The botryoid odontogenic cyst boc is a developmental cyst of odontogenic epithelial origin considered as a rare multilocular variety of lateral periodontal cyst who 1992. Botryoid odontogenic cysts boc is a multicystic variant of the lateral periodontal cyst, a developmental cyst believed to arise from remnants of the dental lamina. Botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. A dentigerous cysts dc are defined as cystic lesions involving the crown of impacted teeth caused by fluid accumulation between the follicular. Eighty percent occur in the mandible, particularly. Scribd is the worlds largest social reading and publishing site. Glandular odontogenic cyst of the anterior maxilla. Clinically, the lesion usually appears as a slowgrowing, painless swelling of the jaw. Why is its differentiation from other types of cysts important. Such variants have distinctive clinical and histologic characteristics, including a lobular appearance in situ, multiple cystic spaces lined by thin, nonkeratinized epithelium with focal plaque. This cystic lesion site is in the periodontal space of vital teeth. 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.
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. Odontogenic cyst free download as powerpoint presentation. Also called as odontogenic ghost cell cyst or gorlin cyst. Botryoid odontogenic cyst boc is a multicystic variant of lateral periodontal cysts lpcs and was first described by weathers and waldron in 1973. Ky why is an odontogenic keratocyst often difficult to diagnose. Learn vocabulary, terms, and more with flashcards, games, and other study tools. A botryoid odontogenic cyst is considered to be a rare multilocular variant of a lateral periodontal cyst.
Calcifying odontogenic cysts have a wide age distribution that peaks at 10 to 19 years of age, with a mean age of 36 years. If you continue browsing the site, you agree to the use of cookies on this website. Ppt odontogenic cysts and tumors powerpoint presentation. Introduction a cyst is an epithelium lined sac containing fluid or semifluid material the epithelial cells first proliferate and later undergo degeneration and liquefaction grow by expansion, causing displacement of adjacent teeth. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial. Oct 07, 2009 what is the causes of an odontogenic cyst.
Hyperchromatic, cuboidal or columnar basal cell layer 3. The histogenesis of lpc and boc remains uncertain, although a number of possible sources of odontogenic epithelium, including the rests of malassez and reduced enamel epithelium, have been ruled out as candidates 2. Dentistry 204 oral pathology 54 cysts of the oral region a. 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. Mar 21, 2017 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. Odontogenic and non odontogenic tumors of the jaws are a relatively rare and heterogeneous group of benign and malignant neoplasms, hamartomas, and other bonerelated lesions that demonstrate great variability in etiology, biologic behavior, and clinical significance. As the biological behavior of boc is variable and the literature is limited to that of individual case reports, there is no accepted consensus on the best management strategy.
The boc differs somewhat from the lateral periodontal cyst due to its larger size and multicystic nature, often with a multilocular appearance on radiographs. Glandular odontogenic cyst has an uncertain histogenesis and was recently listed by the world health organization as a developmental odontogenic epithelial cyst. 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. Often patients with this condition are symptomatic. A case report of glandular odontogenic cyst of mandible. The botryoid odontogenic cyst will usually present as a multilocular lesion and is a special variant of the lateral periodontal cyst. The botryoid odontogenic cyst boc is a multilocular variant of the lateral periodontal cyst, which presents in similar sites, favouring the premolar mandibular region and anterior maxilla. A dentigerous cyst is formed by the hydrostatic force exerted by the accumulation of fluid between reduced enamel epithelium and the tooth crown of unerupted teeth,5.
Odontogenic keratocysts are often difficult to diagnose because they may occur in many. The cysts are male predominant and occur 10 to 15 years earlier compared with those in the white population. The botryoid odontogenic cyst is considered to be a multiloculated variant of the lateral periodontal cyst. 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. The glandular odontogenic cyst goc is a rare lesion, accounting for just 0. Since the 4th edition of the world health organizations classification of head and neck tumours was published in january of 2017, the keratocystic odontogenic tumor is back into the cyst category. 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 sialo odontogenic cyst be adopted for such. Calcifying odontogenic cyst lateral periodontal cyst. Cysts, odontogenic cysts, keratocyst, radicular cyst, dentigerous cyst. It is more often found in middleaged and older adults, and the teeth more likely affected are mandibular lower canines and premolars. Rc is the most common inflammatory odontogenic cystic lesion of the maxillary bones that accounts for more than 50.
