Bilateral radicular cyst mimicking dentigerous cyst: a case report
Abstract
Objectives: The aim of this case report is to describe radiographically the specific features of periapical cysts to differentiate them from dentigerous cyst lesions despite their similar clinical appearance.Case Report: A 21-year-old female patient came to Dental Hospital in Bandung with a referral for a cone-beam computed tomography (CBCT) examination with a clinical diagnosis of suspected right mandibular dentigerous cyst and left mandibular periapical cyst. The patient said that during the past month, swelling had appeared on both sides of the jaw, which was getting bigger, the pain was intermittent, and it was disturbing when eating. Intraoral examination showed gingival enlargement, muccobucal fold disappeared. Extraoral examination, facial asymmetry was found due to unilateral swelling. Radiographic examinations showed both lesions were oval, unilocular, radiolucent internal structures with an average density of 4.7-32 HU resembling soft tissue density, corticated or radiopaque borders, caused expansion of the mandibular corpus buccally and lingually and to mesial and distal, cortical thinning and displacement of the inferior mandibular canal.
Conclusion: Lesions on the jaws have almost the same clinical appearance, but through CBCT examination the type of lesion can be well determined. Periapical cyst lesion with large size has a clinical appearance like dentigerous lesions, but radiographically will show a different specific picture.
References
Stuart CW, Michael JP, White SC, Pharoah MJ . Oral radiology Principales and interpretation In: Mosby Elsevier. 7th ed. Missouri: Elsevier Mosby; 2014.
Mahesh B, Shastry SP, Murthy PS, Jyotsna T. Role of Cone Beam Computed Tomography in Evaluation of Radicular Cyst mimicking Dentigerous Cyst in a 7-year-old Child: A Case Report and Literature Review. Int J Clin Pediatr Dent. 2017;10(2):213–6.
Jing G, Jing S. [Comparison between cone beam computed tomography and periapical radiography in the diagnosis of periapical disease]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2015;33(2):209-13.
Kolari V, Rao HA, Thomas T. Maxillary and mandibular unusually large radicular cyst: A rare case report. Natl J Maxillofac Surg. 2019;10(2):270-3.
Koju S, Chaurasia N, Marla V, Niroula D, Poudel P. Radicular cyst of the anterior maxilla: An insight into the most common inflammatory cyst of the jaws. Journal of Dental Research and Review. 2019;6(1):26-9.
Gupta SS, Shetty D, Urs AB, Nainani P. Role of inflammation in developmental odontogenic pathosis. Journal of Oral and Maxillofacial Pathology. 2016;20(1):164.
Varsha V, Harshitha D, Ramakrishna O. Radicular cyst: A case report. International Journal of Applied Dental Sciences IJADS [Internet]. 2015;1(14):20–2.
Noda A, Abe M, Shinozaki-Ushiku A, Ohata Y, Zong L, Abe T, Hoshi K. A Bilocular Radicular Cyst in the Mandible with Tooth Structure Components Inside. Case Rep Dent. 2019;2019:6245808.
Bava FA, Umar D, Bahseer B, Baroudi K. Bilateral radicular cyst in mandible: an unusual case report. J Int Oral Health. 2015;7(2):61-3.
Pai S, Kamath AT, Bhagania M, Shenoy N, Saraswathi MV. Assessment of healing of a large radicular cyst using cone beam computed tomography: Two years follow-up. World Journal of Dentistry. 2016;7(1):47–50.
Althaf S, Hussaini N, Srirekha A, Santhosh L. The role of cone-beam computed tomography in evaluation of an extensive radicular cyst of the maxilla. Journal of Restorative Dentistry and Endodontics. 2021;1:30–3.
Bhatia N, Tripathi A, Bhasin MT, Shewale A. Cone beam computed tomography (CBCT) assisted enucleation of radicular cyst: A one year follow up case report. Manipal Journal of Dental Sciences. 2017;2(1):18-22.
Mahesh B, Shastry SP, Murthy PS, Jyotsna T. Role of Cone Beam Computed Tomography in Evaluation of Radicular Cyst mimicking Dentigerous Cyst in a 7-year-old Child: A Case Report and Literature Review. Int J Clin Pediatr Dent. 2017;10(2):213–6.
Jing G, Jing S. [Comparison between cone beam computed tomography and periapical radiography in the diagnosis of periapical disease]. Hua Xi Kou Qiang Yi Xue Za Zhi. 2015;33(2):209-13.
Kolari V, Rao HA, Thomas T. Maxillary and mandibular unusually large radicular cyst: A rare case report. Natl J Maxillofac Surg. 2019;10(2):270-3.
Koju S, Chaurasia N, Marla V, Niroula D, Poudel P. Radicular cyst of the anterior maxilla: An insight into the most common inflammatory cyst of the jaws. Journal of Dental Research and Review. 2019;6(1):26-9.
Gupta SS, Shetty D, Urs AB, Nainani P. Role of inflammation in developmental odontogenic pathosis. Journal of Oral and Maxillofacial Pathology. 2016;20(1):164.
Varsha V, Harshitha D, Ramakrishna O. Radicular cyst: A case report. International Journal of Applied Dental Sciences IJADS [Internet]. 2015;1(14):20–2.
Noda A, Abe M, Shinozaki-Ushiku A, Ohata Y, Zong L, Abe T, Hoshi K. A Bilocular Radicular Cyst in the Mandible with Tooth Structure Components Inside. Case Rep Dent. 2019;2019:6245808.
Bava FA, Umar D, Bahseer B, Baroudi K. Bilateral radicular cyst in mandible: an unusual case report. J Int Oral Health. 2015;7(2):61-3.
Pai S, Kamath AT, Bhagania M, Shenoy N, Saraswathi MV. Assessment of healing of a large radicular cyst using cone beam computed tomography: Two years follow-up. World Journal of Dentistry. 2016;7(1):47–50.
Althaf S, Hussaini N, Srirekha A, Santhosh L. The role of cone-beam computed tomography in evaluation of an extensive radicular cyst of the maxilla. Journal of Restorative Dentistry and Endodontics. 2021;1:30–3.
Bhatia N, Tripathi A, Bhasin MT, Shewale A. Cone beam computed tomography (CBCT) assisted enucleation of radicular cyst: A one year follow up case report. Manipal Journal of Dental Sciences. 2017;2(1):18-22.
Published
2022-12-26
How to Cite
ANJANI, Khamila Gayatri; PUTRI, Annisa; EPSILAWATI, Lusi.
Bilateral radicular cyst mimicking dentigerous cyst: a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 6, n. 3, p. 109-112, dec. 2022.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/918>. Date accessed: 23 apr. 2024.
doi: https://doi.org/10.32793/jrdi.v6i3.918.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
