Table 1.
Most frequent odontogenic cysts [21].
| Type of cyst | Clinical presentation | Diagnostic modalities | Differential diagnosis | Management |
|---|---|---|---|---|
| Radicular cyst | It is caused by trauma or dental caries leading to dental pulp necrosis Apical epithelial cells (rests of Malassez) are triggered by pulpal inflammation, forming a Periapical cyst (PC) |
Pulp testing, radiological, and histopathologic evaluation | Periapical granuloma, lateral radicular cysts | Root canal treatment, apicectomy, and tooth extraction or cyst removal |
| DC | It is caused by the accumulation of fluids between follicular epithelium and the crown of an unerupted tooth | Radiological and histopathologic evaluation | Odontogenic keratocyst, unicystic ameloblastoma, ameloblastic fibroma, adenomatoid odontogenic tumor | Enucleation or marsupialization. In selected cases, the impacted tooth remains in situ |
| Odontogenic keratocyst | Typically localized in the posterior mandible, it is considered to be an odontogenic cyst that originates from dental lamina's residues | Radiological and histopathologic evaluation | DC, ameloblastoma | Surgical excision followed by osseous curettage and eventually chemical fixation with Carnoy's solution application |