ABSTRACT
INTRODUCTION: Dental lamina cysts are cysts that occur as white or pink small nodules, often multiple, approximately 1 to 3mm in diameter. They are typically located on the midpalatine raphe and less frequently on the maxillary and mandibular alveolar mucosa; in the latter case these can be appear to be neonatal teeth.On microscopic examination, these lesions show a stratified squamous epithelium (two to three cell layers); it is possible to find protein, keratin and/or exfoliated epithelial cells in the lumen of the lesions.Neonatal cysts usually show no particular symptoms. They are associated with an excellent prognosis because they regress spontaneously within a few weeks and are not associated to any complications. However, if pain, bleeding or other symptoms occur, a surgical excision is required. CASE PRESENTATION: In this paper, we present an anomalous case of symptomatic dental lamina cyst which affected a 60-day-old male Caucasian newborn. The surgical treatment was elective in this case and 6-month follow-ups were mandatory. CONCLUSIONS: We can underline the successful predictability of the surgical approach; however, we consider that the treatment choice should take place in the light of medical history and clinical considerations, and always be evaluated on a case-by-case basis. Further studies and reviews in this field should be performed in order to suggest guidelines for clinicians, although these cases are rare.
Subject(s)
Odontogenic Cysts/congenital , Odontogenic Cysts/surgery , Diagnosis, Differential , Follow-Up Studies , Humans , Infant, Newborn , MaleABSTRACT
Dental lamina cyst, also known as gingival cyst of newborn, is a benign oral mucosal lesion of transient nature. These lesions are usually multiple but do not increase in size. Since the lesions are self-limiting and spontaneously shed a few weeks or months after birth no treatment is required. Clinical diagnoses of these conditions are important in order to avoid unnecessary therapeutic procedure and provide suitable information to parents about the nature of the lesion. In addition, it may be incorrectly diagnosed as natal teeth if present in mandibular anterior region. Here, we present a case of dental lamina cyst of newborn.
Subject(s)
Gingival Diseases/congenital , Odontogenic Cysts/congenital , Diagnosis, Differential , Female , Follow-Up Studies , Humans , Infant, NewbornSubject(s)
Mucous Membrane/abnormalities , Skin Abnormalities , Skin Diseases/congenital , Acne Vulgaris/congenital , Acne Vulgaris/diagnosis , Adult , Age Factors , Diagnosis, Differential , Epidermal Cyst/congenital , Epidermal Cyst/diagnosis , Female , Follow-Up Studies , Foot Dermatoses/congenital , Foot Dermatoses/diagnosis , Hand Dermatoses/congenital , Hand Dermatoses/diagnosis , Hemangioma/congenital , Hemangioma/diagnosis , Humans , Infant, Newborn , Leukoedema, Oral/congenital , Leukoedema, Oral/diagnosis , Male , Odontogenic Cysts/congenital , Odontogenic Cysts/diagnosis , Pigmentation Disorders/congenital , Pigmentation Disorders/diagnosis , Skin Abnormalities/diagnosis , Skin Diseases/diagnosis , Skin Diseases, Vascular/congenital , Skin Diseases, Vascular/diagnosis , Skin Neoplasms/congenital , Skin Neoplasms/diagnosis , Testicular Hydrocele/congenital , Testicular Hydrocele/diagnosis , Time FactorsABSTRACT
El presente trabajo se elaboró con el propósito de detectar la prevalencia de quistes de inclusión, los cuales comprenden a los nódulos de Bohn, perlas de Epstein y quistes de la lámina dental, en 50 recién nacidos de ambos sexos, aparentemente sanos, del Hospital Materno Infantil Inguarán del DDF. Dichos quistes de inclusión se relacionaron con el número de éstos presentes en la cavidad bucal, la localización de los mismos por cuadrantes en los maxilares, y con el sexo. De los 50 recién nacidos examinados, 22 (44 por ciento) de ellos presentaron quistes de inclusión. La entidad que se observó con mayor frecuencia fueron los nódulos de Bohn. Así es que, los quistes de inclusión en alguna de sus modalidades se pueden apreciar comunmente en la cavidad bucal del recién nacido sano
Subject(s)
Humans , Male , Female , Infant, Newborn , Infant, Newborn, Diseases/epidemiology , Odontogenic Cysts/classification , Odontogenic Cysts/congenital , Odontogenic Cysts/epidemiologyABSTRACT
Se examinaron 1,591 neonatos en un lapso de siete meses, en el Hospital General Iztapalapa de la Comunidad Económica Europea, demostrando una frecuencia de 40 por ciento de quistes de inclusión, 33.5 por ciento de quistes alveolares, 17 por ciento de quistes palatinos, 1 por ciento de quistes de erupción dentaria y 0.1 por ciento de quistes de lámina dentaria sin predominio de sexo. Encontramos cinco dientes natales en tres neonatos con una frecuencia de 0.1 por ciento. Concluímos que las alteraciones bucales neonatales tienen una frecuencia menor en la población estudiada, que lo reportado en otros estudios, pero se debe informar a los padres y familiares de su presencia y que el tratamiento es espectante e individualizado, ya que dichas alteraciones se resuelven por degeneración, erupción o derrama de su contenido
Subject(s)
Humans , Infant, Newborn , Mouth Abnormalities/diagnosis , Mouth Abnormalities/epidemiology , Natal Teeth , Odontogenic Cysts/congenital , Odontogenic Cysts/diagnosisABSTRACT
Inclusion cysts which are developmental anomalies can be seen either along the midpalatine raphe or on the dental ridges as well as on other areas of the palate in newborns. Based on their localisation and histology these are classified into three types (Epstein's pearls, Bohn's nodules, Dental lamina cysts). These are often taken as natal or neonatal teeth. No treatment is indicated since the lesions will spontaneously disappear few weeks after birth.
