Minimally invasive surgical approach in a large mandibular solitary cyst: case report and review of the literature

Minerva Stomatol. 2012 May;61(5):239-45.
[Article in English, Italian]


Solitary bone cyst (SBC) is an intraosseus radiolucent lesions that defers from real cysts for the fact that peripheral epithelial lining is totally absent. It could be classified as a psudocyst and occurs most frequently in young patients. In most cases SBC doesn't cause symptoms and it is often diagnosed accidentally during routine radiographic examination. A right diagnosis of this disease is also complicated because there are no pathognomonic radiographic signs and symptoms: so this form of pseudocyst is often misdiagnosed as a common odontogenic cyst. Despite numerous studies, the pathogenesis of the SBC is not yet established: the most widely accepted theory is that it could be the result of an intramedullary necrosis determined by a trauma. In this article we report a case of SBC in child treated with a minimal surgical approach. This new kind of treatment is much more conservative than the traditional one, it can be performed as outpatients, under local anesthesia and with few postoperative discomfort: For these reasons this minimal invasive technique appears to be particulary suitable for pediatric patients.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Dental Caries / diagnostic imaging
  • Dental Caries / surgery
  • Diagnosis, Differential
  • Humans
  • Incidental Findings
  • Male
  • Mandibular Diseases / diagnosis
  • Mandibular Diseases / diagnostic imaging
  • Mandibular Diseases / surgery*
  • Minimally Invasive Surgical Procedures
  • Molar / diagnostic imaging
  • Molar / surgery
  • Nonodontogenic Cysts / diagnosis
  • Nonodontogenic Cysts / diagnostic imaging
  • Nonodontogenic Cysts / surgery*
  • Odontogenic Cysts / diagnosis
  • Oral Surgical Procedures / methods*
  • Osteotomy / methods*
  • Radiography
  • Tooth Extraction