Cysts of the oral & maxilofacial regions

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Cysts of the Oral and Maxillofacial Regions
Fourth edition

Mervyn Shear BDS, MDS, DSc (Dent), HDipDent, FRCPath,
FRSSAf, LLD (hc), DChD (hc), Hon FCD (CMSA), Hon FCPath (CMSA) Professor Emeritus, University of the Witwatersrand, Johannesburg


Paul Speight BDS, PhD, FDRCPS (Glasg), FDSRCS (Eng),
FDSRCS (Edin), FRCPath Professor of Oral Pathology, University of Sheffield

© Shear& Speight 1976, 1983, 1992, 2007 Editorial offices: Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Tel: +44 (0)1865 776868 Blackwell Publishing Professional, 2121 State Avenue, Ames, Iowa 50014–8300, USA Tel: +1 515 292 0140 Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia Tel: +61 (0)3 8359 1011 The right of the Author to be identified asthe Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the priorpermission of the publisher. ISBN: 978-14051-4937-2 First edition published as Cysts of the Oral Regions by Butterworth-Heinemann 1976 Second edition 1983 Third edition 1992 Fourth edition, with amended title, published 2007 by Blackwell Munksgaard Library of Congress Cataloging-in-Publication Data Shear, Mervyn. Cysts of the oral and maxillofacial regions / Mervyn Shear and Paul Speight. – 4thed. p. ; cm. Rev. ed. of: Cysts of the oral regions / Mervyn Shear. 3rd ed. 1992. Includes bibliographical references and index. ISBN-13: 978-1-4051-4937-2 (hardback : alk. paper) 1. Mouth–Cysts. 2. Jaws–Cysts. 3. Odontogenic cysts. I. Speight, P. M. (Paul M.) II. Shear, Mervyn. Cysts of the oral regions. III. Title. [DNLM: 1. Cysts. 2. Mouth Diseases. 3. Facial Bones–physio-pathology. WU 280 S539c2007] RC815.S46 2007 617.5′22–dc22 2006033265 A catalogue record for this title is available from the British Library Set in 9.5 on 12pt Sabon by SNP Best-set Typesetter Ltd., Hong Kong Printed and bound in Singapore by Markono Print Media Pte Ltd The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulpprocessed using acid-free and elementary chlorinefree practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards. For further information on Blackwell Munksgaard, visit our website:

This book is dedicated to the memory of Dr Robert J. (Bob) Gorlin ‘Felix qui potuit rerumcognoscere causas’ Vergil, Georgics II, 490


Foreword Preface to the fourth edition Preface to the third edition Preface to the second edition Preface to the first edition Acknowledgements

vi vii viii viii ix x

1 Classification and frequency of cysts of the oral and maxillofacial tissues 2 Gingival cyst and midpalatal raphé cyst of infants 3 Odontogenic keratocyst 4 Dentigerous cyst5 Eruption cyst 6 Gingival cyst of adults, lateral periodontal cyst, botryoid odontogenic cyst

1 3 6 59 76 79

7 Glandular odontogenic cyst (sialo-odontogenic cyst) 8 Calcifying odontogenic cyst (calcifying cystic odontogenic tumour) 9 Nasopalatine duct (incisive canal) cyst 10 Nasolabial (nasoalveolar) cyst 11 Radicular cyst and residual cyst 12 Inflammatory paradental cysts 13 Aneurysmalbone cyst 14 Solitary bone cyst 15 Cysts associated with the maxillary antrum 16 Cysts of the salivary glands 17 Developmental cysts of the head and neck 18 Parasitic cysts References Index

94 100 108 119 123 143 150 156 162 171 181 192 196 223



Cysts of the jaws and maxillofacial regions are not new lesions. There is evidence of cystic lesions in the jaws of humans and other...
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