Calcifying cystic odontogenic tumor in radiologically normal dental follicular space of mandibular third molars: report of two cases

  • Gargi S. Sarode Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra, India.
  • Sachin C. Sarode | drsachinsarode@gmail.com Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra, India. http://orcid.org/0000-0003-1856-0957
  • Ghevaram Prajapati Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra, India.
  • Mahesh Maralingannavar Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
  • Shankargouda Patil Department of Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia.

Abstract

Two cases of calcifying cystic odontogenic tumor (CCOT) of the dental follicle in an impacted third molar without clinical and radiological evidence are reported during routine histopathological examination. In both the cases left mandibular third molar was mesioangularly impacted with pericoronal radiolucency of less than 2.5 mm, which was not indicative of any pathology. As a routine protocol (which is not practiced widely) of our institution, dental follicles associated with extracted molars were sent for histopathological examination. Histopathological features were consistent with CCOT with pathognomonic ghost cell transformation of odontogenic epithelium. The patients were followed for one year with no recurrence. This paper emphasizes the importance of routine histopathological examination of dental follicles associated with asymptomatic impacted teeth without any clinical or radiographic evidence of follicular lesion.

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Author Biographies

Gargi S. Sarode, Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra

Associate Professor

Department of Oral Pathology and Microbiolgy

Sachin C. Sarode, Department of Oral Pathology and Microbiology, Dr. D. Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Maharashtra

Professor

Department of Oral Pathology and Microbiolgy

Shankargouda Patil, Department of Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan

Associate professor

Department of Maxillofacial Surgery and
Diagnostic Sciences, College of Dentistry,
Jazan University, Saudi Arabia

Published
2017-02-09
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Issue
Section
Case Reports
Keywords:
Dental follicle, odontogenic cyst, calcifying epithelial odontogenic cyst, impacted tooth.
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How to Cite
Sarode, G. S., Sarode, S. C., Prajapati, G., Maralingannavar, M., & Patil, S. (2017). Calcifying cystic odontogenic tumor in radiologically normal dental follicular space of mandibular third molars: report of two cases. Clinics and Practice, 7(1). https://doi.org/10.4081/cp.2017.933