A botryoid odontogenic cyst boc which recurred 4 times over a period of 9 years is presented. Kcot can be associated with the naevoid basal cell carcinoma syndrome nbccs. Glandular odontogenic cyst 0 0 0 3 0 0 2 5 residual cyst 0 1 7 6 6 6 2 28 orthokeratinized cyst 0 0 2 1 1 1 2 7 gingival cyst 0 0 1 0 0 0 0 1 eruption cyst 0 1 0 0 0 0 0 1 paradental cyst 0 0 5 0 0 0 0 5 total 29 89 6 85 49 30 16 434. May 10, 2020 an odontogenic cyst is a membranebound sac that can be empty or filled with a viscous substance or fluid. Odontogenic and non odontogenic cysts 2 of 3 youtube. 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 are a group of jaw cysts that are formed from tissues involved in odontogenesis tooth development. Aug 10, 2010 a botryoid odontogenic cyst is considered to be a rare multilocular variant of a lateral periodontal cyst. Arise from the epithelial rests in the periodontium lateral to the root. Some cells with clear cytoplasm glycogenrich cells especially in the plaques connective tissue. Cysts and odontogenic neoplasms 160 jaw cysts general features of jaw cysts to physicians, the term cyst means, simply, a space. 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.
Learn vocabulary, terms, and more with flashcards, games, and other study tools. Odontogenic cysts periapical cyst radicular cyst, apical periodontal cyst periapical cysts are the most common odontogenic cyst, accounting for more than half of all cysts of the jaws. Boc is considered to be a variant of a lateral periodontal cyst. The microcysts subsequently collapse, merge and form. Sep 30, 2012 lateral periodontal cyst glandular odontogenic cyst unclassified paradental cyst calcifying odontogenic cyst 9. Calcifying odontogenic keratocyst annals of clinical case reports. Primary intraosseous carcinoma of the jaws pioscc might arise from odontogenic epithelium, more commonly from a previous odontogenic cyst. A dentigerous cyst results because of the enlargement of the follicular space of the whole or part of the crown of an impacted or. The term boc was coined by weathers and waldron in 1973.
Pdf botryoid odontogenic cyst boc originally described by weathers. The cyst epithelium expressed keratins typical of both simple and nonkeratinizing squamous epithelia. Botryoid odontogenic cyst boc is considered as an unusual multilocular variant of lateral periodontal cyst. Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid. Botryoid odontogenic cyst developing from lateral periodontal. Aug 10, 2010 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. Botryoid odontogenic cyst boc originally described by weathers and waldron. Because cystic sp aces within the jaws have special characteristics, they require a more precise definition. Odontogenic cysts, tumors, and related jaw lesions preceptor. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. The lesions blend into the surrounding normal bone with an imperceptible border, an important distinction from cementoossifying fibroma. Superoinferiorly extending about 2 cm below the line joining corner. By definition, most kcots develop instead of a tooth, arising from the dental lamina.
Often patients with this condition are symptomatic. Botryoid odontogenic cyst is a variant of the lateral periodontal cyst. Exploration of proliferative activity, apoptosis and expression of tp53 and bcl2 compared to the histologically identical lateral periodontal and gingival cysts. Cystic lining is derived from the reduced enamel epithelium. Botryoid odontogenic cyst boc is a rare developmental odontogenic cyst. More difficult to resect, but few recurrences if removed. Odontogenic cysts are subclassified as inflammatory or.
Case presentation 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. Primordial cyst the kcot is the least common, but most dangerous odontogenic cyst. Odontogenic cysts of jaws definition a cyst is a pathological cavity containing fluid, semifluid or gaseous contents which may or may not be lined by epithelium and is not created by the accumulation of pus. Ameloblastoma, botryoid odontogenic cyst boc, cd56. It is a noninflammatory odontogenic cyst which has striking predilection for mandibular caninepremolar region. Surgery is the usual treatment, and recurrence or association with gorlingoltz syndrome has rarely been described. Coronal dentin formation merges seamlessly into root dentin formation. Santos pp, freitas vs, freitas rde a, pinto lp, souza lb 2011 botryoid odontogenic cyst. Clinical and histologic features of botryoid odontogenic. Odontogenic cysts a clinicopathological study manal a. 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 cysts ioannis chatzistefanou, vassilios kogias and. A multilocular variant of the lateral periodontal cyst lpc known as the botryoid odontogenic cyst boc has been identified in 1973 by weathers and waldron. It is more often found in middleaged and older adults, and the teeth more likely affected are mandibular lower canines and premolars.
The botryoid odontogenic cyst boc is a developmental cyst of odontogenic epithelial origin considered as a rare multilocular variety of lateral. Since odontogenic cysts incorporate an important part of the oral and maxillofacial. Three angels broadcasting network 3abn recommended for you new. When a tooth is affected by dental caries or physical trauma, the central pulp can become inflamed and. The membrane of this type of cyst comes from the epithelial cells that produce the teeth.
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. Clinical and histologic features of botryoid odontogenic cyst. Glandular odontogenic cysts gocs are rare intrabony solitary or multiloculated cysts of odontogenic origin. Botryoid odontogenic cyst with extensive clear cells. Botryoid odontogenic cyst polycystic variant of lpc appears as grapelike clusters of small individual. Multicystic lateral periodontal cyst and botryoid odontogenic cyst.