Glandular odontogenic cyst the glandular odontogenic cyst goc is a rare lesion, accounting for just 0. Thus, all cystic lesions of the jaws that had aspects of odontogenic keratocysts were considered, regardless of the clinical and other histological features 14. Identical to structures present in lateral periodontal cysts or botryoid odontogenic cysts or soft tissue odontogenic cyst, gingival cyst of adult. A manual search of all related oral pathology, maxillofacial and specialist dental and oral journals was performed. Odontogenic cyst are a group of jaw cysts that are formed from tissues involved in odontogenesis tooth development. Clinical and histologic features of botryoid odontogenic. Odontogenic cysts are classified according to the stages of odontogenesis at which they occur. Orthopantamogram revealed a multilocular radiolucency extending from 43 to 47. Mar 31, 2020 when a cyst forms near the base of a molar that has only partially erupted from the gum, it is called a paradental cyst. Botryoid odontogenic cyst is a variant of the lateral periodontal cyst. Vidya rani department of oral pathology, raja rajeswari dental college, bengaluru, karnataka, india abstract the cystic lesions that affect the oral and maxillofacial region are predominantly odontogenic in. Article info abstract botryoid odontogenic cysts boc is an unusual multi cystic variant of the lateral periodontal cyst. Glandular odontogenic cyst goc is a rare lesion which has been reported between 0. By definition, most kcots develop instead of a tooth, arising from the dental lamina.
The diagnosis can be especially challenging due to the lack of distinct diagnostic clinicradiological. The clinical presentation, gross and microscopic features, differential diagnosis, prognosis, and diagnostic pitfalls are addressed for inflammatory cysts periapical cyst, mandibular infected buccal cyst paradental cyst, developmental cysts dentigerous, lateral periodontal, glandular odontogenic, orthokeratinized odontogenic cyst, benign. Botryoid odontogenic cyst boc is considered as an unusual multilocular variant of lateral periodontal cyst lpc. 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. The possibility of this lesion representing a clinical variation of the lateral periodontal cyst is source of discussion and doubt among many authors. Botryoid odontogenic cyst boc is a rare variant of the lateral periodontal cyst lpc. Although it is an asymptomatic lesion, it can be destructive and has high recurrence rates.
The possibility of this lesion representing a clinical variation of the lateral. Botryoid refers to the fact that these lesions may appear like grapelike clusters, both histologically and usually radiographically as well. Less than 200 cases are reported in the literature, and only 22 cases are associated with an unerupted tooth dentigerous relationship. A glandular odontogenic cyst is an extremely isolated cyst found in the. If you continue browsing the site, you agree to the use of cookies. Odontogenic cysts and tumors michael underbrink, md anna pou, md february, 2002 introduction variety of cysts and tumors uniquely derived from tissues of. A 21yearold woman consulted for a swelling of the anterior maxillary region. As such the cyst encloses the crown and is attached to the neck at the cementoenamel junction 5. S farooqia dental college and hospital, india keywords. Comparison of components of odontogenic cyst fluids. Glandular odontogenic cyst goc is an uncommon jaw bone cyst of odontogenic origin, first described in 1988 by gardner et al. Botryoid odontogenic cyst variant of the lateral periodontal cyst mandiblemaxilla anterior to premolars nonaggressive behavior, yet may recur after curettage thin lining with focal clear cell acanthomatous nodules. Inflammatory odontogenic cysts 1 radicular cyst see od1 notes cyst at apex or around root of a nonvital tooth.
Papillary projections or tufting of epithelium into. Abstract botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts. Glandular odontogenic cyst goc is an uncommon jaw bone cyst of odontogenic origin, first described as a distinct clinicopathologic entity in 1988 by gardner et al. Glandular odontogenic cysts gocs are rare intrabony solitary or multiloculated cysts of odontogenic origin. Usually unicystic, it may also appear as a cluster of small cysts botryoid. This decompression facilitates a reduction in the size of the cyst and so, at a later an odontogenic cyst is a pathological. The opening can also be maintained with packing material or a prosthetic bung. Kcot can be associated with the naevoid basal cell carcinoma syndrome nbccs. We report a case of boc in a 21yearold male patient. Odontogenesis, odontogenic cysts, and odontogenic tumors. Similar to the conventional lateral periodontal cyst, the boc exhibits a predilection for the mandibular canine and first premolar region. Microscopically, the lesion is similar to the lateral periodontal cyst but exhibits some differences.
