Treatment of a large radicular cyst - enucleation or decompression?

Matijevic, Stevo; Jovivić, Bojan; Bubalo, Marija; Dukić, Smiljka; Cutovic, Tatjana

doi:10.2298/vsp1504372m

Cited by 7 publications

(6 citation statements)

References 8 publications

(8 reference statements)

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“…A major disadvantage of this approach is that the pathological tissues of the cyst stay in bone for a long healing period, especially if there is need for second surgery. 13 After placement of marsupialization tube, a good patient cooperation and extended follow up are required. 14 These factors make marsupialization less tolerable by patients.…”

Section: Discussionmentioning

confidence: 99%

Ciltte Fistülizasyona Sebep Olmuş Radiküler Kist: Vaka Sunumu

YILDIRIM,

KAZAN,

KILINÇ

et al. 2023

ADO Klinik Bilimler Dergisi

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Radiküler kistler en sık görülen odontojenik kistlerdir ve çenelerde görülen bütün kistlerin yaklaşık %70’ini oluştururlar.Radiküler kistler sıklıkla maksilla anterior bölgede ve 30 -50 yaş aralığında görülürler. Radiküler kistler sıklıkla devital pulpalı sürmüş dişlerin apeksleriyle ilişkilidir. Yavaş büyüyen bu kistler, büyük boyutlara ulaşana ve enfekte olana kadar sıklıkla asemptomatiktir.Kutanöz deri fistülleri radiküler kistlerden köken alabilmektedir. Bu vaka raporunda kutanöz fistülün eşlik ettiği geniş radiküler kistin enükleasyon ile tedavisi ve fistül yolu rekonstrüksiyonu anlatılmaktadır.

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Section: Discussionmentioning

confidence: 99%

Ciltte Fistülizasyona Sebep Olmuş Radiküler Kist: Vaka Sunumu

YILDIRIM,

KAZAN,

KILINÇ

et al. 2023

ADO Klinik Bilimler Dergisi

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“…Однак при визначенні показань до цього виду операційного втручання слід враховувати можливість пошкодження сусідніх інтактних зубів, судинно-нервового пучка нижньої щелепи, розкриття верхньощелепної пазухи або порожнини носа, також існує небезпека патологічного перелому нижньої щелепи (при кістах великих розмірів). При обережному виконанні етапу енуклеації оболонки кісти та обізнаності в особливостях локалізації цього новоутворення радикальне видалення великих радикулярних кіст на нижній щелепі проходить без інтраопераційних та післяопераційних ускладнень [53]. При стандартній методиці цистектомії вилущення оболонки одонтогенної кісти здійснюється за допомогою ручних інструментів (распаторів, гладилок, кюретажних ложок); такі процедури можуть спричинити надмірне травмування м'яких тканин в прилеглій ділянці, наприклад, перфорацію мембрани Шнайдера верхньощелепного синуса, або пошкодження судин та нервів.…”

Section: львівський національний медичний університет імені данила галицького українаunclassified

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Mokryk¹,

Havryltsiv²,

Korniienko³

et al. 2021

Ukr. ž. med. bìol. sportu

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The purpose of the study was to analyze the data of modern domestic and foreign professional literature, which are devoted to new surgical methods of treatment of odontogenic cysts, to highlight the results of own clinical studies on the effectiveness of developed methods of cystectomy in jaw bones and their anesthesia. Materials and methods. Analytical and bibliosemantic methods were used in the research. The search for scientific information on medical topics for the period from 2010 to 2021 was carried out in the databases of electronic searching systems. Results and discussion. The use of standard techniques of conduction anesthesia of the trigeminal nerve is not always effective during cystectomy in the lateral parts of the mandible, due to the variability of branching of the trigeminal nerve, the possibility of additional innervation of the jaw branch from the superficial cervical plexus. Taking into account these anatomical factors, it is painless to perform a cystectomy of odontogenic cysts on the mandible. During oronasal cystectomy of odontogenic cysts that have grown into the nasal cavity it is advisable to block the nasopalatine nerve in the middle nasal passage. Modified methods of marsupialization can be used as an independent method of treatment of odontogenic cysts of large size, or be combined with radical removal of the cyst membrane. The use of ultrasound medical techniques reduces the risk of damage to adjacent soft tissues during enucleation of bone membranes in complex topographic and anatomical areas. The use of modern laser technologies and medical radiophysical equipment can increase the effectiveness of surgical treatment of odontogenic jaw cysts. The use of endovideosurgery techniques reduces the percentage of intraoperative complications. The introduction of computer spatial imaging of anatomical objects in dental practice has made it possible to develop new surgical technologies for precision-guided osteotomy and resection of the tips of the roots of masticatory teeth adjacent to the shells of radicular jaw cysts. Conclusion. In modern clinical practice, technical developments are used, which are based on the latest advances in laser optics, radio physics, bioacoustics, computer technology, which minimizes injuries during cystectomy operations, reduces the frequency of intraoperative complications. Individual-anatomical features of innervation of the maxillofacial area should be taken into account during local anesthesia, cystectomy and cystotomy operations in the jaw bones

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“…For example, PRGF has been used in the surgical treatment of radicular cysts to enhance bone healing [ 24 ]. Although radicular cysts are predictably treated with surgical excision [ 25 , 26 , 27 ], large size radicular cyst may result in thin, poorly vascularized bone at its periphery [ 28 , 29 ]. This thin bone will routinely be resorbed, and thus, conventional surgical treatment of large radicular cysts will often result in large osseous defects.…”

Section: Introductionmentioning

confidence: 99%

Adjunctive Plasma Rich in Growth Factors in the Treatment of Osteomyelitis and Large Odontogenic Cysts Prior to Successful Implant Rehabilitation: Case Report

DuVal,

Alkhraisat

2023

Dentistry Journal

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Osteomyelitis of the jaws presents a clinical challenge to conventional treatment, often requiring multiple surgical interventions resulting in significant deformity and presenting significant problems to satisfactory rehabilitation. While benign odontogenic cysts, such as the radicular cyst, are generally predictably treated, they can cause significant localized bone destruction and thus can present significant problems in satisfactory rehabilitation. In this case report, patients were treated combining conventionally appropriate surgical debridement and oral antibiotics with adjunctive plasma rich in growth factors (PRGF). Patients showed a complete soft tissue and osseous regeneration to their pre-pathologic state, with successful implant rehabilitation. PRGF appears to be highly successful in minimizing or eliminating osseous deformities normally associated with conventional treatment of osteomyelitis of the jaw and treatment of large odontogenic cysts. Future trials must be performed to confirm these results in comparison to controls using conventional treatment alone.

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Treatment of a large radicular cyst - enucleation or decompression?

Cited by 7 publications

References 8 publications

Ciltte Fistülizasyona Sebep Olmuş Radiküler Kist: Vaka Sunumu

Ciltte Fistülizasyona Sebep Olmuş Radiküler Kist: Vaka Sunumu

Modern Surgical Methods of Treatment of Odontogenic Jaw Cysts (Literature Review and Own Data)

Adjunctive Plasma Rich in Growth Factors in the Treatment of Osteomyelitis and Large Odontogenic Cysts Prior to Successful Implant Rehabilitation: Case Report

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