Active decompression and distraction sugosteogenesis for the treatment of calcifying odontogenic cyst

Moreno-Rodríguez, Pedro; Guerrero, Lidia M.; Gómez-Delgado, Andrés; Castro-Núñez, Jaime

doi:10.1007/s10006-020-00885-0

Cited by 9 publications

(13 citation statements)

References 16 publications

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“…They also highlighted that the patient's age is inversely proportional to the relative velocity of shrinkage. Additionally, contemporary methods including active decompression and distraction osteogenesis have been developed for the treatment of odontogenic cystic entities [52]. Active decompression and distraction osteogenesis involve the use of active negative pressure inside a cyst to increase the velocity of cystic lesion shrinkage and to stimulate the regeneration of bone [52].…”

Section: Conservative Surgical Approachmentioning

confidence: 99%

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Gabrić¹,

Bjelica²,

Sušić³

et al. 2023

Bone Tumours - A Comprehensive Review of Selected Topics

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Ameloblastoma is a benign odontogenic tumor of epithelial origin with locally aggressive behavior. It affects a broad age range of patients and it is most commonly found in the mandible, especially posterior area. The majority of ameloblastomas are conventional (multicystic), which are more difficult to eradicate than the unicystic or peripheral types. Although most of ameloblastoma cases can be treated predictably with radical surgical treatment, the management of recurrent and metastasizing ameloblastomas remains a major challenge. Surgical treatment is standard, but the extent of resection is controversial. Radical resection with segmental and marginal mandibulectomy or curettage and enucleation with better quality of life, but with higher recurrence rate. Besides the conventional surgical treatment, novel therapy options like neoadjuvant molecular targeted therapy and decompression in young patients could make a significant improvement in the management of the disease. The aim of this chapter was to determine the present and future concepts of treatment and discuss significant factors responsible for recurrence.

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Section: Conservative Surgical Approachmentioning

confidence: 99%

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Gabrić¹,

Bjelica²,

Sušić³

et al. 2023

Bone Tumours - A Comprehensive Review of Selected Topics

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“…Decompression and marsupialization are the major treatment options for odontogenic cysts. The efficacy of decompression has been widely demonstrated in odontogenic cystic conditions [ 1 , 2 ]. Although the terms marsupialization and decompression have been used interchangeably, they are based on different concepts.…”

Section: Introductionmentioning

confidence: 99%

“…Although the terms marsupialization and decompression have been used interchangeably, they are based on different concepts. Decompression effects can be classified as either passive (marsupialization and decompression) or active (negative pressure drainage) depending on the type of draining system used and the resulting induced negative pressure - low continuous, low intermittent, or high suction drainage [ 1 ]. Etymologically, the term marsupialization is derived from the Greek word marsupial meaning “pouch” [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…Marsupialization is conversion of the cyst into a pouch, typically through suturing of the lining to the oral mucosa, so that the epithelial lining is left in situ [ 4 ]. Decompression on the other hand is the use of any draining tube (rubber tube, saliva ejector, catheter, anesthetic tube) to maintain patency between the inner contents of the cyst and the exterior environment [ 1 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw

Sodnom-Ish

Seo

et al. 2021

BMC Musculoskelet Disord

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Background Osteomyelitis (OM) in the jaw is an inflammatory disease of osseous tissue that begins in the medullary space and progressively expands to the cortical portion of the bone, the Haversian system, the periosteum and the overlying soft tissue. Despite advances in dental and medical care, OM persists and is of important concern in modern medicine. Active negative pressure is known to prevent post-operative hematoma; decrease the number of bacterial pathogens, accumulation of toxins, and necrotic tissue; and promote osteogenesis and angiogenesis with the use of a draining tube such as the Jackson-Pratt (JP) or Hemovac. The purpose of this study was to assess the effectiveness of decompression for the treatment of OM in the jaw. Methods This retrospective study included a total of 130 patients, 55 patients with sclerosing OM and 75 patients with suppurative OM were included. The radiographic bone densities expressed as a grayscale values (GSVs), were measured using an easy digitalized panoramic analysis (EDPA) method, processed on the conditional inference tree, generated by the R program® 3.2.3 with a probability of 96.8%. Rectangle annotation analysis of INFINITT PACS® (INFINITT Healthcare, Seoul, Korea) of 50 mm2 was determined as the region of interest (ROI). Student’s t-test and ANOVA were used to determine significance (p < 0.05). Results Significant changes was observed between radiographic bone density in the sclerosing type with drain and without drain at the six-month and one-year follow-up (p < 0.05). Significant difference was demonstrated between the suppurative OM with drain and without drain groups at the one-year follow-up (p < 0.05). Conclusion The OM groups with drain exhibited more enhanced bone density compared to the groups without drain at the six-month and one-year follow-ups. The drain insertion for decompression is effective for the management of sclerosing and suppurative OM. It is recommended to implement it for the management of OM.

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“…[ 4 5 ] The reduction in the cystic cavity can be followed by panoramic radiography or volumetric tomography. [ 6 7 ]…”

Section: Introductionmentioning

confidence: 99%

Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

Tekin

Dereci

Saruhan

et al. 2021

Annals of Maxillofacial Surgery

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Introduction: To compare the treatment methods of enucleation and decompression with regards to reduction of the dimension of the cystic defect with the aid of a software program. Materials and Methods: Thirty patients with regular controls of 3, 6, and 12 months treated between January 1, 2013, and January 1, 2021, were selected and included in the study. Sixteen patients were treated with enucleation and 14 patients with decompression. All preoperative and control radiographic and clinical data were retrieved from the archives. The area measurement of cystic cavities was made on panoramic radiographs taken at preoperative (T0), 3-month (T1), 6-month (T2), and 12-month (T3) control periods with a software program. Intra-group and inter-group analyses were made to compare the reduction of cystic defects between two treatment methods. Results: The mean age of study patients was 45.2 ± 7.3. Eighteen of them were male and 12 of them were female. Statistically, a significant difference was not observed between decompression and enucleation groups at T0, T1, T2, and T3 control periods ( P > 0.05). There was a statistically significant difference in the defect dimensions between all control periods in both decompression and enucleation groups ( P < 0.05). Discussion: Decompression and enucleation of jaw cysts are both successful in reducing cystic cavities. However, there is no superiority between the two treatment modalities regarding the defect reduction at the 12-month control period.

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Active decompression and distraction sugosteogenesis for the treatment of calcifying odontogenic cyst

Cited by 9 publications

References 16 publications

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Perspective Chapter: Ameloblastoma – Present and Future Concepts of Managing

Decompressive effects of draining tube on suppurative and sclerosing osteomyelitis in the jaw

Two-Dimensional Change in the Cystic Defects after Decompression and Enucleation of Jaw Cysts - A Comparative Study

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