Long term self-resolution of a mandibular traumatic bone cyst: A patient report

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Case Report

Author Details : Kinan G Zeno*, Wedad Z Saab, Lea Al Matny, Rachid Haidar, Joseph G Ghafari

Volume : 10, Issue : 2, Year : 2024

Article Page : 134-140

https://doi.org/10.18231/j.jooo.2024.025

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Abstract

A traumatic bone cyst (TBC) is an uncommon asymptomatic benign lesion usually diagnosed on radiographic examination as a unilocular radiolucency in the posterior mandibular region. It is classified as a pseudocyst because of absent epithelial lining. The etiology remains unclear but is often a localized aberration in normal bone remodeling or metabolism associated with trauma. We report a TBC in a boy that appeared in the first year of orthodontic treatment below the mandibular right second molar and self-healed nearly 4 years later. The patient had no history of trauma. Surgery was discarded because of difficult access and risk of nerve damage; also, the mandibular body continuity was not jeopardized. Clinical examination and periodic radiographic and CBCT imaging were performed during orthodontic treatment (25 months) and the following retention (26 months). The findings suggest a course of observation of a slow developing TBC that does not compromise mandibular anatomic integrity.
 

Keywords: Traumatic bone cyst, Simple cyst, Self­ resolution, Orthodontic treatment.

How to cite : Zeno K G, Saab W Z, Matny L A, Haidar R, Ghafari J G, Long term self-resolution of a mandibular traumatic bone cyst: A patient report. J Oral Med Oral Surg Oral Pathol Oral Radiol 2024;10(2):134-140

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