Lateral periodontal cyst

  • Rare intraosseous of intrabony development cyst
  • Form besides vital tooth

Pathogenesis

  • Dental lamina

Clinical

  • No symptoms
  • Erodes through bone into gingiva

Common site

  • Lateral surface of root of vital tooth
  • Mandibular premolar/canine region
  • Size < 1cm diameter

Radiology

  • Unilocular
  • Round/oval
  • Well defined
  • Corticated
  • ± Sclerotic margin

Histology

  • Squamous/cuboidal epithelium
  • 1-2 cell thick + focal thickenings

Management

  • Enucleate cyst and retain healthy tooth

Complications

  • Strong tendency to recur
  • Sporadic bud-like proliferation after enucleation

Picture

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