Comparison of components of odontogenic cyst fl uids: A review

Prakash, Roopan; Shyamala, K.; Girish, H. C.; Murgod, Sanjay; Singh, Sneha; Rani, Poonam

doi:10.15713/ins.jmrps.51

Cited by 16 publications

(10 citation statements)

References 13 publications

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“…These and β) in radicular cyst is higher than other odontogenic cysts. 14 In most studies it is seen that the healing process of this lesion is dependent on the lesion size. 15 16 In most of the studies it is stated that treatment protocol depends on the size and extent of the lesion.…”

Section: Discussionmentioning

confidence: 98%

The Diagnostic Dilemma of a Large Infected Cyst in Anterior Maxilla- A Case Report

Handa¹,

Manna²,

Khan³

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Among all the odontogenic origin cyst, radicular cyst is the commonest. It is generally associated with nonvital tooth which have necrotizing pulp as it is an inflammatory cyst. Radicular cyst usually occurs in the periapical region of tooth. As a true cyst it consists of pathologic cavity which is lined by epithelium and commonly filled with fluid. Treatment option for the radicular cyst depends on the size, location and duration of the lesion which includes endodontic treatment, enucleation of the lesion, extraction of the offending tooth and marsupialization. In this case report, we are describing a case of infected radicular cyst in anterior maxillary region.

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Section: Discussionmentioning

confidence: 98%

The Diagnostic Dilemma of a Large Infected Cyst in Anterior Maxilla- A Case Report

Handa¹,

Manna²,

Khan³

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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“…Among the odontogenic cyst, we had cases of radicular cyst, OKC, and dentigerous cyst. Radicular cyst is an odontogenic cyst of inflammatory origin [11]. The cystic fluid is brown in color, odorless, and nonsticky.…”

Section: Discussionmentioning

confidence: 99%

“…OKC is a developmental odontogenic cyst having a high recurrence [11]. The cystic fluid is creamish with thick cheesy keratin.…”

Section: Discussionmentioning

confidence: 99%

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Cell Block and Its Impact in the Diagnosis of Jaw Lesions over Fine Needle Aspiration Cytology

et al. 2021

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Objectives: To determine the role and efficacy of fine needle aspiration cytology (FNAC) and cell block in diagnosis of jaw lesions and compare the agreement between FNAC and cell block to predict the diagnosis. Method: The sample comprised 51 cases, including 12 odontogenic keratocysts (OKCs), 8 ameloblastomas, 22 radicular cysts, 7 dentigerous cysts, and 1 each of intraosseous mucoepidermoid carcinoma (MEC) and adenomatoid odontogenic tumor (AOT). FNAC samples remaining after hematoxylin and eosin (H&E)-stained cytosmear diagnosis were centrifuged at 3,000 rpm for 10 min. The supernatant was discarded and sediment mixed with 2–3 mL alcohol and filtered. To this, 10% formalin was added, filtered, taken for routine processing, and stained with H&E. The result of FNAC smear and cell block was compared with histopathological diagnosis. Results: On cytological examination of the smears, 7 OKCs and 22 radicular cysts were diagnosed, whereas ameloblastomas, AOT, intraosseous MEC, and dentigerous cysts were not. This gave an agreement of 56.8% with the biopsy reports. Cell block sections stained with H&E of 12 OKCs, 22 radicular cysts, 1 MEC, and 3 cases of ameloblastoma offered a diagnosis in accordance with the biopsies giving an agreement of 74.5%, while dentigerous cyst and AOT failed to do so. In comparison with FNAC, additionally 5 cases of OKC and 1 of MEC could be detected, and in ameloblastoma, out of 8 cases, only 3 yielded a concordant diagnosis through the cell block technique. Conclusion: In comparison with FNAC, the architectural pattern and the morphology of the cells were better preserved by the cell block technique. This substantiates that cell block could be used as an ancillary technique to aid in definitive diagnosis of head and neck swellings.

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“…Aspiration and analysis of cystic content to identify amount of total protein (which is usually less than 4g/100 mL), albumin, pre-albumin, and detection of epithelial squames may be used as a reliable preoperative diagnosis of OKC [44][45][46]. However, for non-expansile lesions where aspiration is relatively di cult to perform, incisional biopsy through an open technique will provide adequate tissue sample to obtain a de nitive histologic diagnosis prior to undertaking treatment.…”

Section: Histopathologymentioning

confidence: 99%

An evidence based surgical algorithm for management of Odontogenic keratocyst

Oginni¹,

Alasseri²,

Ogundana³

et al. 2021

Preprint

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The effective management of odontogenic keratocyst (OKC) remains a subject of interest and confusion in the Oral and Maxillofacial surgery literature. Currently, there is a lack of consensus regarding the most appropriate treatment for patients with odontogenic keratocyst. Of the various treatment options available, no modality to date has been shown to demonstrate a zero-or near zero recurrence rates except wide resection with clear margins. With the prevailing dearth of evidence based surgical protocols for the management of patients with odontogenic keratocyst in the literature, this study aims to present a surgical algorithm, based on meta-analysis results, that hopefully will be beneficial in enhancing treatment of patients with this condition. Using parameters of; size, lesion type (primary or secondary), syndromic or solitary nature of the lesion, presence of cortical perforations, and locularity; we present a decision tree, to aid treatment planning and help attain the least chance of recurrence in the management of the odontogenic keratocyst.

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Comparison of components of odontogenic cyst fl uids: A review

Cited by 16 publications

References 13 publications

The Diagnostic Dilemma of a Large Infected Cyst in Anterior Maxilla- A Case Report

The Diagnostic Dilemma of a Large Infected Cyst in Anterior Maxilla- A Case Report

Cell Block and Its Impact in the Diagnosis of Jaw Lesions over Fine Needle Aspiration Cytology

An evidence based surgical algorithm for management of Odontogenic keratocyst

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