A Case of Glandular Odontogenic Cyst Developing in the Maxilla

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  • AMEMIYA TSUYOSHI
    Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Tobu Hospital
  • HORIUCHI TOSHIKATSU
    Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Tobu Hospital
  • HASEBE MITSUHIKO
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • ISHII AIRI
    Department of Oral and Maxillofacial Surgery, Saiseikai Yokohamashi Tobu Hospital
  • ISHIZUKA TADATOSHI
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • YAMADA SHUSUKE
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • FUKAYO YUGO
    Department of Oral and Maxillofacial Surgery, Hakujikai Memorial Hospital
  • NAKAJIMA TOSHIFUMI
    Department of Oral and Maxillofacial Surgery, Kanagawa Prefectural Federation of Agricultural Cooperatives for Health and Welfare, Sagamihara Kyodo Hospital
  • BASUGI AKIHIKO
    Department of Oral and Maxillofacial Surgery, Toshiba Rinkan Hospital
  • HAMADA YOSHIKI
    Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University

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Other Title
  • 上顎に生じた腺性歯原性囊胞の1例

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Glandular odontogenic cyst （GOC） is a rare odontogenic cyst and is categorized as a developmental odontogenic cyst. Herein, we report a case of GOC developing in the maxilla. The patient was a 25-year-old man who complained of swelling of the left buccal region. CT images showed a unilocular radiolucent lesion extending from the maxillary anterior region to the maxillary sinus. The lesion included an impacted tooth, and root resorption of 21, 22, 23 and 24 was observed. A biopsy suggested that it was GOC. He underwent cystectomy with root canal filling and apicoectomy of the 21, 22, 23 and 24 under general anesthesia. The wound was opened to the oral cavity. Histopathological diagnosis was GOC. Nine months later, tooth extraction of 21, 22, 23 and 24 was performed because of their increased mobility. Two months later, reconstruction of the alveolar ridge using particulate cancellous bone and marrow （PCBM） was carried out. Nine months after the PCBM graft, 3 dental implants were placed into the reconstructed bone, and an implant-retained overdenture treatment was completed. Since then, the overdenture has uneventfully functioned for 4 years and 9 months, with no evidence of recurrence.

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