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Inflammatory Paradental Cyst: A Case Report.

N Fazulunnisa Begum1, Karthikeyan Ramalingam1, Pratibha Ramani1

  • 1Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Cureus
|November 14, 2024
PubMed
Summary

Inflammatory paradental cysts (IPC) are often under-diagnosed. This case highlights the importance of correlating clinical and radiographic findings for accurate IPC diagnosis.

Keywords:
cystinflammationinflammatory odontogenic cystlateralmandiblemolarsodontogenic cystparadentalperiodontalvital tooth

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Area of Science:

  • Oral pathology
  • Odontogenic cysts
  • Dental diagnostics

Background:

  • Inflammatory paradental cysts (IPC) are uncommon jaw cysts.
  • Under-reporting is linked to insufficient clinical documentation.
  • Accurate diagnosis requires integrating clinical, radiographic, and histopathological data.

Observation:

  • A 45-year-old male presented with discomfort in the right lower posterior jaw.
  • Clinical examination revealed a partially erupted, impacted mandibular third molar (tooth 48).
  • Radiography showed a well-defined radiolucency adjacent to the distal root of the impacted molar.

Findings:

  • Histopathological examination confirmed odontogenic epithelium and inflamed connective tissue.
  • The lesion was diagnosed as an inflammatory paradental cyst.
  • Diagnosis was established by correlating clinical presentation, radiographic features, and histopathology.

Implications:

  • This case underscores the necessity of thorough clinical evaluation for diagnosing IPC.
  • Emphasizes the role of radiographic interpretation in identifying periapical and pericoronal lesions.
  • Highlights the diagnostic value of histopathology in confirming odontogenic cyst diagnoses.