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Volume 19, Number 3, September 2007

Huge Gingival Cyst of the Adult: a Case Report and Review of the Literature


Hisashi Sato, Wataru Kobayashi, Hirotaka Sakaki, Hiroto Kimura
Department of Oral and Maxillofacial Surgery, Hirosaki University School of Medicine, Hirosaki, Japan

Abstract 
Gingival cysts of adults are uncommon gingival lesions that are usually found within attached or unattached soft tissues. They are commonly seen in the canine and premolar regions of the mandible, and are sometimes confused with lateral periodontal cysts. Gingival cyst lesions in adults may appear bluish due to fluid and cause pressure resorption of the labial bone. Gingival swelling and the faint shadow of radiolucency are a characteristic of the gingival cysts of adults. We report here the case of a large gingival cyst in an adult, which was unlike most other reported cases that have cyst sizes of less than 0.6 cm. The incidence of gingival cysts of adults shows a racial predilection, with Asians revealing a much lower prevalence of the lesion than Caucasians; however, there is no gender difference in the incidence of the disease. The case was treated with simple surgical excision and has shown no tendency for recurrence.

Key words: Adult, Gingiva, Magnetic resonance imaging, Periodontal cyst

Asian J Oral Maxillofac Surg. 2007;19:176-178.

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