This report describes three unique cases of residual cyst (RC) which w
ere characterized by large legume implants. To determine whether these
represented a distinctive RC subset or if implanted materials have ge
neral importance in RC pathogenesis, a retrospective comparison of the
se cases and 37 further RCs with 40 control periapical cysts was perfo
rmed. The frequency of foreign material implantation and the associate
d histopathologic features were assessed. No significant differences w
ere noted suggesting that foreign implantations do not have an etiolog
ically significant association with RCs and that the legume-associated
RCs represent a unique subgroup. The relationship of the legume-assoc
iated RCs to the category of lesions variously termed giant cell hyali
ne angiopathy, oral pulse granuloma or hyaline ring granuloma is discu
ssed.