To characterize lateral periodontal cyst (LPC) clinicopathologically, we have analyzed 23 cases of LPC filed in Niigata University Hospital in the last 13 years. They accounted 1.4% of jaw cysts (1,683 cases total). The mean age of the patients was 46 years, and there were 13 male (56.5%) and 10 female (43.5%) patients. Maxillary LPCs were found in the incisor region, and mandibular ones were in the molar region. The maxillary cysts had larger size (19.8 mm, average diameter) and more frequent association with tooth roots (80%) than mandibular cysts (13.4 mm, 20%, respectively). Histopathologically, the linings of LPC were non-keratinized stratified squamous epithelia with occasional cuboidal changes containing small numbers of mucous or sebaceous cells. The base line of the lining epithelium was flat without rete processes. There were characteristic epithelial plaques (0.5 mm mean wide and 0.13 mm high) in all of the cases examined, and round or irregular-shaped epithelial islands were occasionally found in the cyst wall (34.8%). Immunohistochemically, there were scarcely any Ki-67-positive (+) cells in the lining epithelia, indicating that the lining cells were not proliferative. Both upper surface cells and basal cells of the epithelial plaques were CK19+ and integrin β1+, indicating that the epithelial plaques represented certain wrinkle or wavy protrusions of the inner surface of the cyst wall. The histopathological diagnosis of LPC must be precisely done from now on such clinicopathological characteristics are well recognized in this study.