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Self-healing traumatic bone cysts.

J P Sapp¹, M L Stark

¹Section of Oral Diagnosis, School of Dentistry, University of California, Los Angeles.

Oral Surgery, Oral Medicine, and Oral Pathology

|May 1, 1990

Summary

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Traumatic bone cysts in the mandible may self-heal without surgery, especially in younger patients. This study observed two cases of mandibular traumatic bone cysts resolving naturally over time.

Area of Science:

Oral and Maxillofacial Surgery
Pathology
Radiology

Background:

The etiology and pathogenesis of traumatic bone cysts remain incompletely understood, with varied proposed theories and management strategies.
Traumatic bone cysts are infrequently diagnosed in older individuals, hinting at a potential for spontaneous resolution.

Observation:

This article details two cases clinically and radiographically diagnosed as traumatic bone cysts of the mandible.
Neither case involved surgical intervention, such as intraosseous biopsy; instead, they were managed through observation.

Findings:

Case 1: A 14-year-old male with a mandibular lesion monitored for over 7 years showed complete radiographic resolution by age 22.
Case 2: A 19-year-old female with a mandibular lesion monitored for nearly 3 years also exhibited spontaneous healing and normalization of bone pattern by age 22.

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Implications:

These findings suggest that traumatic bone cysts possess a self-limiting biologic nature, potentially healing without surgical intervention.
The study contributes valuable data to understanding the natural history and biologic behavior of mandibular traumatic bone cysts, supporting conservative management approaches.