Buccal bifurcation cyst in a 7-year-old: surgical management and 14-month follow-up.
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.
Thikkurissy
S
S
Division of Pediatric Dentistry, College of Dentistry, The Ohio State University, Columbus, OH 43210, USA. thikkurissy.1@osu.edu
Glazer
Kate M
KM
McNamara
Kristin K
KK
Tatakis
Dimitris N
DN
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