Buchner A, Hansen L S
Oral Surg Oral Med Oral Pathol. 1979 Dec;48(6):532-9. doi: 10.1016/0030-4220(79)90300-1.
Gingival cysts with clinical manifestations are relatively uncommon lesions. The present study adds thirty-three new cases to the literature and analyzes their clinical and histologic features. The mandibular cuspid and first premolar region was found to be the most common location. The epithelial lining of the cysts was of several types. The most common type was a thin, flattened lining with or without localized thickenings (buds). Other types included nonkeratinized stratified squamous epithelium, keratinized stratified squamous epithelium, and parakeratinized epithelium with palisading basal cells. Gingival cysts should be distinguished from lateral periodontal cysts on the basis of their origin in the gingiva rather than in bone. It appears that most gingival cysts with clinical manifestations are of odontogenic origin.
有临床表现的牙龈囊肿是相对不常见的病变。本研究为文献增添了33例新病例，并分析了它们的临床和组织学特征。发现下颌尖牙和第一前磨牙区域是最常见的发病部位。囊肿的上皮衬里有几种类型。最常见的类型是薄的、扁平的衬里，有或没有局部增厚（芽）。其他类型包括非角化复层鳞状上皮、角化复层鳞状上皮和具有栅栏状基底细胞的不全角化上皮。牙龈囊肿应根据其起源于牙龈而非骨来与侧方牙周囊肿相鉴别。看来大多数有临床表现的牙龈囊肿起源于牙源性。
