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Classification of Odontogenic Cysts:
- Keratocyst (solitary or associated with Gorlin-Goltz or Nevoid basal cell carcinoma syndrome)
- Paradental cyst
- Periapical cyst (most common odontogenic cyst)
- Radicular cyst (associated with non-vital teeth)
- Residual cyst
Cystic Neoplasms:
- Keratocystic odontogenic tumor
- Calcifying odontogenic tumor
- Cystic ameloblastoma
- Potential conversion of dentigerous cyst, odontogenic keratocyst, and residual cyst into locally aggressive ameloblastoma or malignant squamous cell carcinoma and mucoepidermoid carcinoma
Diagnosis of Odontogenic Cysts:
- Presence of cholesterol clefts indicating periapical or inflamed dentigerous cyst on histopathology
Treatment of Odontogenic Cysts:
- Range of treatments from simple enucleation to curettage to resection
- Endodontic treatment for small radicular cysts
- Curettage recommended for keratocyst due to high recurrence potential
- Conservative enucleation as the treatment of choice for most odontogenic cysts
- Pathological evaluation of the removed cyst to confirm diagnosis and rule out other neoplastic lesions
Related Topics:
- Cyst
- Mucous cyst of the oral mucosa