Retrospective study of spontaneous bone regeneration after decompression of large odontogenic cystic lesions in children
Background/Aim. Surgical treatment of odontogenic cysts in childhood could be accompanied by injury of important anatomical structures. Even though enucleation is considered to be preferable treatment of odontogenic cysts, the specificities of pediatric age favor more conservative surgical...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2016-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2016/0042-84501500147P.pdf |
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| Summary: | Background/Aim. Surgical treatment of odontogenic cysts in childhood could be
accompanied by injury of important anatomical structures. Even though
enucleation is considered to be preferable treatment of odontogenic cysts,
the specificities of pediatric age favor more conservative surgical approach.
The aim of this study was to assess the effectiveness of decompression as the
uttermost treatment of odontogenic cysts in the pediatric age. Methods. This
retrospective study included 22 patients, 7−16 years old, with a single jaw
cystic lesion. The majority of these lesions were dentigerous cyst (14), and
the rest belonged to keratocystic odontogenic tumor (KCOT) (8). All lesions
were primarily treated with decompression; it was a final treatment
(one-stage procedure) in 13 dentigerous cysts, and it was followed by
enucleation (twostage procedure) in one dentigerous cyst and all the KCOT.
Results. A total of 13 (59.1%) dentigerous cysts were treated successfully
only with decompression as one stage procedure, while the other 9 (40.9%)
cysts required enucleation (1 dentigerous and 8 KCOT), after decompression (p
≤ 0.001). Conclusion. Related to non-aggressive lesions, more conservative
treatment approach, such as decompression as one-stage procedure, should be
considered. On the other hand, KCOTs in children require a two-stage
procedure for a successful treatment outcome. [Projekat Ministarstva nauke
Republike Srbije, br. 175021] |
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| ISSN: | 0042-8450 2406-0720 |