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Case Reports
. 2018 Nov-Dec;22(6):546-550.
doi: 10.4103/jisp.jisp_382_18.

Recurrent Gingival Cyst of Adult: A Rare Case Report with Review of Literature

Sayantan Karmakar  1 , Sangeeta Umesh Nayak  1 , Deepa Giridhar Kamath  1
Affiliations
Case Reports

Recurrent Gingival Cyst of Adult: A Rare Case Report with Review of Literature

Sayantan Karmakar et al. J Indian Soc Periodontol. 2018 Nov-Dec.

Abstract

The gingival cyst of adult (GCA) is a rare developmental anomaly of odontogenic origin. It is asymptomatic, slow growing, and commonly seen near the canine and premolar region of mandible. The GCA is usually treated by excisional biopsy. Usually, occurrence is more common in 5th to 6th decade of life. The present case report describes a solitary GCA treated by excisional biopsy in a 76-year-old male patient which had recurred for the fourth time. This article also highlights on diagnostic process and a review of literature describing its histiogenesis, clinical, and histopathologic features of this condition.

Keywords: Excisional biopsy; gingival cyst of adult; odontogenic cyst.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preoperative presentation of the lesion. (a) Labial view; (b) Mesial view; (c) Intraoral periapical with respect to 31, 32, and 33 showing no radiographic involvement
Figure 2
Figure 2
Dimensions of the cyst. (a) 5 mm mesiodistally; (b) 5 mm apicocoronally and (c) 5 mm in height
Figure 3
Figure 3
Clinical view of surgical treatment. (a) Local anesthesia administered; (b) Incision made by #11 blade; (c) Postoperative view; (d) Periodontal pack placed
Figure 4
Figure 4
Histopathology. (a) Low-power view. Mucosal surface (black arrows) lined by stratified squamous epithelium supported by a fibrous connective tissue containing a cystic space; (b) High-power view. The cystic lumen is lined by 2–3 cell thick flat to cuboidal cells (black arrows) supported by a fibrous connective tissue capsule exhibiting mild chronic inflammatory cell infiltrate chiefly lymphocytes and engorged blood vessels
Figure 5
Figure 5
Postoperative view. (a) Clinical view after 1 week; (b) Clinical view after 6 month (facial view); (c) Clinical view after 6 month (mesial view)
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References

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