Evidence map›Paper›PMID 40336026›Full record

ArticleBMC oral health2025

Lateral periodontal cyst of the anterior maxilla: a rare case report.

Manoj Adhikari, Kanistika Jha, Aashish Shah, Shova Kunwar, Bishwo Ram Amatya, Junu Bhattarai

Abstract readCase Reports
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Manoj AdhikariNepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal. adhikarimanoj2007@gmail.com.ORCID http://orcid.org/0000-0001-6015-4165
Kanistika JhaCollege of Medical Sciences, Bharatpur, Chitwan, Nepal.ORCID http://orcid.org/0000-0003-3048-4109
Aashish ShahNepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Shova KunwarNepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.
Bishwo Ram AmatyaNepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.ORCID http://orcid.org/0000-0002-8527-8858
Junu BhattaraiNepalese Army Institute of Health Sciences, College of Medicine, Kathmandu, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lateral periodontal cyst (LPC) is a rare developmental odontogenic cyst, constituting approximately 0.4% of all odontogenic cysts and 0.7% of all jawbone cysts. It is an intraosseous, non-keratinized, non-inflammatory, developmental odontogenic cyst of epithelial origin, typically occurring adjacent to the root of a vital tooth. The lesion usually measures less than one centimeter in diameter. However, in the present case, the lesion was larger, measuring 3.5 × 2.4 × 2.4 cm. Radiographically, LPCs present as unilocular, round, oval or teardrop-shaped radiolucent lesions with a sclerotic border, located laterally to the tooth roots. CASE PRESENTATION: A 42-year-old female presented to the Oral and Maxillofacial Surgery outpatient department with a chief complaint of swelling on the anterior maxilla for one year. The swelling was asymptomatic, with no associated pain or discomfort. Clinical examination revealed a non-tender, fluctuant swelling on the left side of the anterior maxilla, located between the lateral incisor and canine teeth. A computed tomographic scan confirmed the presence of a lytic lesion on the left side of the anterior maxilla. Surgical enucleation of the cyst was performed through an intraoral crevicular approach under general anesthesia. The excised specimen was sent for histopathological examination. Histopathological examination of the cyst wall revealed a non-keratinized, non-ciliated stratified squamous epithelial lining, ranging from 1 to 5 cell layers in thickness. Interspersed among the epithelial cells were foci of Periodic Acid-Schiff (PAS) positive, glycogen-rich clear cells. Additionally, focal nodular areas of epithelial thickening with a whorled, swirling architecture were observed in continuity with the epithelial lining. The underlying subepithelial connective tissue was fibrous and exhibited a zone of hyalinization. These features were consistent with a diagnosis of lateral periodontal cyst. The healing process was uneventful, and no complications were observed during the one-year follow-up.

conclusionAlthough the lateral periodontal cyst is a rare developmental odontogenic cyst, it should be considered in the differential diagnosis of cystic lesions adjacent to the root of a vital tooth. Surgical enucleation remains the treatment of choice, with histopathological examination confirming the diagnosis. Recurrence of lateral periodontal cysts is infrequent.

Indexed as

Maxillary DiseasesPeriodontal CystAdultFemaleHumansMaxillaTomography, X-Ray ComputedAlveolar processCase reportMaxillaOdontogenic cystPeriodontal cystTooth root

Identifiers

PMID40336026
PMCPMC12060379

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