Adult gingival cyst

Gingival cyst

Gingival cyst is a benign odontogenic cyst that occurs primarily in middle aged adults. There is a gingival cyst of a newborn that is basically the same lesion but occurs in a different area and obviously on a different age group. The cyst most commonly occurs in the mandible in the canine and premolar areas and the cyst is on the labial side of the mandible. It looks like a swelling in the attached gingiva or interdental papilla. It is a fairly rare cyst or at least it is rarely sent for biopsy.

Gingival cyst treatment

Treatment consists of surgical removal. Traditional scalpel removal or better yet laser removal of the cyst is the recommendation. Laser obliteration can leave nothing left for biopsy if that is a concern. This is what the photo below shows. The laser opens into a cavernous lesion and once the tissue is gone there is nothing left to biopsy.

2 week healing of gingival cyst unfortunately I can not locate my pre photo

Gingival cyst removal dental code

For dental professionals removing a gingival cyst the following ADA dental codes are what you use. To find a fair fee for this procedure in your area use the fair health consumer website.

D7450 Removal of benign odontogenic cyst or tumor, lesion diameter up to 1.25 cm

D7451 Removal of benign odontogenic cyst or tumor, lesion diameter greater than 1.25 cm

Dentists treating these cysts need to know that these lesions are essentially empty inside. The healing should be uneventful. A soft tissue laser is the cleanest tool you can use to remove one of these cysts. A scalpel results in too much unnecessary trauma, although you may be able to make an incision and enucleate the cyst, which would be very clean as well.

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