Vestibular bifurcation cyst: Clinical case report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i5.15018

Keywords:

Cone-beam computed tomography; Cyst; Pathology oral.

Abstract

The vestibular bifurcation cyst is an uncommon inflammatory odontogenic cyst that develops on the vestibular face of the permanent lower first molar in children aged 5 to 13 years. Clinically, it presents sensitivity, edema, periodontal pocket and secretion with an unpleasant taste. Radiographically, it is shown as a unilocular and well-defined radiolucent lesion involving the vestibular bifurcation and the root region of the tooth in question. The root apices of the molars are characteristically facing the mandibular lingual cortex. This study aimed to report a clinical case of a child with a vestibular bifurcation cyst. It is a male patient, 7 years old, presenting edema in the region of the right jaw, pain on palpation, presence of periodontal abscess with purulent secretion in the region of tooth 85 and 46. In the CFFC he showed a well-defined radiolucent image, expansive and unilocular involving the crown and vestibular bifurcation of element 46, disrupting the vestibular alveolar bone cortex, compatible with Vestibular Bifurcation Cyst. It was concluded that the vestibular bifurcation cyst is a pediatric disease that occurs in the bifurcation area of ​​the buccal surface of an erupting permanent lower first molar and appears mainly in the first decade of life.

References

Bautista, C. R. G., Milhan, N. V. M., Ankha, M. D. V. E. A., Prado, R. F. D. P., Cavalcante, A. S. R., & Lopes, S. L. P. C. (2019). Bilateral mandibular buccal bifurcation cyst: a case report emphasizing the role of imaging examination in the diagnosis. Autopsy and Case Reports, 9(2), 1-7.

Ellis III, E. (2015). Tratamento cirúrgico das lesões patológicas orais. In: Hupp, J. R., Ellis, E., & Tucker, M. R. Cirurgia oral e maxilofacial contemporânea. Elsevier.

Faria, N. S. F., Monteiro, V. P., Barros, A. A. P., & Nicolau, R. A. (2013). Técnica de marsupialização e enucleação para o tratamento de cistos de grandes proporções - Relato de caso. XVII Encontro Latino Americano de Iniciação Científica, XIII Encontro Latino Americano de Pós-Graduação e III Encontro de Iniciação à Docência.

Friedrich, R. E., Scheuer, H. A., & Zustin, J. (2014). Inflammatory Paradental Cyst of the First Molar (Buccal Bifurcation Cyst) in a 6-Year-old Boy: Case Report with Respect to Immunohistochemical Findings. In Vivo, 28(3), 333-339.

Gomez, R. S. (2016). Cistos odontogênicos e não odontogênicos. In: Almeida, O. P., Loyola, A. M., Silva, A. R. S., Altemani, A. M., Andrade, B. A. B., & Perez, D. E. C. Artes Médicas.

Graner, E., Jorge, J. J., Almeida, O. P., Vargas, P. A., & Colleta, R. D. (2015). Cistos Odontogênicos. https://w2.fop.unicamp.br/ddo/patologia/downloads/db301_un3_Aula29-30Cistos_desenvolvimento.pdf. Acesso em: 26 mai. 2020.

Grauwe, A., Mangione, F., Mitsea, A., Kalyvas, D., Yfanti, Z., & Ahbab, G. (2018). Update on a rare mandibular osteolytic lesion in childhood: the buccal bifurcation cyst. Brazilian Journalism Research, 4(2), 2-6.

Kim, H. R., Nam, S. H., Kim, H. J., & Choi, S. Y. (2018). Buccal Bifurcation Cyst: Two Case Reports and a Literature Review. The Journal of Clinical Pediatric Dentistry, 42(3), 221-224.

Lino, F. A.; Pereira, M. C.; Doses, P. L. A.; Pereira, A. A. C.; Goulart, M. C. V., & Miranda, R. T. (2017). Cisto Inflamatório da Bifurcação Vestibular: Relato de Caso Clínico. Revista Intercâmbio, 12(29), 1-3.

Oenning, A. C., Oliveira, L. B., Junqueira, J. L. C., & Sousa-melo, S. L. (2018). Buccal bifurcation cyst as an incidental finding in cone beam computed tomography scans. RGO, 66(4), 38-59.

Pereira, A. S., Shitsuka, D. M., Parreira, F. J. & Shitsuka, R. (2018). Metodologia da pesquisa científica. UFSM. https://repositorio.ufsm.br/bitstream/handl e/1/158 24/LicComputacao_MetodologiaPesquisaCientifica.pdf?sequence=1

Pompura, J. R., Sándor, G. K. B., & Stoneman, D. W. (1997). The buccal bifurcation cyst: A prospective study of treatment outcomes in 44 sites. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 83(2), 215–221.

Ramos, L. M. A., Vargas, P. A., Colleta, R. D., Almeida, O. P., & Lopes M. A. (2012). Bilateral Buccal Bifurcation Cyst: Case Report and Literature Review. Head and Neck Pathology, 6(4), 455-459.

Rodrigues, A. P. M. B. S. (2011). Cistos odontogênicos inflamatórios: revisão de literatura. Trabalho de Conclusão de Curso (Graduação em Odontologia), Pontifícia Universidade Católica do Rio Grande do Sul, 34.

Santos, L. C. S., Ramos, E. A. G., Meira, T. M., Figueiredo, C. R. L. V., & Santos, J. N. S. (2006). Etiopatogenia do cisto radicular. Parte I. Revista de ciências médicas biológicas, 5(2), 69–74.

Shohat, I., Buchner, A., & Taicher, S. (2003). Mandibular buccal bifurcation cyst: Enucleation without extraction. International Journal of Oral and Maxillofacial Surgery, 32(6), 610-3.

Stoneman, D. W., & Worth, H. M. (1983). The mandibular infected buccal cyst. Dent Radiogr Photogr, 56(1), 1-14.

Tolentino, E. S. (2018). Nova classificação de tumores odontogênicos: o que mudou? Revista da Faculdade de Odontologia, 23(1), 119-123.

Waldron, C. A. (2009). Cistos e tumores odontogênicos. In: Neville, B. W.; Damm, D. D., Allen, C. M., & Bouquot, J. E., Patologia oral e maxilofacial. Elsevier.

Published

03/05/2021

How to Cite

CUSTÓDIO, G. P. .; CALDERONI , A. M. de P. .; MELO, A. R. F. de .; CAETANO, R. M. .; VILELA , D. da S. . Vestibular bifurcation cyst: Clinical case report . Research, Society and Development, [S. l.], v. 10, n. 5, p. e19310515018, 2021. DOI: 10.33448/rsd-v10i5.15018. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/15018. Acesso em: 12 nov. 2024.

Issue

Section

Health Sciences