Gingival cyst

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  • #12131
    Anonymous
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    The Gingival cyst of the adult is an uncommon lesion. It is considered to represent the soft tissue counterpart of the lateral periodontal cyst, being derived from rests of the dental lamina (rests of serres). The diagnosis of gingival cyst of the adult should be restricted to lesions with the same histopathologic features as those of the lateral periodontal cyst. Clinically they have a striking predilection to occur in the mandibular canine and premolar area (60% to 75% of cases).Gingival cyst of adult is most commonly found in patients in the fifth and sixth decades of life. They are almost invariably located on the facial gingival or alveolar mucosa. Maxillary gingival cysts are usually found in the incisor, canine and premolar areas. They appear as painless, domelike swellings, usually less than 0.5cm in diameter, although rarely they may be somewhat larger. They are often bluish or bluish gray.

    #17290
    sushantpatel_docsushantpatel_doc
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    Definition
    •Gingival cyst of the adult is a rare lesion located in the gingiva.

    Etiology
    •Remnants of the dental lamina.

    Clinical features
    •It appears as a painless, well-circumscribed swelling, 0.5–1 cmin diameter (Fig. ).
    •The mandibular premolar and canine area is the site of predilection, and the condition is more frequent in patients over 40 years of age.
    •The clinical diagnosis should be confirmed by laboratory tests.

    Laboratory tests
    •Histopathological examination.

    Differential diagnosis
    •Lateral periodontal cyst,
    •periodontal abscess,
    •mucocele,
    •fibroma,
    •peripheral ossifying fibroma,
    •neurofibroma.

    Treatment
    •Surgical removal.

    #17298
    Anonymous

    DIFFERENTIAL DIAGNOSIS

    ODONTOGENIC KERATOCYST
    Keratin debris

    Diagnostic Pearls

    * Nonkeratinized to orthokeratinized stratified squamous epithelium
    * Corrugated surface mucosa with separation from underlying stroma
    * Peripheral palisading of basal cells

    LATERAL PERIODONTAL CYST
    Cyst with thin squamous lining

    Diagnostic Pearls

    * Thin squamous lining with focal thickening
    * Clear cells
    * Besides a tooth near the crest of alveolar ridge

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