Introduction
Case number | Case characteristics | Diagnostics | Treatment plan | Results | Follow-up |
---|---|---|---|---|---|
1 | 8-year-old girl with pain and swelling associated with her LR6 | Clinical examination revealed buccal expansion and the LR6 was negative to sensibility testing A PR was taken which confirmed a furcal radiolucency A true occlusal radiograph was attempted; however, it did not provide sufficient coverage Further imaging with a CBCT scan was undertaken | Extraction of the LR6 under general anaesthetic and enucleation of the cyst | Histopathology confirmed an inflammatory odontogenic cyst consistent with the clinical diagnosis of an inflammatory collateral cyst | 6-month clinical and radiographic follow-up showed complete resolution of the cyst |
2 | 11-year-old boy referred for management of molar-incisor hypomineralisation affecting all first permanent molars | Clinical examination revealed post-eruptive breakdown and large composite restorations associated with his first permanent molars. All first permanent molars were positive to sensibility testing A PR revealed an incidental radiolucency associated with the LL6 and a suspicious furcal radiolucency associated with the LR6. Further imaging with a CBCT scan was undertaken | Enucleation of the cyst under general anaesthetic with preservation of the LL6. A second pre-operative PR was planned nearer the time of surgery | 12 months after the initial examination, there was buccal expansion associated with the LR6 and a radiolucency associated with its bifurcation. Both cysts were enucleated under general anaesthetic (and both associated first permanent molars were retained). A diagnosis of bilateral inflammatory collateral cysts were made, as confirmed through histopathology | 6-month clinical and radiographic follow-up showed complete resolution of both cysts |
3 | 6-year-old girl with pain and facial swelling associated with her LL6 | Clinical examination revealed buccal expansion associated with the LL6. The tooth was positive to sensibility testing A PR confirmed a furcal radiolucency associated with the LR6 and LL6. Further imaging with a CBCT scan was undertaken | Enucleation of LR6 and LL6 cysts under general anaesthetic with preservation of both teeth | Histopathology confirmed an inflammatory odontogenic cyst consistent with the clinical diagnosis of bilateral inflammatory collateral cysts | 6-month clinical and radiographic follow-up showed complete resolution of both cysts |
Case series description and results
Case 1
Case 2
Case 3
Discussion
Inflammatory collateral cyst
Inflammatory collateral cyst | |
---|---|
Buccal bifurcation cyst | Paradental cyst |
Mandibular infected buccal cyst | Mandibular infected buccal cyst |
Juvenile paradental cyst | Craig’s cyst |
Circumferential dentigerous cyst | Eruption pocket cyst |
Paradental cyst | Inflammatory paradental cyst |
Clinical features | Radiographic features | Histological features |
---|---|---|
Rotation of an erupting mandibular molar | Intact lamina dura and normal periodontal ligament space | Fibrous capsule—continuous with the pericoronal tissue or cemento-enamel junction |
Buccal expansion | ‘U shaped’ radiolucency superimposed over roots at the bifurcation | Cholesterol clefts, foamy macrophages and inflammatory infiltration |
Canting of the occlusal plane towards the buccal surface | Smaller apices and prominent buccal cusps | Hyperplastic stratified squamous epithelium |
Vital tooth |