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Buccal Bifurcation Cyst in a 7‐Year‐Old: Surgical Management and 14‐Month Follow‐Up
Author(s) -
Thikkurissy S.,
Glazer Kate M.,
McNamara Kristin K.,
Tatakis Dimitris N.
Publication year - 2010
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.2009.090511
Subject(s) - buccal administration , medicine , cyst , dentistry , orthodontics , surgery
Background: The buccal bifurcation cyst (BBC) is a paradental cyst that typically presents on the buccal aspect of mandibular permanent first molars in children 6 to 11 years of age. Histopathologic features are non‐specific and closely resemble other inflammatory odontogenic cysts. The aim of this article is to report a case of a BBC and to review the management of such lesions. Methods: A 7‐year‐old white male, complaining of lower right tooth pain and swelling, presented to the Nationwide Children's Hospital Dental Clinic. A clinical examination revealed no caries and swelling localized to the area approximating tooth #30 with a 15‐mm probing depth on the buccal aspect. Radiographs revealed a radiolucency involving the bifurcation and root area of tooth #30, accompanied by the distal displacement of unerupted tooth #31. Therapy consisted of a simple surgical enucleation of the cyst. Results: A microscopic evaluation revealed a chronically inflamed cyst lined by a non‐keratinized stratified squamous epithelium. The immediate postoperative course was uneventful. At 14 months postoperatively, the development of teeth #30 and #31 was noted as normal. Probing depths around tooth #30 were ≤4 mm, tooth #31 was no longer displaced, and no recurrence was detected. Conclusion: The simple surgical enucleation of the BBC provided good short‐ and long‐term outcomes without compromising the development of associated molars.