Long-term results after treatment of extensive odontogenic cysts of the jaws: a review

Wakolbinger, Robert; Beck-Mannagetta, J.

doi:10.1007/s00784-015-1552-y

Cited by 46 publications

(54 citation statements)

References 26 publications

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“…A wide range of studies has reported the different indications for immediate cystectomy and cystostomy, as well as their respective advantages and disadvantages [3,7,19,20]. Data on bone healing after surgery and the shrinkage behaviour of bone lesions after a cystostomy is, however, still limited [12,[21][22][23]].…”

Section: Discussionmentioning

confidence: 99%

“…Various therapies for treating cysts of the jaws were described more than a hundred years ago by Partsch et al, and they are still used today, with only minor modifications [3][4][5]. The two most common treatments are primary enucleation and mucosal closure of the defect called Bcystectomy^ [6,7] or decompression therapy called Bcystostomy^ [8,9] using obturators, decompression tubes, cannulated screws, or the marsupialization of the cyst followed by a secondary enucleation.…”

Section: Introductionmentioning

confidence: 99%

“…The most suitable treatment should be chosen based on the size of the cyst and its proximity to the inferior alveolar nerve and teeth. A review done by Wakolbinger et al [3] in 2015 shows that cysts with a diameter of up to 1.5 cm can safely be enucleated immediately. Primary enucleation of larger cysts, however, can pose an increased risk of damage to the inferior alveolar nerve and to the teeth resulting in sensory deficits, the devitalization of teeth or in bone fractures [10].…”

Section: Introductionmentioning

confidence: 99%

“…Despite the ubiquity of jaw cysts in clinical practice, the numerous retrospective analyses that have been done lack long-term follow-ups in postoperative bone healing [3,7,14].…”

Section: Introductionmentioning

confidence: 99%

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Calculation of postoperative bone healing of cystic lesions of the jaw—a retrospective study

et al. 2019

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Objectives There is a long history of studies into cystic lesions of the jaws. However, there is little data on postoperative bone regeneration. The aim of the study was to calculate the size of the residual bone lesions after cystostomies and cystectomies to predict the postoperative bone healing. Material and methods This retrospective study focused on patients undergoing cystectomy (n = 114) or cystostomy (n = 86), who were treated for cystic lesions between 2010 and 2015. New formulas were developed to measure the decrease in lesion sizes using the craniocaudal and mesiodistal diameters from preoperative as well as postoperative radiographs (panoramic radiographs, CT scans, CBCT). With these predictive models (calculated by linear regression analyses), it is possible to calculate how the lesions would shrink using initial size of the cyst and time after surgery for both dimensions. Results After cystostomy, the mesiodistal size was initial size 6.0 + 0.7 × initial size − 9.4 × time. The craniocaudal size was 5.1 + 0.7 × initial size − 7.3 × time. After cystectomy, the mesiodistal size was 0.4 + 0.7 × initial size − 8.4 × time. The craniocaudal size was 0.4 + 0.5 × initial size − 6.4 × time (R 2 = 0.59 and 0.67, respectively). Conclusion These formulas are suggested to be used to calculate residual size of bone lesion after cystostomy and cystectomy to predict postoperative bone healing. Clinical relevance The formulas are based on deliberately simple measurement using only panoramic radiographs to encourage their application in daily clinical practice.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Despite the ubiquity of jaw cysts in clinical practice, the numerous retrospective analyses that have been done lack long-term follow-ups in postoperative bone healing [3,7,14].…”

Section: Introductionmentioning

confidence: 99%

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Calculation of postoperative bone healing of cystic lesions of the jaw—a retrospective study

et al. 2019

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“…The treatment of cyst with marsupialization was firstly described by Partsch towards the end of the 19th century (16). In many parts of the world, marsupialization is still defined as the Partsch I procedure.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Radicular and Dentigerous Cysts With Marsupialization: A Retrospective Study

Altan¹,

Damlar²,

Kılıç³

2018

J Int Dent Sci

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Aim:The most common odontogenic cysts of the jaws are the radicular cyst and dentigerous cyst. The treatment of cystic lesions depends on cyst's location, size and the proximity to the anatomical structure such as maxillary sinus, mandibular canal, nasal cavity. The aim of this study was to analyze clinic and radiologic features of jaw cysts that treated with marsupialization. Material and Method:In this retrospective study, cysts in large size that were located in the maxilla and mandible were decided to treat with marsupialization in order to avoid damage to adjacent anatomical structures. Patients were followed with routine clinical and radiological examinations. Patient data and clinical-radiological features of odontogenic cysts were analyzed.Results: 11 patients (5 females and 6 males) were included in the study. 7 of lesions in this patients were radicular cyst (63.4%) and 4 of them were dentigerous cyst (36.6%). Mandible was found to be the most affected jaw. The follow-up period varied between 8-40 months. Conclusion:Marsupialization is an effective treatment method in the treatment of cysts in large sizes with a low complication rate.

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Effectiveness of marsupialization on the reduction of cystic jaw lesions in children: A scoping review

Tran,

Ngoc,

Linh

et al. 2024

Oral Science International

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This study aimed to review and critically appraise the available literature concerning marsupialization's effectiveness in reducing cystic jaw lesions in children. The study conducted a search strategy that involved combining the following keywords: (1) children, (2) marsupialization, (3) jaw, and (4) cyst. An electronic search on four critical databases—PubMed, The Cochrane Library, Science Direct, and ResearchGate—to review English‐language articles with no limitations in terms of time, sample size, or type of study design has been conducted. Based on the inclusion and exclusion criteria applied to the preliminary search, 46 studies were included in the final review. Among the 194 identified lesions, the majority were dentigerous cysts (93.8%), followed by radicular cysts (2.6%), odontogenic keratocysts (1.6%), juvenile paradental cysts (1%), and calcifying odontogenic cysts (1%). Postoperatively, permanent teeth involved in the cysts were reported to develop continuously in 40 studies, whereas bone neo‐formation after removal of cystic lesions was reported in 30 studies. Only one study reported postoperative recurrence. The complete healing time of the cysts after marsupialization ranged from 6 months to 5 years. Marsupialization was mainly considered a definite treatment. Because of the long follow‐up period, the cooperation of the patient and family plays an essential role in the success of treatment.

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Long-term results after treatment of extensive odontogenic cysts of the jaws: a review

Cited by 46 publications

References 26 publications

Calculation of postoperative bone healing of cystic lesions of the jaw—a retrospective study

Calculation of postoperative bone healing of cystic lesions of the jaw—a retrospective study

Treatment of Radicular and Dentigerous Cysts With Marsupialization: A Retrospective Study

Effectiveness of marsupialization on the reduction of cystic jaw lesions in children: A scoping review

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