Botryoid odontogenic cyst boc was originally described in 1973 by weathers and waldron as an intraosseous lesion characterized by a macroscopic and microscopic multilocular growth pattern, resembling a bunch of grapes from the greek word botrios. Lateral periodontal cyst glandular odontogenic cyst unclassified paradental cyst calcifying odontogenic cyst 9. Here we add an unusual case of calcifying odontogenic cyst coc in. 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.
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. Botryoid odontogenic cyst boc is considered a rare multilocular variant of the lateral periodontal cyst, usually involves the mandibular premolarcanine area, followed by the anterior region of the maxilla. The cyst is attached to the apex and is composed of an in. Calcifying odontogenic cyst lateral periodontal cyst. Same features as lateral periodontal cyst above except. Botryoid odontogenic cyst with extensive clear cells bjstr. Left maxillary cystic lesion associated with the crown of the unerupted molar tooth 28 in keeping with an odontogenic keratocyst given the bony expansion. The orthokeratinized odontogenic cyst ooc is a rare developmental odontogenic cyst that has been considered as a variant of the keratocystic odontogenic tumour kcot until wright 1981 defined it as a different entity. To the best of our knowledge only 73 cases of boc have been reported till now. The present study describes the clinical, radiographic and histological features of an extremely rare case of lateral periodontal cyst as well as the treatment and postoperative followup. Usually unicystic, it may also appear as a cluster of small cysts botryoid odontogenic cysts. Malignant transformation of an odontogenic cyst in a. Hyperchromatic, cuboidal or columnar basal cell layer 3. Calcifying odontogenic cyst showing a varied epithelial lining.
This study aimed at evaluating histological features of 52 cases of calcifying odontogenic cyst coc, which is an uncommon benign. Botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts. Radiographic examination revealed a multi locular radiolucency from the mandibular right premolar area, involving almost the whole height of the mandible. It also highlights the reclassification of odontogenic keratocysts to keratocystic odontogenic tumours. 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 sialoodontogenic cyst be adopted for such. We report the clinical and histopathologic features of a rare case of botryoid odontogenic cyst. Non odontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Teeth develop from budlike invagination of ectodermal lining of primitive oral cavity epithelium. 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.
Classification by etiology developmental i gingival cyst of infants ii odontogenic keratocyst iii dentigerous cyst iv eruption cyst v gingival cyst of adults vi developmental lateral periodontal cyst vii botryoid odontogenic cyst viii glandular odontogenic cyst ix calcifying odontogenic cyst inflammatory i. Odontogenesis, odontogenic cysts, and odontogenic tumors. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial. Most common developmental odontogenic cyst, associated with the crown of an unerupted tooth. A total of 67 cases of boc were identified since 1973 first case 5 up to the last case in 2005 7. Developmental odontogenic cysts flashcards quizlet. The botryoid odontogenic cyst is a rare asymptomatic lesion characterized by its typical multilocular aspect similar to a bunch of grapes commonly affecting the. The following classification system is a modification of the world health organization. Odontogenic cyst free download as powerpoint presentation. Also called as odontogenic ghost cell cyst or gorlin cyst. Botryoid odontogenic cyst developing from lateral periodontal cyst. Botryoid odontogenic cyst is an unusual and rare type of odontogenic cyst. Three angels broadcasting network 3abn recommended for.
Odontogenic cysts are classified according to the stages of odontogenesis at which they occur. Nonodontogenic jaw cysts are cysts arising from epithelial remnants of embryonic ducts left behind after embryonal facial and jaw development. Pdf histologic variants of calcifying odontogenic cyst. This article aims to discuss the clinical features, radiological assessment, histopathology and management of a variety of odontogenic cysts.
The reading of the word 3abn sabbath school panel q4 2019 duration. A botryoid odontogenic cyst with multiple recurrences. This cyst is seen in the interproximal area between tooth roots and is usually an incidental radiographic finding. We report a case of boc in a 29yearold male patient. Immunocytochemical comparison of cytokeratin composition of the cyst epithelium with that of tle orlying oral epithelium showed distinct differences. Botryoid odontogenic cysts boc is an unusual multi cystic variant of the lateral periodontal cyst. The cyst enlarges as fluid accumulates between the follicle and the crown of an unerupted tooth. A dentigerous cyst results because of the enlargement of the follicular space of the whole or part of the crown of an impacted or unerupted tooth and is attached to the neck of the tooth. Lateral periodontal cyst with extremely rare clinical. A botryoid odontogenic cyst is considered to be a rare multilocular variant of a lateral periodontal cyst.
Microscopically, the lesion is similar to the lateral periodontal cyst but exhibits some differences. Some authors consider it to be a variant of lateral periodontal cyst lpc with higher risk of recurrence. Botryoid odontogenic cyst boc originally described by weathers and. To this effect, searches were made in pubmed database, crossing the following key words. Botryoid odontogenic cyst boc, as reported by weathers and waldron, is a polycystic variant of the lateral periodontal cyst because the specimen resembled a cluster of grapes. Analysis of 88 boc cases showed that patient age ranged from 20 to 80, mean age 50. An odontogenic cyst is a membranebound sac that can be empty or filled with a viscous substance or fluid. Comparison of components of odontogenic cyst fluids. There are approximately six different types of these cysts. Oralsurgery 548 dentalupdate julyaugust 2015 odontogenic cysts an overview abstract. Diagnosing the most common odontogenic cystic and osseous. 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. Glandular odontogenic cyst goc is an uncommon jaw bone cyst of odontogenic origin described in 1987 by gardner et al. 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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