HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Decompression as a treatment of odontogenic cystic lesions in children.

AbstractPURPOSE:
To evaluate the efficiency of decompression in treating odontogenic cystic lesions of the jaws in children.
MATERIALS AND METHODS:
All consecutive odontogenic cysts occurring in children and treated by decompression from 1994 to 2009 at 1 maxillofacial center were included in the present study. Clinical data included age, gender, jaw, histopathologic diagnosis, and decompression time. Radiologic data from panoramic radiographs before and after decompression included tooth involvement, locularity, location, involvement of adjacent vital anatomic structures, and cyst area.
RESULTS:
Thirty-two odontogenic cystic lesions from 26 children (14 boys [53.8%] and 12 girls [46.2%]) treated with decompression were included. The average age at the time of presentation was 11.6 ± 3.3 years (range, 7 to 18 yr). The mandible was involved in 13 cases (40.6%) and the maxilla in 19 (59.4%). All cysts were unilocular at presentation. Twenty-seven cysts (84.4%) showed tooth involvement. The diagnoses consisted of dentigerous cysts (20 [62.5%]), keratocysts (9 [28.1%]), and radicular cysts (3 [9.4%]). The mean decompression period was 7.45 ± 2.6 months (2 to 14 months). The mean standard lesion area index changed from 12.7 ± 0.9 mm(2) (3.6 to 44 mm(2)) before compression to 2.3 ± 4.3 mm(2) (0 to 22.3 mm(2)) after decompression. The mean percentage of reduction (POR) was 82 ± 16% (49 to 100%). The POR was ranked as good in 22 lesions (69%), moderate in 9 lesions (28%), and poor in 1 lesion (3%). Surgery was performed for 15 lesions (47%).
CONCLUSION:
Decompression results in good regeneration potential of the bone in the developing craniofacial skeleton of children. Children might benefit from a less invasive surgical protocol.
AuthorsDror M Allon, Irit Allon, Yakir Anavi, Ilana Kaplan, Gavriel Chaushu
JournalJournal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons (J Oral Maxillofac Surg) Vol. 73 Issue 4 Pg. 649-54 (Apr 2015) ISSN: 1531-5053 [Electronic] United States
PMID25631867 (Publication Type: Journal Article)
CopyrightCopyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Topics
  • Adolescent
  • Age Factors
  • Child
  • Decompression, Surgical (methods)
  • Dentigerous Cyst (surgery)
  • Electrocoagulation (methods)
  • Female
  • Humans
  • Laser Therapy (methods)
  • Lasers, Gas (therapeutic use)
  • Male
  • Mandibular Diseases (complications, surgery)
  • Maxillary Diseases (complications, surgery)
  • Odontogenic Cysts (complications, surgery)
  • Operative Time
  • Osteotomy (methods)
  • Radicular Cyst (surgery)
  • Radiography, Panoramic
  • Root Resorption (etiology)
  • Tooth Eruption, Ectopic (etiology)
  • Tooth, Deciduous (pathology)
  • Tooth, Unerupted (complications)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: