Extensive development of a primordial mandibular cyst

T

EXTENSIVE

DEVELOPMENT

OF A PRIMORDIAL

MANDIBULAR

CYST

he patient, a al-year-old arnl;r- privatt>; c~omplained of a progressive bilateral mandibular enlargement. The Panograph shows the q-stic lesion extending from the lower right second molar to the lower l(4t first premolar (Fig. 1). The lesion was initially trcatcd by a n~arsur’i;llizatioll procctlwc. The patient was followed for one year and, as the cystic lesion was only slowly receding, he was scheduled for the surgical rcmo~al of the cyst (Fig. 2). This enuclcation was accomplished with the patient nntlcr local anesthwia with premeditation. The biopsy report stated that the section submitted was ;I primordial q-st. The primordial cj-st repxwn~s abo\lt 4 per cent of all follicular cysts, and it is always associated with a missing tooth. It arises from the tooth germ. The usual treatment consists of local curettage or tuiirsupialixntion. Joseph T. Ptry, Major, DC, USA Wm. Beaumont General Hospital 131Paso. Texas

Fig.

Fig. 8