Unusual symptomatic inclusion cysts in a newborn: a case report

Abstract

IntroductionDental lamina cysts are cysts that occur as white or pink small nodules, often multiple, approximately 1 to 3mm in diameter. They are typically located on the midpalatine raphe and less frequently on the maxillary and mandibular alveolar mucosa; in the latter case these can be appear to be neonatal teeth.On microscopic examination, these lesions show a stratified squamous epithelium (two to three cell layers); it is possible to find protein, keratin and/or exfoliated epithelial cells in the lumen of the lesions.Neonatal cysts usually show no particular symptoms. They are associated with an excellent prognosis because they regress spontaneously within a few weeks and are not associated to any complications. However, if pain, bleeding or other symptoms occur, a surgical excision is required.Case presentationIn this paper, we present an anomalous case of symptomatic dental lamina cyst which affected a 60-day-old male Caucasian newborn. The surgical treatment was elective in this case and 6-month follow-ups were mandatory.ConclusionsWe can underline the successful predictability of the surgical approach; however, we consider that the treatment choice should take place in the light of medical history and clinical considerations, and always be evaluated on a case-by-case basis. Further studies and reviews in this field should be performed in order to suggest guidelines for clinicians, although these cases are rare.

Inborn or acquired changes in children under three years of age – a review of the literature

“…variable [4,93,95,98] 1 mm to 6 mm [98,[100][101][102][103][104] Correlation with gender not observed [14] higher incidence in males [22,27], or no correlation with gender [31] more common in females [33,38,50], or no correlation with gender [34,37,39,49,57] much higher incidence in females at ratio of 8:11 [66,67,73,82] no correlation with gender [4] no correlation with gender [4,93] female predisposition [105] or no correlation with gender [4,93] Localisation anterior sector of mandible [5][6][7]9,12] primary first maxillary molars in both jaws [11] ventral tongue surface [16,17,19,20,[22][23][24][25][26][27]<...…”

“…Dental lamina cyst (also termed Gingival Cyst of Newborn or Alveolar Cyst) manifest clinically as multiple rounds or/and solid small white or pink oval nodules. The lesions size ranges between 1 and 4 mm [98,[100][101][102][103][104], or according to Benni and Sirur [98] and Moda [104], even up to 6 mm diameter. They arise from remnants of the degenerating dental lamina (rests of Serres) and consist of the keratin-producing epithelial lining.…”

“…Microscopic evaluation has shown that the cystic lumen is lined with parakeratinized stratified squamous epithelium with flat basement membrane and low cuboidal cells with flat basement membrane [103]. Gingival cysts can be incorrectly diagnosed as a natal tooth, particularly if they are found in the newborn's mandibular anterior ridge [101].…”

“…The majority of these cysts degenerate and involute or rupture into the oral cavity within two weeks to five months of postnatal life, demonstrably study by Padovani et al [4] found the alveolar cysts only in the group of babies of 0-1-month-old. The diagnosis of this abnormality is based on clinical examination, characteristic appearance, and area [98,[100][101][102]104]. Some studies reported female predisposition [105], while others found no gender specificity [4,93].…”

Conociendo la cavidad oral del recién nacido

“…El tratamiento quirúrgico es obligatorio debido a la incapacidad del bebé se alimente adecuadamente. 35…”