Spontaneous involution of a unilateral mandibular buccal bifurcation cyst

Authors

Keywords:

odontogenic cyst, mandible, pediatrics, therapeutics.

Abstract

Introduction: The mandibular buccal bifurcation cyst is a rare inflammatory odontogenic cyst that typically develops at the buccal region of the first or second permanent mandibular molars of children aged 6 to 15 years. The tooth involved is vital and shows an increased probing depth on the buccal surface. Radiographically, it is characterized by a unilocular radiolucent area, well circumscribed on the buccal osseous cortical, that it is difficult to visualize on periapical radiography. The diagnosis is primarily clinical and radiographic, and the treatment is usually the cystic enucleation without extraction of the tooth.

Objective: To report a case of spontaneous involution of a unilateral mandibular buccal bifurcation cyst.

Case presentation: This report describes the clinical and radiographic characteristics of an unusual case of unilateral buccal bifurcation cyst in a 6-year-old patient, presenting as a slight expansion in the buccal region of the first permanent mandibular molar. The treatment of choice was the clinical and radiographic follow-up due to the spontaneous involution of the cyst. There were no recurrences during follow-up and the tooth remained vital and erupted normally.

Conclusions: The possibility of spontaneous involution is a characteristic that must always be observed, in order to avoid unnecessary surgical procedures.

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Author Biographies

Heloísa Laís Rosário dos Santos, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

Rafaela Maia Almendra Mattos, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

Davi Silva Carvalho Curi, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

Taiana Cristine de Souza Pacheco, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

Patricia Leite Ribeiro, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

Viviane Almeida Sarmento, Federal University of Bahia, Professor Edgard Santos Hospital. Salvador, Bahia, Brazil.

Oral Care Department.

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Published

2021-11-10

How to Cite

1.
dos Santos HLR, Almendra Mattos RM, Curi DSC, Pacheco TC de S, Ribeiro PL, Sarmento VA. Spontaneous involution of a unilateral mandibular buccal bifurcation cyst. Rev Cubana Estomatol [Internet]. 2021 Nov. 10 [cited 2025 Feb. 20];58(4):e3289. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/3289

Issue

Vol. 58 No. 4 (2021): OCT- DEC

Section

Case Report

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