Cysts of the oral region occur commonly owing to the mouth's complex embryonic origins and frequency of inflammation.
The classification of cysts has been amended several times and some of the terminology can appear confusing.
Presents simple strategies to optimise the management of oral cysts.
A cyst may be defined as a pathological (or abnormal) body cavity, usually lined by epithelium, which contains fluid (gas or liquid) or semi-solid substances other than (primarily) pus. Even this definition is contentious, as some pathologists prefer the term pseudocyst or cavity1 when there is no epithelial lining. However, the above definition, based on that of Kramer,2 is as inclusive as possible. Cysts of the mouth and jaws are fairly common and their management is an essential component of oral surgery. This third article in the series deals with the classification, diagnosis and management of the common cysts of the head and neck.
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Reichart P A, Philipsen H P . Aneurysmal bone cavity (cyst). In: Odontogenic tumours and allied lesions. London: Quintessence, 2004.
Kramer I R . Changing views on oral disease. Proc R Soc Med 1974; 67: 271–276.
Barnes L, Eveson J W, Reichart P, Sidransky D . World Health Organization classification of tumors. Pathology and genetics of head and neck tumours. Lyon: IARC Press, 2005.
Pindborg J J, Kramer I R H, Torloni H . Histological typing of odontogenic tumours, jaw cysts, and allied lesions. Geneva: World Health Organization, 1971.
Soames J V, Southam J C . Oral pathology. Oxford University Press, 2005, p. 6f.
Hjørting-Hansen E, Andreasen J O, Robinson L H . A study of odontogenic cysts, with special reference to location of keratocysts. Br J Oral Surg 1969; 7: 15–23.
Meningaud J P, Oprean N, Pitak-Arnnop P, Bertrand J C . Odontogenic cysts: a clinical study of 695 cases. J Oral Sci 2006; 48: 59–62.
Lin L M, Ricucci D, Lin J, Rosenberg P A . Nonsurgical root canal therapy of large cyst-like inflammatory periapical lesions and inflammatory apical cysts. J Endod 2009; 35: 607–615.
Browne R M, Smith A J . Pathogenesis of odontogenic cysts. In: Browne R M (ed), Investigative pathology of odontogenic cysts. Boca Raton, FL: CRC Press, 1991.
Avelar R L, Antunes A A, Carvalho R W, Bezerra P G, Oliveira Neto P J, Andrade E S . Odontogenic cysts: a clinicopathological study of 507 cases. J Oral Sci 2009; 51: 581–586.
Mosqueda Taylor A, Irigoyen Camacho M E, Diaz Franco M A, Torres Tejero M A . Odontogenic cysts. Analysis of 856 cases. Med Oral 2002; 7: 89–96.
Shear M . Developmental odontogenic keratocysts. An update. J Oral Pathol Med 1994; 23: 1–11.
Stoelinga P J W, Peters J H . A note on the origin of keratocysts of the jaws. Int J Oral Surg 1973; 2: 37–44.
Pitak-Arnnop P, Chaine A, Oprean N, Dhanuthai K, Bertrand J C, Bertolus C . Management of odontogenic keratocysts of the jaws: a ten-year experience with 120 consecutive lesions. J Craniomaxillofac Surg 2010; 38: 358–364.
Shear M, Pindborg J J . Microscopic features of the lateral periodontal cyst. Scand J Dent Res 1975; 83: 103–110.
Main D M . Epithelial jaw cysts: a clinicopathological reappraisal. Br J Oral Surg 1970; 8: 114–125.
Craig G T . The paradental cyst. A specific inflammatory odontogenic cyst. Br Dent J 1976; 141: 9–14.
Main D M G . Epithelial jaw cysts: 10 years of the WHO Classification. J Oral Pathol 1985; 41: 1–7.
Shear M, Speight P M . Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Munksgaard, 2007.
Daley T D, Wysocki G P, Pringle G A . Relative incidence of odontogenic tumours and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 1994; 77: 276–280.
Kramer I R H, Pindborg J J, Shear M . Histological typing of odontogenic tumours. Berlin: Springer, 1992.
Horner K, Forman G H, Smith N J . Atypical simple bone cysts of the jaws. I: Recurrent lesions. Clin Radiol 1985; 39: 53–57.
Brandsetter B F, Weissman J L, Kaplan S B . Imaging of a Stafne bone cavity: what MR adds and why a new name is needed. Am J Neuroradiol 1999; 20: 587–589.
Evans G E, Bishop K, Renton T . Guidelines for surgical endodontics. London: Royal College of Surgeons of England, 2012. http://www.rcseng.ac.uk/fds/publications-clinicalguidelines/clinical_guidelines/documents/surgical_endodontics_2012.pdf
Stoelinga P J W . Long-term follow-up on keratocysts treated according to a defined protocol. Int J Oral Maxillofac Surg 2001; 30: 14–21.
Bhaskar S N, Bolden T E, Weinmann J P . Pathogenesis of mucoceles. J Dent Res 1956; 35: 863–874.
King R C, Smith B R, Burk J L . Dermoid cyst in the floor of the mouth. Review of the literature and case reports. Oral Surg Oral Med Oral Pathol 1994; 78: 567–576.
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Hill, C., Renton, T. Oral surgery II: Part 3. Cysts of the mouth and jaws and their management. Br Dent J 223, 573–584 (2017). https://doi.org/10.1038/sj.bdj.2017.916
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