Featured Patient Case #24 by UNMC College of Dentistry | Jun 30, 2023 Contributor: Dr. Billy Laun II This 41-year-old male presents with a cream-filled lesion distal to tooth #17 measuring 1 x 2 cm, well-defined unilocular radiolucency. Find 3 least likely clinical diagnoses: Dentigerous cyst Odontogenic keratocyst Glandular odontogenic cyst Gingival cyst Orthokeratinized odontogenic cyst Ameloblastoma Odontoma Lateral periodontal cyst Name 3 histological findings that will assist in your diagnosis: Hyper parakeratosis Hyper orthokeratosis “Picket fence” or “tomb stone” basal cells Lack of inflammatory cells in the cyst wall Prominent granular cells What is your most likely diagnosis? Dentigerous cyst Odontogenic keratocyst Glandular odontogenic cyst Gingival cyst Orthokeratinized odontogenic cyst Ameloblastoma Odontoma Lateral periodontal cyst The recurrence rate for these lesions is: 30% 50% 10% 2% 20% 80% Time's up
Recent Comments