Young pt. came without complaining during routine x-ray appear between the two lower molar lesion diameter about 2mm and extend with irregular shape m what’s the type of cyst?
A- Dentigerous cyst
B- Apical cyst
C- Radiculer cyst (lateral Radiculer cyst)***
the cyst is a pathological cavity that contains a liquid, semi-liquid or even air content. It should be noted that it is never created by the accumulation of pus as one can sometimes hear it.
What is a dental cyst?
The cyst is a tumor since it corresponds to an increase in the volume of a clearly defined tissue without precise cause. This tissue formation occurs as a result of a disruption of benign cell growth. The cyst is a benign tumor to the extent that it is without gravity, and can not give rise to metastases. This does not mean that he is not pathological.
Dental cysts are very common and extremely diverse. They grow on the spot, where they originated.
Possible causes of a dental cyst:
Cysts may arise from debris of osteogenesis, the process by which bone tissue develops. These remains, isolated for a considerable time, would result, under the effect of an initial stimulation still poorly known, the formation of a cyst.
According to some authors, the sudden proliferation of these debris would be secondary to inflammation of dental or periodontal origin, and would give rise to inflammatory cysts.
It is also known that the formation and development of a cyst is dependent on both cell proliferation, fluid accumulation in its lumen, and bone resorption. These 3 parameters are then variable according to the type of cyst we are dealing with.
Symptoms of the dental cyst:
The orofacial sphere is particularly complex from a histological point of view. This peculiarity makes possible the wide variety of cysts. Some will have a relationship with the dental organ, these are the odontogenic cysts, others not, non-odontogenic cysts.
Nevertheless, their diversity does not result in a multitude of different symptoms. In the vast majority of cases, bone swelling is the first warning sign2. The inspection makes it possible to notice the consistency of the swelling, while other factors, such as age, frequency, tumor site and certain radiological signs can guide the diagnosis.
Dental signs, on the other hand, are long absent. When these warning signs appear, it means that the lesion has already reached a significant volume:
- Even short dental pain.
- Dental mobility.
- A fistula.
- A feeling of pressure.
- Gingival bleeding.
- spontaneous fractures.
- Occlusion disorders.
- Dental displacements.
Radiography is the basic test for screening, although there is a risk of error because of the possible variety of lesions. The orthopantomogram can appreciate its extension.
Treatment of dental cysts:
Despite their diversity, dental cysts have one thing in common: their treatment. When the cyst causes superinfection or causes functional or unsightly repercussions, surgical enucleation is performed. Surgical treatment under general anesthesia may also be possible depending on the condition of the lesion. In most cases, and contrary to the dental fistula, the lesion does not disappear by itself when the infectious center supposedly at the origin of its appearance is treated.
A- Dentigerous cyst
B- Apical cyst
C- Radiculer cyst (lateral Radiculer cyst)***
the cyst is a pathological cavity that contains a liquid, semi-liquid or even air content. It should be noted that it is never created by the accumulation of pus as one can sometimes hear it.
What is a dental cyst?
The cyst is a tumor since it corresponds to an increase in the volume of a clearly defined tissue without precise cause. This tissue formation occurs as a result of a disruption of benign cell growth. The cyst is a benign tumor to the extent that it is without gravity, and can not give rise to metastases. This does not mean that he is not pathological.
Dental cysts are very common and extremely diverse. They grow on the spot, where they originated.
Possible causes of a dental cyst:
Cysts may arise from debris of osteogenesis, the process by which bone tissue develops. These remains, isolated for a considerable time, would result, under the effect of an initial stimulation still poorly known, the formation of a cyst.
According to some authors, the sudden proliferation of these debris would be secondary to inflammation of dental or periodontal origin, and would give rise to inflammatory cysts.
It is also known that the formation and development of a cyst is dependent on both cell proliferation, fluid accumulation in its lumen, and bone resorption. These 3 parameters are then variable according to the type of cyst we are dealing with.
Symptoms of the dental cyst:
The orofacial sphere is particularly complex from a histological point of view. This peculiarity makes possible the wide variety of cysts. Some will have a relationship with the dental organ, these are the odontogenic cysts, others not, non-odontogenic cysts.
Nevertheless, their diversity does not result in a multitude of different symptoms. In the vast majority of cases, bone swelling is the first warning sign2. The inspection makes it possible to notice the consistency of the swelling, while other factors, such as age, frequency, tumor site and certain radiological signs can guide the diagnosis.
Dental signs, on the other hand, are long absent. When these warning signs appear, it means that the lesion has already reached a significant volume:
- Even short dental pain.
- Dental mobility.
- A fistula.
- A feeling of pressure.
- Gingival bleeding.
- spontaneous fractures.
- Occlusion disorders.
- Dental displacements.
Radiography is the basic test for screening, although there is a risk of error because of the possible variety of lesions. The orthopantomogram can appreciate its extension.
Treatment of dental cysts:
Despite their diversity, dental cysts have one thing in common: their treatment. When the cyst causes superinfection or causes functional or unsightly repercussions, surgical enucleation is performed. Surgical treatment under general anesthesia may also be possible depending on the condition of the lesion. In most cases, and contrary to the dental fistula, the lesion does not disappear by itself when the infectious center supposedly at the origin of its appearance is treated.
