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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Glandular Odontogenic Cyst

Hi my name is Dani and on behalf of my sister I wanted to ask a question about a health issue. She has a strange lump in the inside of her jaw, but you can't see it form the inside of her mouth. We think that it may be a Glandular Odontogenic Cyst, but we aren't sure. She's had for a long time, about ten or more years. We didn't know what it was and she never told my parents until recently she woke up and it was swollen. It's been swollen for several days, but she is in no pain until pressure is applied to the area where the lump is. Is there any way we could find out? We wont be able to go to the doctor until she gets back on my dads health insurance plan. Thanks for reading and thanks for your help.
Tue, 26 Jun 2012
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Dentist,  's  Response
hello, first of all i would like to know how come u have diagnosed the lesion- as glandular odontogenic cyst.. was biopsy taken.. without biopsy nothing can be confirmed about any of painless swelling in the jaw.. if it is being diagnosed earlier then.. the treatment plan will be surgical enucleation of the cyst along with RCT in involved teeth if required..as cyst sometimes in long course damages periapical area of teeth also.. do not postpone treatment now as already 10 yrs have been delayed and the size of lesion has been increased.. more swelling indicates increased loss of bone or tissues in the region.. any cystic lesion should be surgically removed as soon as possible on diagnosis as they after long term may have potential to turn to any malignant lesion too..
and regarding any kind of painless long standing swelling of jaws diagnostic protocols are-clinical examination, FNAC, radiograph of region OPG,PA,Lat Oblique, occlusal, if closed to vital regions then CT Scan for knowing exact involvement of hard tissues, if soft tissue cyst is there then sonography and MRI of region along with incisional biopsy in both cases... later as per diagnosis after pathological assessment and clinical evaluation the treatment plan will be decided...
take care..
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Dentist, Oral and Maxillofacial Surgery,  Dr. Kamal Hasan's  Response
hi.from ur history size, shape, location and the nature of lump is not very clear.visit ur nearby dentist, cystic lesions can easily be diagnosed by doing proper clinical examination,radiographs,fnac and biopsy procedures.wish u good health
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Dentist,  Dr. Gunjan Gupta's  Response
hi dani,
as you gave the details about your problem, i want to know that how you came to know that it is an glandular odontogenic cyst,did you go for any examination like radiographs,fnac,biopsy etc.so i will suggest you please go to an oral surgeon as soon as possible,and go for complete examination done including x-ray.and please follow all the given instructions properly.nothing to get worried.take care
Dr.Gunjan Gupta
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Dentist, Endodontics ,  Dr. Manisha Rao's  Response
Hi, it may be an Odontogenic cyst. Cysts need to be excised surgically because they keep growing in size and damage the jaw bone, thinning it and making it prone to fractures. Please ask your sister to go for a dental OPG and consult an oral surgeon to do the needful.
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Glandular Odontogenic Cyst

hello, first of all i would like to know how come u have diagnosed the lesion- as glandular odontogenic cyst.. was biopsy taken.. without biopsy nothing can be confirmed about any of painless swelling in the jaw.. if it is being diagnosed earlier then.. the treatment plan will be surgical enucleation of the cyst along with RCT in involved teeth if required..as cyst sometimes in long course damages periapical area of teeth also.. do not postpone treatment now as already 10 yrs have been delayed and the size of lesion has been increased.. more swelling indicates increased loss of bone or tissues in the region.. any cystic lesion should be surgically removed as soon as possible on diagnosis as they after long term may have potential to turn to any malignant lesion too.. and regarding any kind of painless long standing swelling of jaws diagnostic protocols are-clinical examination, FNAC, radiograph of region OPG,PA,Lat Oblique, occlusal, if closed to vital regions then CT Scan for knowing exact involvement of hard tissues, if soft tissue cyst is there then sonography and MRI of region along with incisional biopsy in both cases... later as per diagnosis after pathological assessment and clinical evaluation the treatment plan will be decided... take care..