Reduction rate by decompression as a treatment of odontogenic cysts

  1. Luis Oliveros-Lopez 1
  2. Ana Fernández Olavarria 1
  3. Daniel Torres Lagares 2
  4. María Angeles Serrera Figallo 3
  5. Raquel Castillo de Oyagüe 4
  6. Juan J. Segura-Egea 5
  7. José Luis Gutiérrez Pérez 6
  1. 1 DDS. School of Dentistry. University of Seville
  2. 2 PhD, DDS, MSc (Oral Surgery). Professor of Oral Surgery. Department of Stomatology. University of Seville
  3. 3 PhD, DDS. School of Dentistry. University of Seville
  4. 4 DDS, PhD. School of Dentistry. University Complutense of Madrid
  5. 5 DMD, PhD. Professor of Conservative Dentistry. Chairman of Conservative Dentistry. Department of Stomatology. University of Seville
  6. 6 MD, DMD, PhD. Professor of Oral Surgery. Chairman of Oral Surgery. Department of Stomatology. University of Seville
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Revista:
Medicina oral, patología oral y cirugía bucal. Ed. inglesa

ISSN: 1698-6946

Año de publicación: 2017

Volumen: 22

Número: 5

Páginas: 18

Tipo: Artículo

DOI: 10.4317/MEDORAL.21916 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Medicina oral, patología oral y cirugía bucal. Ed. inglesa

Resumen

Odontogenic cysts are defined as those cysts that arise from odontogenic epithelium and occur in the tooth-bearing regions of the jaws. Cystectomy, marsupialization or decompression of odontogenic cyst are treatment approach to this pathology. The aim of this study was to evaluate the effectiveness of the decompression as the primary treatment of the cystic lesions of the jaws and them reduction rates involving different factors. 23 patients with odontogenic cysts of the jaws, previously diagnosed by anatomical histopathology (follicular cysts (7) and radicular cysts (16)) underwent decompression as an initial treatment. Clinical examination and pre and post panoramic radiograph were measured and analyzed. In addition, data as gender, age, time reduction and location of the lesion were collected. Significant results were obtained in relation to the location of lesions and the reduction rate (p<0.01). In a higher initial lesion, a greater reduction rate was observed (p<0.05). Decompression as an initial treatment of cystic lesions of the jaws was effective; it reduces the size of the lesions avoiding a possible damage to adjacent structures. Cystic lesions in the mandible, regardless of the area where they occur will have a higher reduction rate if it is compared with the maxilla. Similar behavior was identified in large lesions compared to smaller.

Referencias bibliográficas

  • Manor, E, Kachko, L, Puterman, MB, Szabo, G, Bodner, L. (2012). Cystic lesions of the jaws – a clinicopathological study of 322 cases and review of the literatura. Int J Med Sci. 9. 20
  • Pogrel, MA. (2013). The Keratocystic Odontogenic Tumor. Oral maxillofac Surg Clin North Am. 25. 21-30
  • Uchoa-Vasconcelos, AC, Filizola-de Oliveira, DJ, Roman-Martelli, SJ, Etges, A, Neutzling-Gomes, AP, Chaves-Tarquínio, SB. (2014). Demographic profile of oral nonodontogenic cysts in a Brazilian population. Med Oral Patol Oral Cir Bucal. 19. 308
  • Wakolbinger, R, Beck-Mannagetta, J. (2016). Long-term results after treatment of extensive odontogenic cysts of the jaws: a review. Clin Oral Investig. 20. 15-22
  • Vera-Sirera, B, Forner-Navarro, L, Vera-Sempere, F. (2015). Differential expression of cyclin D1 in keratin-producing odontogenic cysts. Med Oral Patol Oral Cir Bucal. 20. 59-65
  • Partsch, C. (1892). Über kieferzyzten. Dtsch Monatsschr Zahnheilkd. 10. 271-304
  • Partsch, C. (1910). Zur behandlung der kieferzysten. Dtsch Monatsschr Zahnheilkd. 28. 252-260
  • Goyal, S, Sharma, S, Kotru, M, Gupta, N. (2015). Role of FNAC in the diagnosis of intraosseous jaw lesions. Med Oral Patol Oral Cir Bucal. 20. 284
  • Shudou, H, Sasaki, M, Yamashiro, T, Tsunomachi, S, Takenoshita, Y, Kubota, Y. (2012). Marsupialisation for keratocystic odontogenic tumours in the mandible: longitudinal image analysis of tumour size using 3D visualised CT scans. Int J Oral Maxillofac Surg. 41. 290
  • Wushou, A, Zhao, Y, Shao, Z. (2014). Marsupialization is the optimal treatment approach for keratocystic odotogenic tumour. J Cranio Maxillofac Surg. 42. 1540-1544
  • Costa, FW, Carvalho, FS, Chaves, FN, Soares, EC. (2014). A suitable device for cystic lesions closet o the tooth-bearing áreas of the jaws. J Oral Maxillofacial Surg. 72. 96
  • Gao, L, Wang, XL, Li, SM, Liu, CY, Chen, C, Li, JW. (2014). Decompression as a treatment for odontogenic cystic lesions of the jaw. J Oral Maxillofacial Surg. 72. 327
  • Anavi, Y, Gal, G, Miron, H, Calderon, S, Allog, D. (2011). Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Sur Oral Med Oral Pathol Oral Radiol Endod. 112. 164
  • Lizio, G, Sterrantino, AF, Ragazzini, S, Marchetti, C. (2013). Volume reduction of cystic lesions after surgical decompression: A computerised three-dimensional computed tomographic evaluation. Clin Oral Investig. 17. 1701
  • Enislidis, G, Fock, N, Sulzbacher, I, Ewers, R. (2004). Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. Br J Oral Maxillofac Surg. 42. 546
  • Park, HS, Song, IS, Seo, BM, Lee, JH, Kim, MJ. (2014). The effectiveness of decompression for patients with dentigerous cysts, keratocystic odontogenic tumours and unicystic ameloblastoma. J Korean Assoc Oral Maxillofac Surg. 40. 260
  • Kubota, Y, Imajo, I, Itonaga, R, Takenoshita, Y. (2013). Effects of the patient's age and the size of the primary lesión on the speed of shrinkage after marsupialisation of keratocystic odontogenic tumours, dentigerous cysts, and radicular cysts. Br J Oral Maxillofac Surg. 51. 358
  • Asutay, F, Atalay, Y, Turamanlar, O, Horata, E, Burdurlu, MÇ. (2016). Three-Dimensional Volumetric assessment of the Effect of Decompression on Large Mandibular Odontogenic Cystic Lesions. J Oral Maxillofac Surg. 74. 1159
  • Song, IS, Park, HS, Seo, BM, Lee, JH, Kim, MJ. (2015). Effect of decompression on cystic lesions of the mandible: 3-dimensional volumetric analysis. Vr J Oral Maxillofac Surg. 53. 841
  • Rubio, ED, Mombrú, CM. (2015). Spontaneous Bone Healing after Cysts Enucleation without Bone Grafting Materials: A Randomized Clinical Study. Craniomaxillofac Trauma Reconstr. 8. 14-22
Fuente de los datos: Dialnet