cyst. To this effect, searches were made in pubmed database, crossing the following key words. There are approximately six different types of these cysts. Odontogenic cyst are a group of jaw cysts that are formed from tissues involved in odontogenesis tooth development. Botryoid odontogenic cyst polycystic variant of lpc appears as grapelike clusters of small individual. Since odontogenic cysts incorporate an important part of the oral and maxillofacial. Aug 10, 2010 the lateral periodontal cyst, as the name implies, occurs on a lateral periodontal location and is of developmental origin, arising from cystic degeneration of clear cells of the dental lamina. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Ameloblastoma, botryoid odontogenic cyst boc, cd56. Surgery is the usual treatment, and recurrence or association with gorlingoltz syndrome has rarely been described. Botryoid odontogenic cyst boc was originally described in 1973 by weathers and waldron as an intraosseous lesion characterized by a macroscopic and microscopic multilocular growth pattern, resembling a bunch of grapes from the greek word botrios. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial. Kcot can be associated with the naevoid basal cell carcinoma syndrome nbccs.
Glandular odontogenic cyst 0 0 0 3 0 0 2 5 residual cyst 0 1 7 6 6 6 2 28 orthokeratinized cyst 0 0 2 1 1 1 2 7 gingival cyst 0 0 1 0 0 0 0 1 eruption cyst 0 1 0 0 0 0 0 1 paradental cyst 0 0 5 0 0 0 0 5 total 29 89 6 85 49 30 16 434. We report a case of boc in a 29yearold male patient. Teeth develop from budlike invagination of ectodermal lining of primitive oral cavity epithelium. Botryoid odontogenic cyst it is a variant of lateral odontogenic cyst, but that the term botryoid odontogenic cyst should be retained because of the tendency of this variant to recur if inadequately removed. Aug 10, 2010 a botryoid odontogenic cyst is considered to be a rare multilocular variant of a lateral periodontal cyst. Lateral periodontal cyst glandular odontogenic cyst unclassified paradental cyst calcifying odontogenic cyst 9. More difficult to resect, but few recurrences if removed. Microscopically, the lesion is similar to the lateral periodontal cyst but exhibits some differences. Cystic lining is derived from the reduced enamel epithelium. Multicystic lateral periodontal cyst and botryoid odontogenic cyst. The term boc was coined by weathers and waldron in 1973. Radiographic examination revealed a multi locular radiolucency from the mandibular right premolar area, involving almost the whole height of the mandible. Botryoid odontogenic cyst is a variant of the lateral periodontal cyst. Glandular odontogenic cyst goc is an uncommon jaw bone cyst of odontogenic origin described in 1987 by gardner et al.
The botryoid odontogenic cyst boc is a developmental cyst of odontogenic epithelial origin considered as a rare multilocular variety of lateral. This article aims to discuss the clinical features, radiological assessment, histopathology and management of a variety of odontogenic cysts. The following classification system is a modification of the world health organization. Clinical and histologic features of botryoid odontogenic. Primordial cyst the kcot is the least common, but most dangerous odontogenic cyst. Botryoid odontogenic cyst boc, as reported by weathers and waldron, is a polycystic variant of the lateral periodontal cyst because the specimen resembled a cluster of grapes. The reading of the word 3abn sabbath school panel q4 2019 duration. Odontogenic cysts, tumors, and related jaw lesions preceptor.
Case presentation we report the clinical and histopathologic features of a rare case of botryoid odontogenic cyst found in an edentulous area corresponding to the right lower canine of a 64yearold africanamerican woman. Botryoid odontogenic cyst developing from lateral periodontal cyst. The botryoid odontogenic cyst is a rare asymptomatic lesion characterized by its typical multilocular aspect similar to a bunch of grapes commonly affecting the. Odontogenic and non odontogenic cysts 2 of 3 youtube. Clinical and histologic features of botryoid odontogenic cyst. Odontogenesis, odontogenic cysts, and odontogenic tumors.
Boc is considered to be a variant of a lateral periodontal cyst. Most common developmental odontogenic cyst, associated with the crown of an unerupted tooth. Comparison of components of odontogenic cyst fluids. Cysts and odontogenic neoplasms 160 jaw cysts general features of jaw cysts to physicians, the term cyst means, simply, a space. Immunocytochemical comparison of cytokeratin composition of the cyst epithelium with that of tle orlying oral epithelium showed distinct differences. Botryoid odontogenic cyst boc originally described by weathers and waldron.
