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The inflammatory paradental cyst.

P Vedtofte1, F Praetorius

  • 1Department of Oral and Maxillofacial Surgery, Royal Dental College, Copenhagen, Denmark.

Oral Surgery, Oral Medicine, and Oral Pathology
|August 1, 1989
PubMed
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Inflammatory paradental cysts, often linked to tooth eruption, are typically found in the mandible. Histologic analysis reveals intense inflammation is crucial for their development.

Area of Science:

  • Oral pathology
  • Odontology
  • Inflammatory cyst research

Background:

  • Inflammatory paradental cysts present with varied nomenclature, including collateral inflammatory cyst and mandibular infected buccal cyst.
  • These cysts are inflammatory lesions associated with erupted teeth exhibiting vital pulps.

Purpose of the Study:

  • To investigate the clinical, radiographic, and histologic characteristics of inflammatory paradental cysts.
  • To explore the relationship between tooth eruption and the development of these cysts.

Main Methods:

  • A retrospective analysis of 29 inflammatory paradental cysts diagnosed over a 5-year period.
  • Evaluation of clinical presentation, radiographic imaging, and histological findings.

Main Results:

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  • The majority of cysts (27/29) were located in the mandible, predominantly associated with molars.
  • Cysts were diagnosed in young individuals, shortly after tooth eruption, with a statistically significant correlation (p = 0.001).
  • Histological examination consistently showed hyperplastic, nonkeratinized stratified squamous epithelium and significant connective tissue inflammation.

Conclusions:

  • Tooth eruption appears to be a significant factor in the development of inflammatory paradental cysts.
  • Intense inflammation within the connective tissue supports its role in the pathogenesis of these cysts.