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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

March 2014
Volume 45 , Issue 3

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Diagnosis and interdisciplinary treatment of a botryoid odontogenic cyst in the posterior mandible: Report of a case

Frei, Marc / Buettner, Michael / Perren, Aurel / Reichart, Peter A. / Bornstein, Michael M.

Pages: 233-237
PMID: 24570990
DOI: 10.3290/j.qi.a31211

Botryoid odontogenic cysts (BOC) are considered to be rare polycystic variants of lateral periodontal cysts characterized by a multilocular growth pattern. The most frequent location of BOC is the mandible, predominantly the premolar-canine area, followed by the anterior region of the maxilla. The cyst shows a slight female predilection. This case report of a BOC demonstrates a treatment with initial fenestration and decompression of the cyst in order to prevent damage to adjacent structures such as the inferior alveolar nerve. The present case report emphasizes the importance of accurate clinical, radiographic, and histologic diagnostic procedures of unspecific radiolucent lesions in the jaws to establish a firm diagnosis and avoid inappropriate treatment strategies. Keywords: botryoid odontogenic cyst, cone beam computed tomography, decompression, diagnosis, therapy

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