The effect of decompression as treatment of the cysts in the jaws: retrospective analysis

Lee, Sun-Tae; Kim, Su-Gwan; Moon, Seong-Yong; Oh, Ji‐Su; You, Jun; Kim, Jae-Sung

doi:10.5125/jkaoms.2017.43.2.83

Cited by 26 publications

(23 citation statements)

References 15 publications

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“…up, corroborating with authors such as and Tucker et al (1972), Brøndum & Jensen (1991), Marker et al (1996), Johnson et al (2013) and Lee et al (2017).…”

Section: Clinical Case Reportsupporting

confidence: 87%

Removal of Odontogenic Keratocyst in Maxilla Through the Le Fort I Osteotomy

Brancher¹,

Cavalieri-Pereira²,

Pedroso-Oliveira³

et al. 2020

Int. J. Odontostomat.

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The odontogenic keratocyst is a lesion with specific clinical and histopathological aspects. The World Health Organization (WHO) in 2017 reclassified it from a tumor to a cyst. It is characterized as a cyst of epithelial development of the jaws, arising from the remains of the dental blade. It represents 3 % to 11 % of all odontogenic cysts and 7 to 11 % of cysts of the gnatic bones. It stands out for its aggressive nature and high relapsing potential. Most of the cases are diagnosed in individuals between 10 and 40 years old, with a mild preference for the masculine gender, occurring more in the mandible. Radiographically, it is radiolucent and well delimited, predominantly unilocular, and may cause displacement of adjacent teeth. The present study aims to report a clinical case of a female 25 years old patient, presenting an intra-osseous lesion in the maxilla (posterior, left side), asymptomatic, with a slight increase in intraoral buccal volume, containing the tooth 28, with a diagnostic hypothesis of Odontogenic Keratocyst. The patient was submitted to the surgical decompression treatment, with cystic fluid puncture, biopsy of the lesion and posterior anatomopathological examination. The enucleation of the tumor was performed using LeFort I osteotomy of maxilla and reconstruction with titanium mesh. There is radiographic evidence of bone repair and lesion reduction. The patient is in periodic follow-up of 4 years and does not present clinical and radiographic signs of relapse. Due to the aggressiveness of the odontogenic keratocyst, the relapse rate is high. The knowledge of the techniques recommended for the treatment of Odontogenic Keratocysts and the clinical and radiographic follow-up of the patient demonstrate a gradual decrease of the lumen of the lesion and suggest local bone neoformation, favoring the prognosis of the case.

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“…up, corroborating with authors such as and Tucker et al (1972), Brøndum & Jensen (1991), Marker et al (1996), Johnson et al (2013) and Lee et al (2017).…”

Section: Clinical Case Reportsupporting

confidence: 87%

Removal of Odontogenic Keratocyst in Maxilla Through the Le Fort I Osteotomy

Brancher¹,

Cavalieri-Pereira²,

Pedroso-Oliveira³

et al. 2020

Int. J. Odontostomat.

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show abstract

“…Considering that, in order to perform any analytic analysis on the implant itself, the overdenture should have been detached, the authors decided not to remove it and to perform the treatment protocol directly. Partsch I cystotomy or marsupialization consists of uniting the cyst lining to the oral mucosa whether with intraoral devices or simply with an iodine gauze inserted in the socket [27][28][29]. This method has fewer complications than Partsch II enucleation regarding the preservation of anatomical structures, but requires a prolonged treatment period and there is a possibility of leaving pathologic tissue in situ.…”

Section: Discussionmentioning

confidence: 99%

Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

et al. 2020

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The aim of this case report was to evaluate the use of Partsch I cystotomy in order to preserve a dental implant located in an odontogenic cyst extended from 3.2 to 4.4. A 50 year-old woman showed a circular, well-defined unilocular radiolucent area, Ø2.5 cm, in the right mandibular region with an oral implant intruding inside it. The overdenture in the mandibular right site showed no clinical mobility. The authors decided to perform a surgical treatment aimed to preserve the implant. The patient underwent Partsch I surgery followed by iodoform gauze insertion replaced weekly for one month, revision of the previous orthograde endodontic treatments, and an acrylic resin obturator prosthesis application for the following two months. The twelve month follow-up showed no clinical mobility of the right lateral mandibular implant prostheses. Radiographical analysis revealed cystic lesion healing and perimplant bone regeneration. This report highlights the opportunity to apply cystotomy when the cyst involves a dental implant and undermines its stability. This possibility is offered by the peculiar clinical scenario where the implant was stabilized by the presence of a previous prosthetic fixation. Our study led to the application of an operative protocol that allowed for the preservation of the implant.

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“…Since cystic decompression was introduced in the conservative treatment of odontogenic cysts, several cases of treatment with decompression have been encountered, and a high success rate has been reported in various studies [ 9 , 10 , 11 ]. Because decompression is a long-term treatment, it is important to determine the optimal timing for cyst enucleation [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Because decompression is a long-term treatment, it is important to determine the optimal timing for cyst enucleation [ 3 ]. There are no official criteria for decompression periods or size changes [ 11 ]. After the proper removal of a lesion, a surgeon would decide on the optimal enucleation timing [ 5 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis

Kwon

et al. 2020

Medicina

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Background and objectives: This study aimed to evaluate the effectiveness of decompression on jaw cysts according to various parameters by volumetric analysis using three-dimensional computed tomography. Materials and methods: Fifty patients who underwent surgical decompression of the jaw cystic lesion were selected, and their preoperative and postoperative computed tomography results between 3 and 27 months were collected. Volumetric analysis was performed to evaluate any differences in the rate of volumetric change according to the sex, age, initial volume of the lesion, duration, location of the lesion, tooth extraction, expansion of the cortical layer, and pathological diagnosis. Multiple linear regression and generalised linear mixed models were used for statistical analyses. Results: The mean reduction rate among all patients was 54.68%. Multiple linear regression analysis revealed that higher reduction rates were associated with a long decompression period, young patient age, and location of the cyst in the posterior maxilla. Generalised linear mixed models revealed that higher reduction rates were associated with a long decompression period and young patient age. Conclusions: Decompression was an effective treatment for reducing the cyst size in all patients. Its effectiveness increased with a long treatment duration, young patient age, and cyst location in the posterior maxilla three-dimensionally.

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The effect of decompression as treatment of the cysts in the jaws: retrospective analysis

Cited by 26 publications

References 15 publications

Removal of Odontogenic Keratocyst in Maxilla Through the Le Fort I Osteotomy

Removal of Odontogenic Keratocyst in Maxilla Through the Le Fort I Osteotomy

Salvage of Dental Implant Located in Mandibular Odontogenic Cyst. A Conservative Surgical Treatment Proposal

Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis

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