Oral And Maxillofacial Pathology Neville 4th Edition Pdf 11
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A 23-year-old female presented to the oral medicine & diagnostic clinic. She had a soft, slightly firm swelling on the palatal aspect of her left lower gingiva. The patient had a history of recurrent intermittent fever of two months' duration. On clinical examination, the mass was dull, non-tender, and mobile. It was not associated with trismus. The patient was referred to the Department of Oral & Maxillofacial Surgery, and a computed tomography scan was requested. What is the likely diagnosis and management?
Tension cysts are the commonest cysts of the oral cavity. The prevalence of oral cysts varies from 3 to 7% [1]. It is a painful swelling and may be associated with swelling of the overlying skin. There is no gender predilection for development. The most common site of onset is the mandibular anterior region. The cyst may remain asymptomatic for years, but it can lead to significant morbidity if left untreated.
Cysts are classified on the basis of their contents as epithelial, non-epithelial, odontogenic, or non-odontogenic. Odontogenic cysts are further classified as developmental or inflammatory cysts. The developmental cysts are divided into radicular cysts, odontogenic keratocysts, and dentigerous cysts. Inflammatory cysts are also divided into major categories such as ranula, lymphangioma, hematoma, and abscess. Cysts are the most commonly encountered lesions of the oral cavity and may be found anywhere within the mouth. The most common site of origin of the odontogenic cysts is the dentoalveolar region (teeth and their surrounding gingiva). The non-odontogenic cysts are most commonly found in the jaws. There are cysts derived from the salivary glands, paranasal sinuses, mandible, and the orbit [1].
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