Frigerio Martina, Al Eid Rami, Lombardi Tommaso
Division of Gerodontology and Removable Prosthodontics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
Undergraduate Clinics, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
Case Rep Dent. 2023 Jul 26;2023:4827611. doi: 10.1155/2023/4827611. eCollection 2023.
Gingival cysts of adults (GCAs) are a relatively rare type of odontogenic cysts developing from the remnants of the dental lamina. Although GCAs generally affect individuals below the age of 65, their findings in older patients may exceptionally occur. Usually asymptomatic, they present as small, generally solitary nodules, located on the attached gingiva, primarily in the mandibular canine and premolar regions. This report highlights a rare case of a solitary GCA in an 82-year-old patient, who presented with a discrete nodule located between the right mandibular canine and first premolar. An excisional biopsy was performed, and the diagnosis of GCA was confirmed by the histological examination. No recurrence was observed during the 18-month follow-up period. Additionally, a literature review was conducted to analyse the clinical and pathological characteristics of GCAs in patients aged 65 and older. By providing details of this rare entity, our case study highlights the importance of considering GCAs when diagnosing gingival lesions in geriatric patients. By increasing our understanding of GCAs in the elderly population, our findings can help improve diagnosis as well as management strategies for these lesions.
成人牙龈囊肿（GCA）是一种相对罕见的牙源性囊肿，由牙板残余物发展而来。虽然GCA通常影响65岁以下的个体，但在老年患者中也可能罕见地出现。通常无症状，表现为小的、一般为孤立的结节，位于附着龈，主要在下颌尖牙和前磨牙区。本报告重点介绍了一例82岁患者的罕见孤立性GCA病例，该患者在右下颌尖牙和第一前磨牙之间出现一个离散结节。进行了切除活检，组织学检查证实为GCA。在18个月的随访期内未观察到复发。此外，还进行了文献综述，以分析65岁及以上患者GCA的临床和病理特征。通过提供这一罕见病例的详细信息，我们的病例研究强调了在老年患者牙龈病变诊断中考虑GCA的重要性。通过增进我们对老年人群中GCA的了解，我们的研究结果有助于改善这些病变的诊断和管理策略。
