A case of glandular odontogenic cyst in the mandible treated with the dredging method

Abstract

Glandular odontogenic cyst (GOC) is a rare odontogenic cyst derived from the odontogenic epithelium. GOC shows unpredictable and potentially aggressive behavior. Although enucleation and curettage are applied in most cases, the recurrence rate remains relatively high. Because a standard care procedure for GOC has not been established, we propose a new treatment procedure for GOC. In this case report, we describe a 62-year-old Japanese woman who suffered from GOC arising at the anterior region of her mandible and who was treated using the dredging method. She underwent enucleation and curettage twice using the dredging method with preservation of the teeth, which were involved with the lesion, but the lesion recurred 2 years later. In addition to enucleation and curettage, apicoectomy of the teeth was performed with a third dredging method procedure, and prognosis has been good with no recurrence for 18 months since the last treatment.

Glandular odontogenic cyst: An updated analysis of 169 cases reported in the literature

“…There was information about recurrence for 97 lesions, of which 21 (21.6%) recurred (four curettages, 16 enucleations, and one marginal resection). Two of the enucleated cases were previously submitted to marsupialization (Cano et al., ; Motooka, Ohba, Uehara, Fujita, & Asahina, ), both with no recurrences, and were here considered under the category “enucleation.” Five cases were previously submitted to Carnoy's solution (Bhat, Shetty, Adyanthaya, & Adyanthaya, ; Qin, Li, Chen, & Long, ) before curettage or enucleation, all with no recurrences, and were here considered under the categories “curettage” or “enucleation.” Three cases were submitted to peripheral osteotomy (Lee et al., ; Lin et al., ; Reyes, Pérez, Taylor, & Castillo, ) after enucleation, one case with no recurrence and the other two cases with no follow‐up information. The interval from initial treatment to the recurrence ranged from 6 to 96 months, with a mean±SD interval of 62.3 ± 34.5 months.…”

Glandular odontogenic cyst—a review of characteristic features, treatment, and recurrence

“…Bhatt (31) presented a case report and proposed marsupialization as a treatment modality. Two other cases by Cano et al (32) and Motooka et al (33) were treated with marsupialization as a first stage surgery and later enucleated. Both showed no recurrences.…”

Microcirculation changes in the area of restoration of osseous defects of jaws using polymeric fibrous matrix

“…However, the results of an examination indicate that only cystectomy procedures (exclusion of a defect with primary wound closure) are characterized by the lowest risk of associated complications. At the same time, the authors point out only a small number of researches that were devoted to the direct comparison of the results of cystectomy without and with the subsequent fulfillment of the existing bone defect by bone substitutes of different origin [5][6][7] .…”