Calcifying odontogenic cyst of anterior maxillary: Case report and review

Int J Surg Case Rep. 2021 Aug:85:106267. doi: 10.1016/j.ijscr.2021.106267. Epub 2021 Aug 6.

Abstract

Introduction and importance: Calcifying odontogenic cyst (COC) is a rare lesion of jawbone. It is classified among development cyst in the new WHO classification of tumors of the head and neck in 2017. It is a rare pathology, which is found more in the upper maxillae, with a predominance in women in the second or third decade. The diagnosis is based on the analysis of clinical, radiological and histological features.

Case presentation: We report the case of a 17-year-old patient referred by his orthodontist following the fortuitous discovery of a mixed radiolucent/radiopaque image in the right jaw ranging from the tooth 11 to the tooth 16, for whom the clinical, radiological examination associated with fine needle aspiration cytology suggested a cystic lesion.

Clinical discussion: Management initially consisted of decompression of the lesion and complete enucleation after nine months. Histopathological examination gave the diagnosis of calcifying odontogenic cyst. The follow-up showed favorable evolution.

Keywords: Calcifying odontogenic cyst; Decompression; Enucleation; Upper maxillae.