A Suitable Device for Cystic Lesions Close to the Tooth-Bearing Areas of the Jaws

Abstract

Different devices for decompression of cystic lesions of the jaw have been described in the literature. Although there are no rigorous rules for choosing a particular design or method, the choice depends on situational needs. Although minor, most techniques are associated with certain difficulties and complications, such as the need for long-term monitoring, inappropriate decompression tube size, soft tissue trauma, suture dehiscence, soft tissue invagination, dislodgement, and malpositioning of the tube into the lesion. These complications may have a negative impact on the level of treatment acceptance, especially when devices are used over long periods. The aim of this study was to present a new suitable device for cystic lesions close to tooth-bearing areas of the jaws.

Treatment of mandibular odontogenic keratocyst by decompression with a customized removable device: A case report and literature review

“…23 The authors stated that this technique is well tolerated but care should be taken not to damage the mucosa and gingiva. Costa et al 27 improved this technique and inserted an orthodontic stainless-steel wire with a ring on one end through the tube which is in the cyst cavity and secured it to the adjacent tooth by using a composite. The authors stated that this method is useful but can only be applied when there is a tooth adjacent to the cyst cavity.…”

A Review of the Odontogenic Keratocyst and Report of a Case

“…This provides insufficient stability in case of surgical wound dehiscence. Poor adjustment increases the likelihood of device-related complications [17]. This emphasizes the importance of carnoy's solution when used in conjunction with conservative procedures like enucleation [18].…”

Decompression of Mandibular Odontogenic Keratocyst Using A Custom Drain: A Technical Note

“…Decompression is a similar technique but uses a foreign object such as a nasal trumpet or surgical drain to prevent mucosal closure and allow irrigation by the patient [3]. Multiple devices have been utilized for the decompression of odontogenic cysts [13][14][15][16]. Unfortunately, they have been associated with the several negative outcomes: device malposition, dislodgement, soft tissue trauma, inappropriate sizing, soft tissue overgrowth, inability to clean the device, and suture dehiscence [14].…”

“…Multiple devices have been utilized for the decompression of odontogenic cysts [13][14][15][16]. Unfortunately, they have been associated with the several negative outcomes: device malposition, dislodgement, soft tissue trauma, inappropriate sizing, soft tissue overgrowth, inability to clean the device, and suture dehiscence [14]. This case report describes the successful use of a custom titanium drain (Biomet® Jacksonville, FL) for decompression of an OKC and subsequent definitive enucleation.…”