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Gingival cyst of the adult, lateral periodontal cyst, and botryoid odontogenic cyst: An updated systematic review
Author(s) -
Chrcanovic BR,
Gomez RS
Publication year - 2019
Publication title -
oral diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.953
H-Index - 87
eISSN - 1601-0825
pISSN - 1354-523X
DOI - 10.1111/odi.12808
Subject(s) - medicine , enucleation , radiological weapon , cyst , lesion , surgery , radiology
The aim of the present review was to integrate the available data published on gingival cyst of the adult ( GCA ), lateral periodontal cyst ( LPC ), and botryoid odontogenic cyst ( BOC ) into a comprehensive analysis of their clinical/radiological features. An electronic search was undertaken in July/2017. Eligibility criteria included publications having enough clinical/radiological/histological information to confirm the diagnosis. A total of 146 publications (157 GCA s, 213 LPC s, 96 BOC s) were included. GCA and LPC presented highest prevalence in the sixth/fifth decades; BOC in the sixth/seventh decades. LPC s were larger lesions than GCA s and GCA s appeared at an older age than LPC . There was no statistically significant difference between them for other factors (location, symptoms, recurrence, follow‐up time). In comparison with LPC , BOC lesions were larger, appeared more often in mandible and in older subjects, had more often a multilocular appearance, and presented a higher recurrence rate. Recurrence rates: GCA (3.2%), LPC (2.4%), BOC (21.7%). No factor seems to influence the recurrence rate of GCA or LPC . Multilocular radiological appearance seems to affect the recurrence rate of BOC s. Conservative surgical approaches seem to be enough for GCA / LPC . BOC presents a more aggressive behavior than GCA / LPC . Therefore, treatment of this lesion might involve some kind of adjunctive therapy after enucleation.