Effectiveness of marsupialisation and decompression on the reduction of cystic jaw lesions: a systematic review

Berretta, Letícia Machado; Melo, Gilberto; Mello, Fernanda Weber; Lizio, Giuseppe

doi:10.1016/j.bjoms.2021.03.004

Cited by 23 publications

(17 citation statements)

References 60 publications

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“…Since it presents as a larger bone lesion than normal teeth extraction sockets and bone quality and quantity in teeth missing area can significantly impact dental implant failure rates. 2 Jaw cysts are one of the most common diseases occurring in the oral and maxillofacial area, 3 and often cause destructive bone lesions followed by specific clinical features, such as located pain, swelling and loosen teeth. 4,5 Over the years, enucleation of jaw bone cysts has been the standard method of management of jaw cysts because its conservational protocol to remove the lesion thoroughly and reserve important structures and functions.…”

Section: Introductionmentioning

confidence: 99%

Radiographic bone volume alteration after jaw cyst enucleation with or without simultaneous bone grafts: A prospective randomized study

Shi

Zhou

Liu

et al. 2022

Clin Implant Dent Rel Res

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Objective: This study was aimed to evaluate bone healing after jaw cyst enucleation with or without bone substitutes by cone beam computed tomography, and to analyze potential influence factors for bone formation as well.Materials and Methods: Sixty seven jaw cyst patients were randomly assigned to two groups. Thirty three patients in control group accepted cystectomy without any filling material. The rest 34 bone cavities which filled with xenograft (DBBM, Bio-Oss ® ) and covered by absorbable membrane (Bio-Gide ® ) were included in the guided bone regeneration (GBR) group. All patients were examined with cone bean computerized tomography before operation, 3 and 6 months after surgery. Linear regression analysis was applied to evaluate the influence factors of bone healing.Results: There was no significant difference in bone formation rate at 3 months after enucleation, with shrinkage rate (SR) of cystic lesion in control group and GBR group of 26.43 ± 14.98% and 20.78 ± 10.80%, respectively (p > 0.05). Larger shrinkage area in GBR group was detected on postoperative radiographs after 6 months with SR of 60.11 ± 19.23%, when compared to those in patients without filling (6 months SR: 48.63 ± 19.39%, p = 0.018, <0.05). Linear regression analysis showed that cyst size was negatively correlated with bone formation. Conclusion:GBR with bovine xenograft and absorbable membrane showed considerable bone regeneration property in the healing of jaw cystic defects after enucleation of radicular cysts. Cyst size showed a suppressive influence on bone formation.

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Section: Introductionmentioning

confidence: 99%

Radiographic bone volume alteration after jaw cyst enucleation with or without simultaneous bone grafts: A prospective randomized study

Shi

Zhou

Liu

et al. 2022

Clin Implant Dent Rel Res

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“…Decompression is a valuable method most commonly used to preoperatively reduce the size of cysts [50]. The size of the lesion is expected to be reduced by inserting a rubber tube or a stent through a previously created hole in the overlying bone and mucosa [51].…”

Section: Conservative Surgical Approachmentioning

confidence: 99%

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Gabrić¹,

Bjelica²,

Sušić³

et al. 2023

Bone Tumours - A Comprehensive Review of Selected Topics

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Ameloblastoma is a benign odontogenic tumor of epithelial origin with locally aggressive behavior. It affects a broad age range of patients and it is most commonly found in the mandible, especially posterior area. The majority of ameloblastomas are conventional (multicystic), which are more difficult to eradicate than the unicystic or peripheral types. Although most of ameloblastoma cases can be treated predictably with radical surgical treatment, the management of recurrent and metastasizing ameloblastomas remains a major challenge. Surgical treatment is standard, but the extent of resection is controversial. Radical resection with segmental and marginal mandibulectomy or curettage and enucleation with better quality of life, but with higher recurrence rate. Besides the conventional surgical treatment, novel therapy options like neoadjuvant molecular targeted therapy and decompression in young patients could make a significant improvement in the management of the disease. The aim of this chapter was to determine the present and future concepts of treatment and discuss significant factors responsible for recurrence.

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“…After diagnosis, the treatment procedure will be carried out depending on the expansion size of the cyst. The main treatment modalities include enucleation of the cyst plus extraction of the involved teeth and marsupialization [ 4 ]. Although the prognosis is good, both approaches have disadvantages.…”

Section: Introductionmentioning

confidence: 99%

Using autogenous tooth sticky bone graft repair mandibular third molar dentigerous cyst osseous defects

Wushou,

Luo,

Cheng

et al. 2024

BMC Oral Health

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Background Dentigerous cyst are most common odontogenic cyst and they frequently occur at the mandibular third molar. Their asymptomatic long medical history always resulted in severe bone resorption at the distal aspect of the adjacent second molar. BonMaker® ATB demonstrate an excellent autogenous bone graft candidacy. The aim of this study is to share a single team’s experience of dentigerous cyst osseous defect repairing by applying autogenous tooth sticky bone graft. Method In total, 18 patients with dentigerous cyst, which was arised from mandibular third molar unilaterally, were enrolled in this study. Enucleation of dentigerous cyst was performed extracting with involving teeth under general anesthesia. Autogenous tooth sticky bone graft was prepared using extracted tooth and autogenous fibrin glue. Subsequently, grafting was performed above covering with concentrate growth factors. Patients were followed up at sixth months. Results They were eleven male and seven female patients. Their ages ranged from 20 to 40 years, with a mean of 31 years. Primary wound healing of all sites was achieved in all the patients. Sixth months postoperative radiographic assessment show that dentigerous cysts osseous defects of seventeen patients were good bone filling and ossification. One patient occurred slight bone resorption at the distal aspect of the adjacent second molar. Conclusion Within the limitation of sample size and retrospective nature of the present study, autogenous tooth sticky bone graft demonstrates one of the best alternative alveolar bones repairing graft.

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Effectiveness of marsupialisation and decompression on the reduction of cystic jaw lesions: a systematic review

Cited by 23 publications

References 60 publications

Radiographic bone volume alteration after jaw cyst enucleation with or without simultaneous bone grafts: A prospective randomized study

Radiographic bone volume alteration after jaw cyst enucleation with or without simultaneous bone grafts: A prospective randomized study

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Using autogenous tooth sticky bone graft repair mandibular third molar dentigerous cyst osseous defects

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