Odontogenic cysts of jaws definition a cyst is a pathological cavity containing fluid, semifluid or gaseous contents which may or may not be lined by epithelium and is not created by the accumulation of pus. Usually unicystic, it may also appear as a cluster of small cysts botryoid odontogenic cysts. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. The aim of this case is to illustrate that the clinician should consider that an apparent benign dentigerous cyst can suffer malignant transformation and that all material removed from a patient must be evaluated histologically. Botryoid odontogenic cyst boc is considered a rare multilocular variant of the lateral periodontal cyst, usually involves the mandibular premolarcanine area, followed by the anterior region of the maxilla. Coronal dentin formation merges seamlessly into root dentin formation. We report the clinical and histopathologic features of a rare case of botryoid odontogenic cyst. Botryoid odontogenic cyst developing from lateral periodontal. The microcysts subsequently collapse, merge and form. Developmental odontogenic cysts flashcards quizlet. In 1987, padayachee and van wyk1 first reported two cases that shared the features of both botryoid odontogenic cysts and central mucoepidermoid tumors and suggested that the term sialoodontogenic cyst be adopted for such.
Pdf botryoid odontogenic cyst boc originally described by weathers. By definition, most kcots develop instead of a tooth, arising from the dental lamina. The present study describes the clinical, radiographic and histological features of an extremely rare case of lateral periodontal cyst as well as the treatment and postoperative followup. To the best of our knowledge only 73 cases of boc have been reported till now. Because cystic sp aces within the jaws have special characteristics, they require a more precise definition. Left maxillary cystic lesion associated with the crown of the unerupted molar tooth 28 in keeping with an odontogenic keratocyst given the bony expansion. Botryoid odontogenic cyst with extensive clear cells bjstr. It is more often found in middleaged and older adults, and the teeth more likely affected are mandibular lower canines and premolars. Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid. Botryoid odontogenic cyst boc originally described by weathers and. The cyst epithelium expressed keratins typical of both simple and nonkeratinizing squamous epithelia.
Sep 30, 2012 lateral periodontal cyst glandular odontogenic cyst unclassified paradental cyst calcifying odontogenic cyst 9. It also highlights the reclassification of odontogenic keratocysts to keratocystic odontogenic tumours. Also called as odontogenic ghost cell cyst or gorlin cyst. Calcifying odontogenic cyst showing a varied epithelial lining. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Odontogenic cysts a clinicopathological study manal a. This cyst is seen in the interproximal area between tooth roots and is usually an incidental radiographic finding. Botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts. Some cells with clear cytoplasm glycogenrich cells especially in the plaques connective tissue. Botryoid odontogenic cysts boc is an unusual multi cystic variant of the lateral periodontal cyst. A botryoid odontogenic cyst with multiple recurrences. The cyst is attached to the apex and is composed of an in.
A dentigerous cyst results because of the enlargement of the follicular space of the whole or part of the crown of an impacted or. Cysts and odontogenic neoplasms 162 apical cyst periapical cyst radicular cyst, root end cyst epithelial lined jaw cyst found as radiolucencies at the end of roots of nonvital teeth. Oralsurgery 548 dentalupdate julyaugust 2015 odontogenic cysts an overview abstract. The orthokeratinized odontogenic cyst ooc is a rare developmental odontogenic cyst that has been considered as a variant of the keratocystic odontogenic tumour kcot until wright 1981 defined it as a different entity. An odontogenic cyst is a membranebound sac that can be empty or filled with a viscous substance or fluid. Botryoid odontogenic cyst boc is considered to be a polycystic variant of the lateral periodontal cyst lpc as the specimen resembled a cluster of grapes. Analysis of 88 boc cases showed that patient age ranged from 20 to 80, mean age 50. A dentigerous cyst results because of the enlargement of the follicular space of the whole or part of the crown of an impacted or unerupted tooth and is attached to the neck of the tooth. May 10, 2020 an odontogenic cyst is a membranebound sac that can be empty or filled with a viscous substance or fluid. Odontogenic cyst free download as powerpoint presentation. A botryoid odontogenic cyst is considered to be a rare multilocular variant of a lateral periodontal cyst. The cyst enlarges as fluid accumulates between the follicle and the crown of an unerupted tooth. Three angels broadcasting network 3abn recommended for.
563 725 526 355 1617 192 752 1011 1068 437 984 852 863 774 947 562 1520 945 587 1318 406 716 1411 1629 1103 66 1393 1604 167 369 1041 835 1400 72 306 1525 527 360 866 8 948 47 173 1162 305 1348 1398 61