The calcifying odontogenic cyst was identified as a pathological entity by Gorlin & his associates I 1962. This lesion is one of the rarest and most disputable cysts in the oral region. The calcifying odontogenic cyst has variable clinical and
radiological features. we review the previous literatures and report 2 cases of calcifying odontogenic cyst at Department of Oral and Maxillofacial surgery, Kyung-Hee University.
The 1st case was as follows. The patient was 22 year old female. The past dental history revealed extraction of prolonged retained #73 tooth about 15days ago. she complained a painful swelling on the lower anterior teeth area. There were chin and
vestibular swelling on the lower anterior teeth area, tenderness and missing of #33 tooth. The radiograph revealed well-demarcated unilocular radiolucency containing radiopaque calcific flecks around impacted #33 tooth. The clinical diagnosis was
COC,
so surgical enucleation was done. there was no recurrence and COC was confirmed by pathologist.
The second case was as follows. The patient was 72 year old male. The past history revealed inactive tuberculosis, bronchial asthma and denture construction. The chief complaint was rapidly growing mass on the lower left anterior edentulous ared.
The
clinical findings were chin swelling, protruding mass with surface ulceration, flucturation and a few bloody fluid in aspiration. The radiography revealed welldemarcated radiolucency mimiking the residual cyst. The biopsy result was COC. the
surgical
excision was done, but the lesion was recurred 10 months later. The treatment was surgical excision with aggressive peripheral bone grinding and FTSG form groin area. There was no problem during the postoperative period.
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