GOOD EVENING

GHANTA.CHAITANYA III YEAR POST GRADUATE ST.JOSEPH DENTAL COLLEGE ELURU.ANDHRA PRADESH

CONTENTS
INTRODUCTION CLASSIFICATION CLINICAL PRESENTATION PATHOGENESIS

HISTOPATHOLOGY
TREATMENT CASE REPORT

INTRODUCTION
CYST - derived from Greek word kystissac,bladder,pouch or bag which in turn is derived from greek word kyso which means I hold A cyst is a pathological cavity having fluid, semi- fluid or gaseous contents and which is not created by the accumulation of pus. Most cysts, but not all ,are lined by epithelium. (Kramer , 1974)

CYST INTIATION

1.Proliferation of epithelial lining. 2.Fluid accumulation in the cystic cavity. 3.Bone resorption

CYST FORMATION 1.Increase in the volume and surface CYST ENLARGEMENT area 2.Involvement of surrounding soft and hard tissue

The cysts are classified under

three main headings:

I Cysts of the jaws II Cysts associated with the maxillary antrum III Cysts of the soft tissues of the mouth, face, neck and salivary glands BOTRYOID(GRAPE LIKE) ODONTOGENIC CYST IS A EPITHELIAL,DEVELOPMENTAL & ODONTOGENIC CYST- Weathers and Waldron-1973 IT IS A VARIANT OF LATERAL PERIODONTAL CYST

ETIOLOGY & CLINICAL FEATURES

Dental lamina rests that lie within the interradicular crestal or midroot-level bone. Occurs mostly in adults and has male predilection. Patients of BOCs frequently complain of swelling along with pain and paraesthesia. Measuring around 4mm to 45mm. Chief complaint of swelling and pain.

Mobility of teeth on the involved site.

HISTOPATHOLOGY
Intraosseous lesion characterised by a macroscopic and microscopic multilocular growth pattern. Multicystic cavities lined by non keratinized squamous epithelium Plaque like thickenings on the epithelium Epithelial mural and luminal bulges. TREATMENT & PROGNOSIS :-

Surgical Enucleation
Recurrence rate :- 32.4%(Mendez P etal.)

Case report

Pt complains of pain in the right lower posterior tooth region since 20 days History of present illness: Patient gives a history of swelling since20 days associated with pain. Pain was continuous & subsiding on medication Swelling was gradual in onset.

 No relevant medical and dental history. No deleterious habits No relevant family history

Physical examination:- well nourished and well oriented

No sign cyanosis , clubbing , jaundice & anemia All vitals were normal

Extra oral examination

Facial asymmetry On palpation :-swelling extending

Anteriorly parasymphysis(rt)
Posteriorly external oblique ridge of right mandible Superiorly corner of the lip on right side of lower jaw Inferiorly lower border of mandible Size 3x2 cm

Intra oral examination

Swelling i.r.t right mandibular region extending from 43 to 47 Swelling extending into the buccal vestibular region and lingual (rt) On palpation:Firm in consistency.

Expansion of buccal and lingual cortical plates

Lingual cortical plate i.r.t 46-perforation was felt.

Mobility of teeth on pathological site

Investigations
Complete blood picture Occlusal radiograph of mandible OPG 3D-CT of Mandible

FNAC Amber color fluid with blood and the cytological report Odontogenic cyst or tumor most probably ameloblastoma INCISIONAL BIPOSY :- Odontogenic cyst or tumor most probably ameloblastoma

OCCLUSAL RADIOGRAPH

OPG

CT & 3D CT
TRANSVERSE PLANE CORONAL PLANE SAGGITAL PLANE

HISTOLOGY

POST OP

CONCLUSION
BOC is a rare condition and its diagnosis is especially important. It needs a periodical follow-up as it has recurrence rate greater than Lateral Periodontal Cyst.

REFERENCES
Oral and maxillofacial pathology-stern and marx

Cysts of oral and maxillofacial region-mervyn shear & paul speight

Botryoid odontogenic cyst developing from lateral periodontal cyst: A rare case and review on pathogenesis Piyush Arora etal Year : 2012Vol:3 Issue:3 Page : 326-329

Uok O, Yaman Z, Gnhan O, Uok C, Dogan N, Baykul T. Botryoid odontogenic cyst: Report of a case with extensive epithelial proliferation. Int J Oral Maxillofac Surg 2005;34:693-5
Botryoid odontogenic cyst: A case report with immunohistochemical aspects Kazumasa Mori,Nozomi Tamura, Nobuaki Tamura, Jun Shimada Asian Journal of Oral and Maxillofacial Surgery 23 (2011) 3134