title: Buccal bifurcation cyst in a 7-year-old: surgical management and 14-month follow-up.
abstract: BACKGROUND
  The buccal bifurcation cyst (BBC) is a paradental cyst that typically presents on the buccal aspect of mandibular permanent first molars in children 6 to 11 years of age. Histopathologic features are non-specific and closely resemble other inflammatory odontogenic cysts. The aim of this article is to report a case of a BBC and to review the management of such lesions.
  
  
  METHODS
  A 7-year-old white male, complaining of lower right tooth pain and swelling, presented to the Nationwide Children's Hospital Dental Clinic. A clinical examination revealed no caries and swelling localized to the area approximating tooth #30 with a 15-mm probing depth on the buccal aspect. Radiographs revealed a radiolucency involving the bifurcation and root area of tooth #30, accompanied by the distal displacement of unerupted tooth #31. Therapy consisted of a simple surgical enucleation of the cyst.
  
  
  RESULTS
  A microscopic evaluation revealed a chronically inflamed cyst lined by a non-keratinized stratified squamous epithelium. The immediate postoperative course was uneventful. At 14 months postoperatively, the development of teeth #30 and #31 was noted as normal. Probing depths around tooth #30 were <or=4 mm, tooth #31 was no longer displaced, and no recurrence was detected.
  
  
  CONCLUSIONS
  The simple surgical enucleation of the BBC provided good short- and long-term outcomes without compromising the development of associated molars.
authors.affiliation: Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, OH 43210, USA. thikkurissy.1@osu.edu
authors.forename: S
authors.initials: S
authors.lastname: Thikkurissy
authors.forename: Kate M
authors.initials: KM
authors.lastname: Glazer
authors.forename: Kristin K
authors.initials: KK
authors.lastname: McNamara
authors.forename: Dimitris N
authors.initials: DN
authors.lastname: Tatakis
mesh_terms: D002648:Child; D006801:Humans; D008297:Male; D008336:Mandibular Diseases / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008963:Molar / Q000473:pathology; D010509:Periodontal Cyst / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011859:Radiography