Solitary Bone Cysts of the Mandible: Two Case Reports and a Review of Literature

Abstract

ABSTRACT Background The solitary bone cyst is an uncommon nonepithelial cyst. Clinically, the lesion is asymptomatic in the majority of cases and is often accidentally discovered on routine radiological examination, frequently during the second decade of life. Its pathogenesis is still not clearly understood. The majority of solitary bone cysts are located in the mandibular body. This article presents two case reports, one in whom a cyst was diagnosed on routine radiographic examination and other patient reported with dull ache and radiographic examination showed bilateral presentation of the cystic lesion. Materials and methods In both patients the biopsy was planned. On surgical opening the lesions presented empty cavities. Curettage was done and overlying bone sent for histopathological examination. Both patients were followed for 1 year. Results At follow-up visit both patients were examined clinically and radiographically. In both the patients resolution of the lesion was seen at follow-up visit. Conclusion Solitary bone cyst is a rare entity with typical clinical and radiographic features. However, confirmation of diagnosis can be made only by histological examination. Solitary bone cyst may be secondary to an underlying bone pathology. Solitary bone cyst of the head and neck may vary in presentation and severity. Surgical removal is the treatment of choice and provides a satisfying outcome. How to cite this article Neeli AS, Kotrashetti SM, Louis A. Solitary Bone Cysts of the Mandible: Two Case Reports and a Review of Literature. World J Dent 2013;4(3):193-197.