Atypical Presentation of Gingival Cyst of Adult- A Case Report

Abstract

Lesions of the gingiva are very common, and they vary in their clinical presentation and histological appearances. However, at times, the clinical features of these lesions appear to be similar and overlapping leading to a difficulty in diagnosis. Gingival Cyst of Adult (GCA) is a rare, abnormal, non inflammatory lesion in the oral cavity that arises mostly from the cell rests of the dental lamina. These lesions are usually solitary, sessile, painless, slow growing swelling usually involving the attached gingiva and interdental papilla and more frequently found in the canine and premolar region of the mandible. The GCA usually does not show any radiographic evidence of bone resorption. Histopathologic presentation significantly contributes to the diagnosis of the lesion. The present case report discusses about the GCA, involving the marginal gingiva and interdental papilla on the facial aspect of maxillary central incisors region in a 37-year-old female patient. Treatment plan included scaling, root planing, re-evaluation followed by surgical excision of the lesion. The lesion was sent for histopathological examination and a final diagnosis of GCA was made. Healing was uneventful without any complications. The patient was reviewed for nine months and no recurrence of the lesion was observed during the follow-up period.