Botryoid Cyst, a Rare Type of Odontogenic Cyst

Botryoid cyst, a rare type of odontogenic cyst, is usually considered a multilocular variant of lateral periodontal cyst. It was first described in 1973, and up to the present less than a hundred cases have been reported in the literature. Botryoid cysts are characterized by a multilocular histologic finding and a higher risk of recurrence than lateral periodontal cysts. In this article, we present a case of botryoid cyst from our clinical practice, accompanied by literature review of previous cases reported in the literature so far. Study results showed that botryoid cysts mostly affected population in their fifties, with a slight female (53.5%) predominance over males (46.5%). The mandible was the most frequently affected region, accounting for 70 (83.3%) cases. Maxilla was only sporadically affected accounting for 14 (16.7%) cases. Radiographic appearance of botryoid cysts can be multilocular or unilocular. It is concluded that the recurrence rate is relatively high (30.1%), therefore long term follow up is needed.

[1]  K. Bishen,et al.  Botryoid odontogenic cyst developing from lateral periodontal cyst: A rare case and review on pathogenesis , 2012, Contemporary clinical dentistry.

[2]  M. Selvamani,et al.  Analysis of 153 cases of odontogenic cysts in a South Indian sample population: a retrospective study over a decade. , 2012, Brazilian oral research.

[3]  D. Cohen,et al.  Diagnostic discussion: Botryoid odontogenic cyst (BOC). , 2011, Today's FDA : official monthly journal of the Florida Dental Association.

[4]  B. Neville,et al.  Multifocal lateral periodontal cysts: a report of 4 cases and review of the literature. , 2011, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[5]  D. E. Deas,et al.  Case report: Diagnosis and treatment of a botryoid odontogenic cyst found in the maxillary anterior region. , 2010, Journal of endodontics.

[6]  W. E. Wady,et al.  [Botryoid odontogenic cyst]. , 2008, Revue de stomatologie et de chirurgie maxillo-faciale.

[7]  L. Gallego,et al.  Botryoid odontogenic cyst: clinical and pathological analysis in relation to recurrence. , 2007, Medicina oral, patologia oral y cirugia bucal.

[8]  Angela C. Chi,et al.  A multilocular radiolucency , 2007 .

[9]  O. Uçok,et al.  Botryoid odontogenic cyst: report of a case with extensive epithelial proliferation. , 2005, International journal of oral and maxillofacial surgery.

[10]  D. Valauri,et al.  Multicystic lateral periodontal cyst and botryoid odontogenic cyst. Multifactorial analysis of previously unreported series and review of literature. , 2005, The New York state dental journal.

[11]  L. Carter,et al.  Lateral periodontal cyst. Multifactorial analysis of a previously unreported series. , 1996, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[12]  W. Neville,et al.  Oral and Maxillofacial Pathology , 2004 .

[13]  M. Altini,et al.  The lateral periodontal cyst: an update. , 1992, Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology.

[14]  I. Vanderwaal.  Lateral periodontal cystlike lesion--a discussion on the so-called botryoid odontogenic cyst. , 1992 .

[15]  L. Rasmusson,et al.  The lateral periodontal cyst. A histopathological and radiographic study of 32 cases. , 1991, The British journal of oral & maxillofacial surgery.

[16]  R. Jaeger,et al.  Botryoid odontogenic cyst: report of a case with clinical and histogenetic considerations. , 1990, The British journal of oral & maxillofacial surgery.

[17]  P.J.G. Rout,et al.  Oral radiology: Principles and interpretation, 2nd edition , 1988 .

[18]  D. Weathers,et al.  Unusual multilocular cysts of the jaws (botryoid odontogenic cysts). , 1973, Oral surgery, oral medicine, and oral pathology.

[19]  P. Kunkel,et al.  Case report of a periodontal cyst. , 1958, Oral surgery, oral medicine, and oral pathology.

[20]  I. van der Waal.  Lateral periodontal cystlike lesion--a discussion on the so-called botryoid odontogenic cyst. , 1992, The Journal of the Dental Association of South Africa = Die Tydskrif van die Tandheelkundige Vereniging van Suid-Afrika.

[21]  W. G. Shafer,et al.  The Lateral Periodontal Cyst , 1958 .