Analysis of Marsupialization of Mandibular Cysts in Improving the Healing of Related Bone Defects

Consolo, Ugo; Bellini, Pierantonio; Melini, Gian Marco; Ferri, Agnese; Lizio, Giuseppe

doi:10.1016/j.joms.2020.02.034

Cited by 18 publications

(28 citation statements)

References 38 publications

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“…[ 8 ] The total decrease in the volume of the cystic cavity is correlated with the duration of decompression. [ 12 13 ] Marker et al . [ 14 ] reported that at least 12 months is needed for a reduced rate of 50%–60% in cystic lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Volume reduction and changes in the bone quality during decompression procedures can be successfully monitored and predicted with a three-dimensional CT evaluation. [ 8 13 ] Shudou et al . [ 21 ] reported that the future shape of marsupialized odontogenic keratocysts can be predicted with significant accuracy with computerized tomography.…”

Section: Discussionmentioning

confidence: 99%

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Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

Tekin

Dereci

Saruhan

et al. 2021

Annals of Maxillofacial Surgery

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Introduction: To compare the treatment methods of enucleation and decompression with regards to reduction of the dimension of the cystic defect with the aid of a software program. Materials and Methods: Thirty patients with regular controls of 3, 6, and 12 months treated between January 1, 2013, and January 1, 2021, were selected and included in the study. Sixteen patients were treated with enucleation and 14 patients with decompression. All preoperative and control radiographic and clinical data were retrieved from the archives. The area measurement of cystic cavities was made on panoramic radiographs taken at preoperative (T0), 3-month (T1), 6-month (T2), and 12-month (T3) control periods with a software program. Intra-group and inter-group analyses were made to compare the reduction of cystic defects between two treatment methods. Results: The mean age of study patients was 45.2 ± 7.3. Eighteen of them were male and 12 of them were female. Statistically, a significant difference was not observed between decompression and enucleation groups at T0, T1, T2, and T3 control periods ( P > 0.05). There was a statistically significant difference in the defect dimensions between all control periods in both decompression and enucleation groups ( P < 0.05). Discussion: Decompression and enucleation of jaw cysts are both successful in reducing cystic cavities. However, there is no superiority between the two treatment modalities regarding the defect reduction at the 12-month control period.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

Tekin

Dereci

Saruhan

et al. 2021

Annals of Maxillofacial Surgery

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“…Consequently, the jaw bone starts to remodel over a long period of time, causing a reduction in cystic volume to the extent of permitting it to enucleate or to leave it to heal completely [2,12]. This article was previously presented as an abstract on the Authorea website (10.22541/au.165494343.36193429/v10).…”

Section: Introductionmentioning

confidence: 99%

Marsupialization of a Large Dentigerous Cyst in the Mandible: A Case Report

Mahfuri¹,

Darwich²,

Manadili³

2022

Cureus

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Dentigerous cysts (DCs) are one of the most common cysts in the oral and maxillofacial region, and they are often discovered by chance in young people. The methods of treatment differ according to the size they reach, but the prognosis and results of the treatment are generally good. DCs are often associated with impacted teeth, especially mandibular third molars and maxillary canines, and they are usually discovered when they reach large sizes or get infected after they have caused great absorption and destruction of the surrounding cortical bone and displacement in adjacent teeth. This case report expresses the importance of conservative treatment of large oral cysts (by marsupialization) in the preservation of jaw bones, in a young female child of 12 years, with a DC associated with an impacted second permanent lower molar. This cyst occupied nearly half of the mandible with the danger of causing more harm to the jaw. In brief, marsupialization is a very effective method of treatment for DCs, especially those that reach very large volumes.

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“…Since many lesions have similar radiologic features, differentiation based on radiological appearance alone is not possible; therefore, biopsy is required in addition to clinical examination for final diagnosis [2]. The type of cyst significantly influences therapy, but both complete enucleation of the cyst (cystectomy) and marsupialization to the oral cavity (cystostomy) require radiological follow-up in some cases over many years to assess the extent of the bony lesion or neo-ossification [3,4].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study

Husain

Döbelin

Giacomelli-Hiestand

et al. 2021

Sensors

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Background: This study aimed to analyze the diagnostic reliability of radiographic assessment of cystic lesions using a pre-set, manufacturer-specific, low-dose mode compared to a standard-dose dental cone-beam computed tomography (CBCT) imaging protocol. Methods: Forty pig mandible models were prepared with cystic lesions and underwent both CBCT protocols on an Orthophos SL Unit (Dentsply-Sirona, Bensheim, Germany). Qualitative and quantitative analysis of CBCT data was performed by twelve investigators independently in SIDEXIS 4 (Dentsply-Sirona) using a trial-specific digital examination software tool. Thereby, the effect of the two dose types on overall detectability rate, the visibility on a scale of 1 (very low) to 10 (very high) and the difference between measured radiographic and actual lesion size was assessed. Results: Low-dose CBCT imaging showed no significant differences considering detectability (78.8% vs. 81.6%) and visibility (9.16 vs. 9.19) of cystic lesions compared to the standard protocol. Both imaging protocols performed very similarly in lesion size assessment, with an apparent underestimation of the actual size. Conclusion: Low-dose protocols providing confidential diagnostic evaluation with an improved benefit–risk ratio according to the ALADA principle could become a promising alternative as a primary diagnostic tool as well as for radiological follow-up in the treatment of cystic lesions.

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Analysis of Marsupialization of Mandibular Cysts in Improving the Healing of Related Bone Defects

Cited by 18 publications

References 38 publications

Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

Marsupialization of a Large Dentigerous Cyst in the Mandible: A Case Report

Diagnostic Accuracy of Cystic Lesions Using a Pre-Programmed Low-Dose and Standard-Dose Dental Cone-Beam Computed Tomography Protocol: An Ex Vivo Comparison Study

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