Spontaneous Bone Regeneration After Enucleation of Large Jaw Cysts: A Digital Radiographic Analysis of 44 Consecutive Cases

Chacko, Rabin; Kumar, Saurabh; Paul, Arun; Arvind, .

doi:10.7860/jcdr/2015/13394.6524

Cited by 24 publications

(32 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presented case depicts successful spontaneous healing of osseous defect after large cyst enucleation without the use of any filling materials, thus confirming the results from the literature relating to spontaneous healing of large osseous defects without bone substitutes ( 21 , 22 , 26 , 27 ).…”

Section: Discussionsupporting

confidence: 86%

Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report

Perjuci¹,

Ademi-Abdyli²,

Abdyli³

et al. 2018

Acta Stomatol Croat

View full text Add to dashboard Cite

Cystic lesions of the jaws such as keratocysts (scientific community still continues to use the term 'odontogenic keratocyst' more favourably than 'keratocystic odontogenic tumour' although both terms remain acceptable synonyms), follicular cysts, radicular cysts, and residual cysts may reach large proportions, causing considerable bone destruction. Enucleation of cystic lesions in the jaw produces bone defects, which may recover spontaneously or with assisted healing with the use of autogenous bone graft or other bone substitute materials. This clinical study presents a spontaneous bone regeneration after residual cyst enucleation in the distal part of the maxilla. The progress of recovery is followed by clinical and radiographic examination and subjective data obtained from the patient. Bone regeneration and cystic cavity reduction was observed in the panoramic image after six months and after one year. The physiological process of coagulation provides the basic process for the spontaneous bone formation even if an osseous defect is considerably large, provided that the defect is surrounded by adequate bony walls.

show abstract

Section: Discussionsupporting

confidence: 86%

Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report

Perjuci¹,

Ademi-Abdyli²,

Abdyli³

et al. 2018

Acta Stomatol Croat

View full text Add to dashboard Cite

show abstract

“…Nevertheless, computerized analysis showed an average increase in bone density of 37%, 48% and 91% and gradual average reduction in defect size by 12%, 44% and 81%, after 0.5, 1 and 2 years, respectively. Similarly, in a 44 case‐series report of various types of cysts 3–15 cm large, a gradual reduction of 26%, 81% and 100% in post‐operative defect size was estimated 6 months, 1 year and 2 years after surgery (Chacko, Kumar, Paul, & Arvind, ). In yet another clinical report on about 200 cases (Van Doorn, ), unassisted healing after cyst enucleation resulted in favourable clinical and radiographical outcomes, within 1–4 years post‐operatively, in 95% of the cases of cysts 1–5 cm large; further, 5 out of 7 cysts (71%) 5–12 cm large also healed favourably.…”

Section: Healing Of Cystic Lesions Of the Jawsmentioning

confidence: 89%

Self‐regenerative capacity of intra‐oral bone defects

Sculean

Stavropoulos

Bosshardt

2019

J Clinic Periodontology

View full text Add to dashboard Cite

Objective To provide an overview on the self‐regenerative capacity of various types of intra‐oral bone defects. Materials and Methods This paper has narratively reviewed the most important aspects of bone biology and the healing outcomes related to the self‐regenerative capacity (i.e. without the placement of any biomaterial) of bone defects that occur following tooth extraction, autogenous graft harvesting, periapical lesions, cystic lesions of the jaws, third molar extraction and experimentally created ridge defects. Results In animals (i.e. dogs and monkeys), the greatest changes in horizontal and vertical dimension occur during the first 6 months following tooth extraction. In humans, bone remodelling may take from several months to years and exhibits marked inter‐individual variability. Following tooth extraction at compromised sites (e.g. presence of severe bone loss at the time‐point of extraction), the healing may occur slower and a substantial volume reduction can be expected than following tooth extraction at non‐compromised sites. In the mandibular symphysis and ramus, the bone defects resulting following bone block harvesting are gradually healing to a large extent, but complete healing appears not to occur due to poorer space provision and wound stability capacities. Defects after peri‐apical surgery display a substantial self‐regenerative capacity and heal at a great extent without the use of any adjunct measures. The vast majority of jawbone defects after cystectomy heal at a great extent and without apparent influence in the shape of the jaw, without the need of adjunct measures. After surgical removal of mandibular third molars, bone fill can be observed over a period of at least 12 months, with the most substantial change (e.g. the greatest bone fill) occurring during the first 3 months after surgery. However, complete fill of these residual bone defects does not always occur. Conclusions Intra‐oral bone defects possess a high self‐regenerative capacity. Factors such as extent of bone loss, presence of bony walls, closed healing environment, space provision and mechanical wound stability substantially influence healing/regeneration.

show abstract

“…The continuous use of imaging is mandatory to follow up any recurrence. Previous studies observed cystic lesion shrinkage in patholo-gies of the jaw and follow up controlled through panoramic and CBCTs 5,7,[18][19][20] . We were able to use digital panoramic and CBCT imaging periodically during the whole case follow-up.…”

Section: Discussionmentioning

confidence: 95%

“…Cone-Beam Computer Tomography (CBCT) as a three-dimensional tool has been used in oral and maxillofacial surgery to aid diagnosis, treatment planning and follow-up controls Nevertheless, the follow-up imaging could be intercalated with digital panoramic imaging [5][6][7] to reduce ionising radiation exposure.…”

Section: Introductionmentioning

confidence: 99%

Association of Treatment and a 3-D image follow - up on a Recurrent Keratocyst

Thereza-Bussolaro¹,

Pachêco‐Pereira²,

Flores‐Mir³

et al. 2017

JORDI - Journal of Oral Diagnosis

View full text Add to dashboard Cite

Introduction: Accordingly to the latest edition of the World Health Organization (WHO) the previously known Keratocyst Odontogenic Tumour (KCOT) has now returned to the simple odontogenic cyst (OKC) classification. We present a case successfully treated by a combination of minimal-invasive approaches. Case Presentation: A large OKC was identified extending from tooth 3.8 through the condylar process in the mandible and staged surgical conservative approaches were performed. Total healing was achieved and followed -up over 8 years. The case was well documented via panoramic radiographs, CBCTs, and a 3D image tool illustrates the cortical bone destruction (before treatment) and the cortical bone healing after treatment. Discussion: Agreement regarding terminology and treatment of OKC has been reached. In this case, a complete healing of a recurrent OKC was achieved by decompression, enucleation, and blurring of the bone walls. Rigorous follow-up enriched by a 3D reconstruction imaging allows an educational view of the healing. Conclusion: This case suggests that a staged surgery approaches concurrent to rigorous patient follow-up could be a feasible alternative to extensive OKT treatment.And, reinforces the importance of collaboration between orthodontist, pathologist, OMS, and the patient have crucial importance in the conservative management of the lesion.

show abstract

Spontaneous Bone Regeneration After Enucleation of Large Jaw Cysts: A Digital Radiographic Analysis of 44 Consecutive Cases

Cited by 24 publications

References 7 publications

Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report

Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report

Self‐regenerative capacity of intra‐oral bone defects

Association of Treatment and a 3-D image follow - up on a Recurrent Keratocyst

Contact Info

Product

Resources

About