Marsupialization for huge cyst of the jaw: Report of two cases

Abstract

Two cases of marsupialization for huge cyst of the jaw are reported in this paper. Case 1 was 31-year-old man who was referred by a dental clinic for extensive radiolucent area in the mandible. Oral examination revealed slight bony expansion on the buccal side of the mandible. Panoramic roentgenogram revealed a well-defined monocystic radiolucent area from 6 to 6. Electrical vitality test revealed nonresponse for 6+6. The clinical diagnosis was suspected an ameloblastoma. Under local anesthesia, marsupialization was performed considering the extraction of 65|56 with severe mobility, and then partial cystic tissue was removed from the cavity. The histopathological diagnosis was considered primordial cyst and not tumor tissue. Roentgenogram revealed that the area appeared semiradiopaque 6 months later and radiopaque with regeneration of bone 16 months after the operation. Electrical vitality test was responded to 4|4. Case 2 was a 52-year-old man who first noticed a swelling of the right maxilla before 4 days. Oral examination revealed bony expansion on the buccal side of the maxilla. Panoramic roentgenogram revealed a well-defined monocystic radiolucent area from 51 to 16 containing 3 and supernumerary tooth. Electrical vitality test revealed no response for 5421|2345. The clinical diagnosis was suspected follicular cyst. Under local anesthesia, marsupialization was performed considering the extraction of 3 and 5421 with severe mobility, and then partial cystic tissue was removed from the cavity. The histopathological diagnosis was considered folicular cyst and not tumor tissue. Roentgenogram revealed that the area appeared semiradiopaque 3 months later and radiopaque with regeneration of bone 18 months after the operation. Electrical vitality test was responded to 45.No relapse occurred in either case after the operation.