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Rivista di Odontostomatologia e Chirurgia Maxillo-Facciale
Minerva Stomatologica 2014 Jan 14
Lateral periodontal cyst (LPC) mimicking periodontal socket in a young patient: report of a case and review of the literature
Gelpi F. 1, Romoli L. 2, D’Arienzo D. 2, Mazzoleni S. 2, Santini S. 2, Rossetto A. 3, Pardo A. 3, Rigoni G. 3, Stellini E. 4, 5 ✉
1 Centro Odontostomatologico, Ospedale Sacro Cuore, Don Calabria, Verona, Italy;
2 Department of Dentistry, S. Giacomo Apostolo Hospital Castelfranco Veneto, Treviso, Italy;
3 Section of Dentistry and Maxillofacial Surgery, Department of Surgery, University of Verona, Verona, Italy;
4 Department of Surgical, Medical, Molecular Pathology and of Critical Area, University of Pisa, Pisa, Italy;
5 Istituto Stomatologico Toscano, Versilia General Hospital, Lido di Camaiore, Italy
Background: Lateral Periodontal cyst (LPC) is an uncommon development odontogenic cyst. Most papers are single case reports or series.
Methods: We present a case of LPC occurred in a patient which symptoms and signs could mislead the diagnosis. A review of the literature is reported, emphasizing the clinical, radiographic and histopathological features of LPC.
Results: A 28-years old female patient presented reporting pain and swelling at the lingual site of the #31.Spot lingual probing depth was 9 mm; sulcus bleeding and suppuration were found at probing. Radiographically well-defined radiolucency appeared in periodontal foramen area. The patient was treated with non-surgical and surgical therapy.
Conclusions: LPC is an infrequent cystic lesion that occurs on lateral root vital tooth. In this case, the cyst mimicked a periodontal lesion. The surgical LPC excision solved the symptoms reported by the patient and improved periodontal parameters of the dental element. After 18 months since surgical treatment there aren’t signs or symptoms of recurrence.