Conservative or radical treatment of keratocysts: a retrospective review

Management of extensive dentigerous cysts

“…[1][2][3][4] This treatment has however, classically consisted of cyst enucleation and extraction of the tooth or teeth embedded in it, or impacted by it. [1][2][3][4][5][6][7][8][9][10][11][12] This treatment option although favourable in cases involving a single impaction such as a useless wisdom tooth in an adult, will however in extensive cysts, lead to a loss of several teeth. When the teeth involved with the cyst are extracted (especially in children), functional, cosmetic, and psychological consequences may follow.…”

“…They are always radiolucent and usually unilocular, although large lesions occasionally show a scalloping multilocular pattern. [3][4][5][6] Third molars followed by maxillary canines (the most commonly impacted teeth) and occasionally supernumerary teeth or odontomas are involved in cyst formation. Their pathogenesis remains unknown.…”

Treatment Of Mandibular Large Calcifying Odontogenic Cyst Without Grafting: A Case Report

“…Dammer et al [5] preferred simple excision in small COC and radical excision reaching as far as normal tissue in large COC. Similarly, we performed excision and touring without destroying the entirety of the cystic wall both mucosal and to the boundaries of undamaged bone.…”

“…Recurrence rates can be as high as 62%. [5] Vedtofte et al [6] found in their study that the dental lamina accompanied the cyst membrane and the debris between the mucosa surrounding it. It was also reported that COC is generally associated with the surrounding soft tissue.…”

Odontogenic cysts – an overview

“…Management of these lesions is no longer enucleation with currettage but en-block resection, including the surrounding bone if the lesion is small enough to leave a rim of supporting bone. If the lesion is large, then bone resection and reconstruction with a composite free graft is required 22 ( Figure 11).…”