Characteristics of bony changes and tooth displacement in the mandibular cystic lesion involving the impacted third molar

Lee, Jin-Hyeok; Kim, Sung-Min; Kim, Hak-Jin; Jeon, Kug Jin; Park, Kwang-Ho; Huh, Jong-Ki

doi:10.5125/jkaoms.2014.40.5.225

Cited by 11 publications

(12 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, in this study, more than half of OKCs presented bony expansion particularly at the posterior maxilla and ramus of the mandible and this is in consistent with a previous study [8]. In a study [11], OKC caused more displacement of impacted third molar in mesio-distal compared to ameloblastoma and DC. In this study, 30% of OKCs found to cause tooth displacement.…”

Section: Multiple Lessions Associated With Nevoid Basal Cell Carcinomsupporting

confidence: 92%

“…In this study, the age ranged from 10 to 87 years old similar to previous report [6]. The mean age recorded in our population was 31.5 years old, in consistent with previous studies [8,11]. The highest frequency of cases affected patients in the second and third decades in agreement with existing researches [7,12].…”

Section: Multiple Lessions Associated With Nevoid Basal Cell Carcinomsupporting

confidence: 92%

See 1 more Smart Citation

Radiographic Evaluation of Odontogenic Keratocyst: A 14-year Retrospective Study

Reduwan¹,

Kitisubkanchana²,

Damrongsri³

et al. 2018

Proceedings of the International Seminar on Public Health and Education 2018 (ISPHE 2018)

View full text Add to dashboard Cite

Odontogenic keratocyst is regarded as a relatively common developmental odontogenic lesion representing 12% to 14% of all odontogenic cyst of the jaw. The lesion is of important interest for its potentially destructive behaviour and relatively high recurrence rate from 21.1% to as high as 35.4% in patients associated with Nevoid basal cell carcinoma syndrome. This study aim to determine the radiographic characteristic of odontogenic keratocyst (OKC) using conventional radiographs and cone beam computed tomography images. Patients histopathologically diagnosed as OKC from 2003 to 2016 by Oral and Maxillofacial Pathology Department were retrospectively reviewed. Radiographs of these cases from the archives of the Department of Oral and Maxillofacial Radiology, Faculty of Dentistry Mahidol University were retrieved. Assessment of the location, shape, border, cortication, locularity, relationship of lesion to embedded tooth, displacement of adjacent tooth, root resorption and bony expansion of the lesion were conducted. Radiographs of 89 patients with the mean age of 31.5 years old were analysed. A total of 100 OKCs were studied. The most common location was at the ramus of mandible followed by posterior maxilla. Most cases presented as a well-defined unilocular radiolucency with smooth and corticated border. The lesions were in association with embedded tooth in 42 lesions. The lesions might relate to an embedded tooth by surrounding an entire tooth, attached to the CEJ level or extending to part of root. Bony expansion and teeth displacement could be found and root resorption were not common. These features facilitate in guiding the clinicians to formulate the differential diagnosis.

show abstract

Section: Multiple Lessions Associated With Nevoid Basal Cell Carcinomsupporting

confidence: 92%

Section: Multiple Lessions Associated With Nevoid Basal Cell Carcinomsupporting

confidence: 92%

Radiographic Evaluation of Odontogenic Keratocyst: A 14-year Retrospective Study

Reduwan¹,

Kitisubkanchana²,

Damrongsri³

et al. 2018

Proceedings of the International Seminar on Public Health and Education 2018 (ISPHE 2018)

View full text Add to dashboard Cite

show abstract

“…Dentigerous cysts are associated with unerupted tooth/teeth. Their presence may prevent associated teeth from eruption and their displacement in the jaw . Benn and Altini suggested that dentigerous cysts in paediatric population are of inflammatory origin while in mature teeth they are developmental in origin.…”

Section: Discussionmentioning

confidence: 99%

“…Enucleation of the dentigerous cyst & extraction of the associated permanent tooth/remove the pathological tissues and has shorter treatment period, but may lead to functional & aesthetic as well as possible psychological trauma to the child that result from tooth/teeth loss and necessitate extensive treatment later.…”

