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Case Reports
. 2010 Jan;1(1):47-50.
doi: 10.4103/0976-237X.62526.

Diagnosis and osseous healing of a lateral periodontal cyst mimicking a deep unusual interdental pocket in a young patient

K N Dubey  1 , Shalini Garg, Rajeev Atri
Affiliations
Case Reports

Diagnosis and osseous healing of a lateral periodontal cyst mimicking a deep unusual interdental pocket in a young patient

K N Dubey et al. Contemp Clin Dent. 2010 Jan.

Abstract

A 17-year-old male patient presented for the evaluation of his nonhealing interdental deep pocket in relation to the mandibular second premolar and mandibular first molar. He denied any history of pain. Excessive food lodgment, salty taste, and smell related to the specific region were his chief complaints. The periapical radiograph exhibited well-defined interradicular unilocular radiolucency with sclerotic margins between the vital mandibular second premolar and mandibular first molar. The lesion was completely enucleated with deep curettage and root planning. Histopathologic reports showed a heavy inflammatory infiltrate. Successive radiographs showed excellent bone healing. Teeth were endodontically treated for severe sensitivity to cold. Step-by-step radiographic follow-up showed osseous repair with no evidence of disease till 25 months.

Keywords: Interdental pocket; gingival growth; lateral periodontal cyst granuloma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Preroperative X-ray showing well-defined unilocular tear-drop-shaped radiolucency with healthy teeth, hyperostotic borders, and specific location
Figure 2
Figure 2
Diagnostic X-ray with gutta-percha
Figure 3
Figure 3
First postoperative X-ray with a radiopaque substance in the cavity
Figure 4
Figure 4
Follow-up X-ray showing osseous healing at the base of the lesion
Figure 5
Figure 5
Healing of the lesion irrespective of the root canal treatment
Figure 6
Figure 6
Complete osseous healing after 8 months
Figure 7
Figure 7
X-ray after 25 months of follow-up
See this image and copyright information in PMC

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