Glandular odontogenic cyst—a review of characteristic features, treatment, and recurrence

INTRODUCTION: The glandular odontogenic cyst is classified as a developmental epithelial odontogenic cyst and defined as “arising in the tooth-bearing areas of the jaws and characterized by an epithelial lining with cuboidal or columnar cells both at the surface and lining crypts or cyst-like spaces within the thickness of the epithelium”. AIM: This review outlines the epidemiology, clinical and radiological presentation, histological characteristics, additional markers aiding in the correct diagnosis, treatment modalities, and recurrence rates of glandular odontogenic cysts. MATERIALS AND METHODS: For the purpose of this review, literature reviews and case reports with included literature reviews from the Scopus, PubMed, and ScienceDirect databases were used. The bibliography of the selected articles was additionally analyzed. RESULTS: The glandular odontogenic cyst is a relatively rare entity, clinically and radiographically non-specific. It is often misdiagnosed because of its overlapping histopathological features with other odontogenic cysts such as lateral periodontal or botryoid cyst, dentigerous and radicular cysts with mucous metaplasia, and central mucoepidermoid carcinoma. Regarding the treatment, both conservative and radical methods may be applied. These cysts have a high propensity for recurrence and display an aggressive behavior. CONCLUSION: Clinically and radiographically glandular odontogenic cysts can resemble several other lesions of the jaws, which denotes the importance of a precise histopathological diagnosis. The choice of treatment should be based on the degree of aggressive behavior of the cyst. Meticulous examination, appropriate treatment planning, and sufficient follow-up periods are key to a successful outcome

Tooth extraction with socket preservation graft prior to implant placement with mandibular (retromolar area) alveolar ridge autograft

Introduction: Prior to implant placement, adequate bone must be present. Understanding the basics of bone grafting and reconstruction techniques is critical for successful implant treatment. Different bone augmentation materials have been described with autogenous bone grafts being considered the gold standard due to their osteogenic, osteoinductive and osteoconductive potential.Aim: The purpose of this paper is to present a clinical case of using a bone block taken from the mandibular retromolar region for socket augmentation after tooth extraction for the subsequent installation of an intraosseous dental implant.Materials and Methods: In order to demonstrate using a bone block of the mandibular retromolar region for socket augmentation after tooth extraction and the subsequent installation of an intraosseous dental implant, the following case is presented: patient M., 40 years old, who planned to undergo dental implantation after extraction of tooth 47 with simultaneous socket augmentation with Bio-Oss Collagen xenograft and Bio-Gide bioresorbable membrane. Results: The application of xenograft and a barrier membrane immediately after tooth extraction failed to preserve ridge dimensions. The use of a bone autoblock taken from a place adjacent to the alveolar bone defect, which remained after an unsuccessful attempt to eliminate it immediately after the extraction of tooth 47 (Bio-Oss Collagen + Bio-Gide), provided the possibility of restoring the volume and quality of bone tissue sufficient for positioning of the NobelReplace dental implant and subsequent dental prosthetics.Conclusion: The proposed bone block technique restored bone volume and quality and allowed for the placement of an intraosseous dental implant