The Oral Grommet

Rehman, Khaleeq-Ur; Opie, Neil; Parmar, S.; Jeynes, P.

doi:10.1016/j.bjoms.2008.03.024

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…The aim is to decrease intracystic pressure by constant drainage, so allowing new centripetal bone growth from the bony cyst walls (6). The cyst opening can be preserved with simple iodoform gauze packing, a custom-made obturator, bracket and chain on involved impacted teeth, and drains (7,8).…”

Section: Introductionmentioning

confidence: 99%

The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study

Marin¹,

Kirnbauer²,

Rugani³

et al. 2018

Med Oral

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BackgroundDecompression is an approved alternative to cystectomy in the treatment of jaw cysts. This study aimed to evaluate its effectiveness as an initial procedure, as well as factors with potential to influence outcome.Material and MethodsThe frequency of decompression was analysed, whether completed in one session or followed by enucleation at the Division of Oral Surgery and Orthodontics, Department of Dental Medicine and Oral Health, Medical University of Graz, from 2005 to 2015. Further analysis focussed on factors potentially influencing outcome: cyst location, histopathology, means of preserving the cyst opening, cyst size, patient age.ResultsIn all, 53 patients with 55 jaw cysts (mean age of 35.1) were treated by initial decompression in the ten-year period. In the majority of cases, histopathological analysis revealed a follicular cyst (43.6%), followed by odontogenic keratocysts (23.7%), radicular cysts (21.8%), residual cysts (7.3%) and nasopalatine cysts (3.6%) Treatment was completed with a single decompression in 45.5% of the cases. Among those, 72.0% were follicular cysts and 8.0% odontogenic keratocysts. Subsequent enucleation was needed in 54.5% of all cases, with a majority in the keratocystic group (36.7%). Histological findings, means of keeping the cyst open, and patient age were found to influence the effectiveness of decompression.ConclusionsDecompression could be performed as a procedure completed in one session or combined with subsequent enucleation, mainly dependent on histopathological findings. Subsequent enucleation of odontogenic keratocysts is highly recommended. Key words:Jaw cysts, decompression, enucleation, histopathology, obturator.

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Section: Introductionmentioning

confidence: 99%

The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study

Marin¹,

Kirnbauer²,

Rugani³

et al. 2018

Med Oral

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“…The insertion of a decompression stent/drainage tube is required so that continuity between the cystic lumen and the oral cavity is maintained 5,6 . Such continuity establishes free draining of cystic contents and equalisation of the intra‐ and extracystic pressures 7 .…”

Section: Introductionmentioning

confidence: 99%

Decompression of large cystic lesions of the jaw: a case series

Sammut¹,

Morrison²,

Malden³

2011

Oral Surgery

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Aim: To present a series of clinical cases of large odontogenic cysts of the jaw treated with surgical decompression and insertion of a drainage stent. Materials and methods: Fourteen patients with jaw cysts of odontogenic origin were followed up from time of presentation until there was clinical and radiographic resolution of the cystic lesion. The cysts were all treated with surgical decompression and insertion of a stent. Results: In all cases, there was radiographic evidence of bony infill and complete resolution of the radiolucent area. In those cysts associated with an unerupted tooth, there was also evidence of spontaneous eruption. None of the patients suffered any serious post‐operative consequences. Conclusions: Decompression is a viable alternative to more aggressive techniques in the management of large cysts of the jaw. There is minimal post‐operative morbidity, and the technique may reduce the need for general anaesthesia.

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“…Its advantages are mainly in that it can save operation time, avoid damage to important tissues and structures around the ISSN 2706-6819 Vol. [10]. However, due to the long treatment cycle and strong patient compliance with this technique, a small number of potentially malignant cystic epithelial residues may cause disease recurrence, and the rate of cyst volume shrinkage during fenestration is not constant.…”

Section: Conservative Treatmentmentioning

confidence: 99%

Research progress in the treatment of odontogenic jaw cysts

2022

IJFM

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Odontogenic jaw cysts are clinically common benign lesions of the jaw. Traditional treatment modalities mainly include root canal therapy (RCT), marsupialization, cyst fenestration and drainage, scaling and partial jaw resection. Because of its different indications and advantages and disadvantages, there is still a need for improvement in traditional treatment modalities. Recently, the improvement of fenestration drainage, the combination of platelet-rich concentrates and bone filling materials, and the resection of odontogenic jaw cysts with deep location and difficulty in exploration under minimally invasive assisted techniques provide some reference for the treatment of jaw cystic lesions. This article reviews the various treatment methods and advantages and disadvantages of odontogenic jaw cysts in recent years.

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The Oral Grommet

Cited by 7 publications

References 2 publications

The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study

The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study

Decompression of large cystic lesions of the jaw: a case series

Research progress in the treatment of odontogenic jaw cysts

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