Botryoid odontogenic cyst, 21, 22 bullough s lesion, 125 osseous spheroids, 9 peripheral brocellular rim and radiating bers, 9, 10 c calcifying epithelial odontogenic tumor ceot, 111 amyloid nature, 49, 50 cancellous jaw bone, 49, 51 cementumlike material, 49, 50. Periapical central giant cell granuloma misdiagnosed as. Teeth develop from budlike invagination of ectodermal lining of primitive oral cavity epithelium. Review of the literature indicates that this lesion has higher risk of recurrence than lpc, but objetive reasons are still unknown. The cyst is attached to the apex and is composed of an in.
Botryoid odontogenic cyst, essentially, is a cystic lesion with clinical and radiological features of a lateral periodontal cyst, but which shows macroscopic and microscopic features of a botryoid odontogenic cyst. Glandular odontogenic cyst goc is an uncommon cyst of the jaw. Gingival cyst of the adult, lateral periodontal cyst, and. Left maxillary cystic lesion associated with the crown of the unerupted molar tooth 28 in keeping with an odontogenic keratocyst given the bony expansion. Chapter 21 odontogenic and non odontogenic tumors of the jaws introduction.
Cysts of the oral and maxillofacial regions, 4th edition. They may be incidental findings from routine imaging in any office or found through workup for craniofacial surgery or injury. Clinical and histologic features of botryoid odontogenic cyst. Primary intraosseous carcinoma of the jaws pioscc might arise from odontogenic epithelium, more commonly from a previous odontogenic cyst. A free powerpoint ppt presentation displayed as a flash slide show on id. Botryoid odontogenic cyst boc originally described by weathers and waldron 1973 is a variant of a lateral periodontal cyst characterized by macroscopic and microscopic multilocular growth pattern. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Odontogenic cysts, nonodontogenic cysts j craniofac surg 2011.
Botryoid odontogenic cyst with extensive clear cells. Botryoid odontogenic cyst botryoid odontogenic cyst. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Primordial cyst the kcot is the least common, but most dangerous odontogenic cyst.
The boc differs somewhat from the lateral periodontal cyst due to its larger size and multicystic nature. Differential diagnosis of radiolucent lesions of the jaws. Aug 10, 2010 we provide data that allow the reader to establish the differences between botryoid odontogenic cyst, glandular odontogenic cyst, and lateral periodontal cyst, helping with the differential diagnosis. Glandular odontogenic cyst goc is a rare odontogenic entity that has gained special attention primarily owing to 1 its potentially aggressive behavior, with a propensity toward local recurrence if inadequately treated, and 2 the overlap in histomorphologic features with lateral periodontal and botryoid odontogenic cysts and central mucoepidermoid carcinoma of the jaws. Developmental odontogenic cysts flashcards quizlet.
Glandular odontogenic cyst in dentigerous relationship. We use cookies to give you the best possible experience on our website. This fourth edition reflects advances in immunohistochemistry, molecular biology and human genetics, which have contributed to the understanding of the etiology, pathogenesis, pathology and treatment of these lesions. Histologically, it bears a resemblance to lateral periodontal cyst lpc, botryoid odontogenic cysts bocs, radicular and residual cysts with mucous metaplasia. Multiple cystic spaces similar to those seen in botryoid odontogenic cysts.
Malignant transformation of an odontogenic cyst in a period. Fewer than 40 of these lesions have been described, many of which have recurred. Gorlin cysts, also called calcifying odontogenic cysts, typically form in the front part of the jaw and are often associated with an impacted tooth. 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. 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.
Odontogenic cysts are largely classified based on their location, viability of the associated tooth and clinical setting. Calcifying odontogenic cyst calcifying odontogenic cyst. In this study, a series of 10 cases of botryoid odontogenic cysts retrieved from the archives of the postgraduation. Recurrent glandular odontogenic cyst of maxilla a case report. They almost exclusively occur in permanent dentition. Odontogenic cysts and tumors are mandibular and maxillary lesions that occur across all patient demographics across age, sex, race, and social economic status, as altered remnants of dental development. The glandular odontogenic cyst is usually asymptomatic and involves the mandible more often than the maxilla. The botryoid odontogenic cyst is a morphologic variant of developmental cysts of odontogenic epithelial residue, i. 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. This obviously requires a compliant and dextrous patient who would be able to maintain hygiene. Keratocystic odontogenic tumours can develop during the first three stages of odontogenesis, that is, initial dental lamina development, cap and bell stages of enamel organ development, and maturation of epithelial and mesenchymal components.
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