Section: Discussionmentioning

confidence: 99%

Conservation of permanent teeth involved in dentigerous cysts in mixed dentition: a series of cases

Rizq

Ashwah

2016

Oral Surgery

View full text Add to dashboard Cite

Purpose: To evaluate the effectiveness of marsupialization or decompression of dentigerous cysts involving the crowns of unerupted permanent teeth during the state of mixed dentition with observation of outcomes. Patients and methods: Six patients were included in this series. Two were females while the rest were males. They were operated under local anaesthesia except one who was operated under general anaesthesia. Results: All involved teeth erupted spontaneously without the need for orthodontic intervention in all but one patient, who required subsequent intervention. No adverse outcomes were recorded in our series. Clinical relevanceScientific rationale for study Children in mixed dentition age group with dentigerous cysts involving the crowns of unerupted permanent teeth are either managed radically via enucleation of the lesion with removal of the related permanent tooth/teeth, or can be managed conservatively via marsupialization of the cyst and decompression which allows the teeth to erupt with minimum problems. Principal findingsMarsupialization allows eruption of the teeth with minimum intervention and without the possible problems associated with radical treatment. Practical implicationsMarsupialization is relatively simple manoeuvre that can be done in the office in most of the cases with good results.

show abstract

“…According to the WHO histological classification of odontogenic tumours, about one-half of KCOTs originate at the angle of the mandible and more than 90% of UAs involve the mandibular posterior region. These cystic lesions are often associated with impacted mandibular third molars, some reports indicated that up to 80% of these lesions are associated with an unerupted mandibular third molar ( 2 , 3 ). The standard treatment for those lesions is enucleation and extraction of the involved teeth, but the treatment plan was difficult to work out for the huge cystic lesions with deeply impacted teeth.…”

Section: Introductionmentioning

confidence: 99%

Marsupialization facilitates movement of the cystic lesion-associated deeply impacted mandibular third molar in spite of its mature roots

Sun¹,

Cai²,

Wu³

et al. 2017

Med Oral

View full text Add to dashboard Cite

BackgroundThe odontogenic cystic lesions happened in the angle and ramus region are frequently associated with impacted mandibular third molars. The treatment plan was difficult to work out for the huge cystic lesions with deeply impacted third molars, since the enucleation with simultaneously removing the deeply impacted teeth may cause serious complications. Therefore, the marsupialization of the cystic lesions followed by enucleation with tooth removal has also been advocated. The aim of this study was to explore the movement of cystic lesion-associated deeply impacted mandibular third molars (IMTM) after marsupialization.Material and MethodsBetween July 2009 and December 2015, patients who had mandibular cystic lesion associated with IMTM and underwent marsupialization followed by enucleation with tooth extraction were included in our retrospective study. The clinical and pathological data was collected. The distance and direction of movement of the IMTM after marsupialization was measured on panoramic radiograph and computed tomography.ResultsFour male and six female patients whose ages ranged from 14 years to 67 years were enrolled in this study. Among the all impacted molars, there were 3 cases with mature roots. After marsupialization, all the cystic lesions shrunk and all impacted teeth moved toward the bony windows, and the distance of tooth movement were from 8.3mm to 12.1mm. The complications included swelling and pain, while no numbness of the ipsilateral lower lip was happened.ConclusionsMarsupialization can promote the movement of impacted teeth with or without mature roots, and may be an optimal treatment approach for the huge posterior mandibular cystic lesions with deeply impacted third molar. Key words:Mandibular cystic lesion, impacted third mandibular molar, marsupialization, mature root.

show abstract

Characteristics of bony changes and tooth displacement in the mandibular cystic lesion involving the impacted third molar

Cited by 11 publications

References 15 publications

Radiographic Evaluation of Odontogenic Keratocyst: A 14-year Retrospective Study

Radiographic Evaluation of Odontogenic Keratocyst: A 14-year Retrospective Study

Conservation of permanent teeth involved in dentigerous cysts in mixed dentition: a series of cases

Marsupialization facilitates movement of the cystic lesion-associated deeply impacted mandibular third molar in spite of its mature roots

Contact Info

Product

Resources

About