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Minerva Stomatologica 2012 May;61(5):239-45

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English, Italian

Minimally invasive surgical approach in a large mandibular solitary cyst: case report and review of the literature

Borgonovo A. E. 1, Tafuro C. M. 2, Censi R. 2, Poli P. 2, Maiorana C. 3, 4

1 School of Oral Surgery, University of Milan, Milan, Italy; 2 Department of Oral Surgery Dental Clinic, Fondazione Ospedale Maggiore, Policlinico Ca’ Granda, Milan, Italy; 3 Department of Implantology Dental Clinic Fondazione Ospedale Maggiore, Policlinico Ca’ Granda, Milan, Italy; 4 School of Oral Surgery, University of Milan, Milan, Italy


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Solitary bone cyst (SBC) is an intraosseus radiolucent lesions that defers from real cysts for the fact that peripheral epithelial lining is totally absent. It could be classified as a psudocyst and occurs most frequently in young patients. In most cases SBC doesn’t cause symptoms and it is often diagnosed accidentally during routine radiographic examination. A right diagnosis of this disease is also complicated because there are no pathognomonic radiographic signs and symptoms: so this form of pseudocyst is often misdiagnosed as a common odontogenic cyst. Despite numerous studies, the pathogenesis of the SBC is not yet established: the most widely accepted theory is that it could be the result of an intramedullary necrosis determined by a trauma. In this article we report a case of SBC in child treated with a minimal surgical approach. This new kind of treatment is much more conservative than the traditional one, it can be performed as outpatients, under local anesthesia and with few postoperative discomfort: For these reasons this minimal invasive technique appears to be particulary suitable for pediatric patients.

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