This action might not be possible to undo. Are you sure you want to continue?
Classification of Cysts
Dr Vijay Wadhwan
Oral Pathology & Microbiology Sharad Pawar Dental College ,Sawangi (M) Wardha.
Kramer (1974) has defined a cyst as ³A pathological cavity having fluid.´ . semifluid or gaseous contents and which is not created by the accumulation of pus.
but not all. Most cysts. are lined by epithelium (True cysts) ± Odontogenic keratocyst ± Dentigerous cyst ± Nasopalatine duct cyst etc. .
. Non epithelium lined cysts (Pseudocysts) ± Mucous extravasation cyst ± Aneurysmal bone cyst ± Solitary bone cyst. Reichart and Philipsen prefer to describe these as µcavities¶ rather than cysts.
Early descriptions were written by Aulus Cornelius Celsus (early part of 1st century). Lesions have been found in mummified specimens from the predynastic era (c.2800 bc) in Egypt. Pierre Fauchard (1690±1762) and John Hunter (1729±1793).4500 bc) and from the 5th dynasty (c. . Evidence of cystic lesions in the jaws of humans and other animals in the distant past.
1850. Paul Broca¶s classification of odontomas (1866) which included odontogenic tumours. . cysts and malformations. papers on the nature and treatment of jaw cysts became more frequent.
± In the WHO classification of Head and Neck Tumours (1995). During the 20th century ± The first (1971) and second (1992) editions of Histologic Typing of Odontogenic Tumors issued by WHO. definitions and histological descriptions of cysts of the jaws. . included classification. cysts were excluded. since 1992 no updated classification or monographs on jaw cysts have been published. ± However.
meaning cysts arising from ectoderm involved in the development of the facial tissues . meaning arising from odontogenic tissues ± Non-odontogenic. Cysts of developmental origin may be either: ± Odontogenic.
Classification by etiology Developmental I Gingival cyst of infants ii Odontogenic keratocyst iii Dentigerous cyst iv Eruption cyst v Gingival cyst of adults vi Developmental lateral periodontal cyst vii Botryoid odontogenic cyst viii Glandular odontogenic cyst ix Calcifying odontogenic cyst .
Radicular cyst. apical and lateral ii Residual cyst iii Paradental cyst and juvenile paradental cyst iv Inflammatory collateral cyst . Inflammatory i.
radicular Reduced enamel epithelium ± Dentigerous. Eruption Dental lamina ± OKC. Lateral Periodontal cyst. CEOC . Gingival cyst of adults & Newborn. GOC Unclassified ± Paradental.By tissue of origin Rests of malassez ± Periapical.
Cysts of the jaws Cysts associated with the maxillary antrum Cysts of the soft tissues of the mouth. neck and salivary glands The cysts of the jaws are divided into those that are: ± Epithelial lined ± Not epithelial lined The epithelial-lined cysts may be either of: ± Developmental origin ± Inflammatory origin . face.
I Cysts of the jaws Epithelial-lined cysts Developmental origin A) Odontogenic i Gingival cyst of infants ii Odontogenic keratocyst iii Dentigerous cyst iv Eruption cyst v Gingival cyst of adults vi Developmental lateral periodontal cyst vii Botryoid odontogenic cyst viii Glandular odontogenic cyst ix Calcifying odontogenic cyst .
apical and lateral ii Residual cyst iii Paradental cyst and juvenile paradental cyst iv Inflammatory collateral cyst Non-epithelial-lined cysts ± Solitary bone cyst ± Aneurysmal bone cyst .B) Non-odontogenic i Midpalatal raphé cyst of infants ii Nasopalatine duct cyst iii Nasolabial cyst Inflammatory origin i Radicular cyst.
polycystic (dysgenetic) disease of the parotid ± Parasitic cysts: hydatid cyst. face and neck Dermoid and epidermoid cysts Lymphoepithelial (branchial) cyst Thyroglossal duct cyst Anterior median lingual cyst (intralingual cyst of foregut origin) Oral cysts with gastric or intestinal epithelium (oral alimentary tract cyst) Cystic hygroma Nasopharyngeal cyst Thymic cyst Cysts of the salivary glands: mucous extravasation cyst. mucous retention cyst. trichinosis ± ± ± ± ± ± ± ± ± . ranula. Cysticercus cellulosae.II Cysts associated with the maxillary antrum ± ± ± ± Mucocele Retention cyst Pseudocyst Postoperative maxillary cyst III Cysts of the soft tissues of the mouth.