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Case Report
Key words
Bilateral cyst, mandibular disease, oral surgery, paradental cyst
Introduction
The first clinical and histological description of a
paradental cyst was reported by Main[1] in 1970. The
condition was initially described as an inflammatory
collateral cyst, but the diagnosis has caused many
controversies in the literature. The current nomenclature
was suggested by Craig[2] in 1976.
Website:
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DOI:
10.4103/0970-4388.108940
PMID:
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Case Report
An 8yearold boy was referred to Oral Surgery
Department, Dental Clinic, IRCCS Fondazione
Ospedale Maggiore Policlinico, University of Milan,
Italy, with the complaint of swelling over the buccal
gingiva of his unerupted lower left first molar. Clinically,
there was mild edema in the overlaying mucosa distal
to the second deciduous molar, showing a bluish
color [Figure1]. The evaluation of the panoramic
radiography[Figure2] disclosed a welldefined
semilunarshaped radiolucency, demarcated by a fine
radiopaque line, on the buccal aspect of the unerupted
lower left first molar[Figure3]. Observing closely the
radiograph, a second lesion was evident on the buccal
aspect of the partially erupted right lower first molar,
but less defined than the previous.
Computed tomography showed and confirmed
the presence of bilateral lesions to the lower first
molars[Figures4]; in both cases, the margins of
radiolucent lesions were delimited by a thin layer of
denser bone on the buccal aspects, revealing the presence
of the cysts and their relations to both first and right
lower first molars; the cysts were extended from the
cementenamel junction to the lower root margins,
measuring about 10mm in the largest extension.
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Discussion
An inflammatory etiopathogenic nature of paradental
cysts has been widely discussed in the literature. Initially,
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