Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of healing pattern with or without bone graft after odontogenic cyst enucleation

악골에서 발생한 치성 낭종제거 후 골이식 여부에 따른 치유속도와 양상 비교

  • Baek, Chae-Hwan (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Park, Joon-Hyung (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Kim, Gun-Jong (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University) ;
  • Paeng, Jun-Young (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University)
  • 백채환 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 박준형 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김군종 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 팽준영 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Received : 2010.08.02
  • Accepted : 2010.12.17
  • Published : 2010.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Introduction: Bone defects in the jaw are frequently observed after odontogenic cyst enucleation. The success of bone healing appears to be related to the size of the bone defect, the anatomical location, the patient's age and other parameters. The use of bone grafting material is dependent on the operator's preference. No evidence-based definite treatment protocol has been established. This study evaluated the effect of a bone graft into the defect after odontogenic cyst enucleation. Materials and Methods: A total of 55 patients, who had been treated for an odontogenic cyst with cyst enucleation from 2000 to 2009 at the department of Oral and Maxillofacial Surgery, Samsung Medical Center, were included in this study. Patients who were followed-up for more than 1 year were included. Two groups were defined according to the bone graft (with or without a bone graft) after cyst enucleation. The differences in the healing periods and patterns of bone healing were compared clinically and radiologically. The postoperative 1 year radiographs were analyzed for bone healing and density. Statistical analysis was performed using a Pearson chi square test and Wilcoxon rank-sum test. Results: More infection signs were observed in the bone graft group than in the other group, but there was no statistically significant difference. Radiographically, there was also no significant difference in the size of the radiolucent lesions between the two groups. Conclusion: There was no significant difference in healing between the groups with a bone graft and without bone graft after cyst enucleation.

Keywords

References

  1. Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006;35:500-7. https://doi.org/10.1111/j.1600-0714.2006.00455.x
  2. Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MC, et al. Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;104:e35-41.
  3. Tortorici S, Amodio E, Massenti MF, Buzzanca ML, Burruano F, Vitale F. Prevalence and distribution of odontogenic cysts in Sicily: 1986-2005. J Oral Sci 2008;50:15-8. https://doi.org/10.2334/josnusd.50.15
  4. Brondum N, Jensen VJ. Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases. Oral Surg Oral Med Oral Pathol 1991;72:265-9. https://doi.org/10.1016/0030-4220(91)90211-T
  5. Eyre J, Zakrzewska JM. The conservative management of large odontogenic keratocysts. Br J Oral Maxillofac Surg 1985;23:195-203. https://doi.org/10.1016/0266-4356(85)90090-7
  6. Marker P, Brondum N, Clausen PP, Bastian HL. Treatment of large odontogenic keratocysts by decompression and later cystectomy: a long-term follow-up and a histologic study of 23 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:122-31. https://doi.org/10.1016/S1079-2104(96)80214-9
  7. Nakamura N, Mitsuyasu T, Mitsuyasu Y, Taketomi T, Higuchi Y, Ohishi M. Marsupialization for odontogenic keratocysts: longterm follow-up analysis of the effects and changes in growth characteristics. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:543-53. https://doi.org/10.1067/moe.2002.128022
  8. Ihan Hren N, Miljavec M. Spontaneous bone healing of the large bone defects in the mandible. Int J Oral Maxillofac Surg 2008; 37:1111-6. https://doi.org/10.1016/j.ijom.2008.07.008
  9. Schaaf H, Lendeckel S, Howaldt HP, Streckbein P. Donor site morbidity after bone harvesting from the anterior iliac crest. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:52-8. https://doi.org/10.1016/j.tripleo.2009.08.023
  10. Ricucci D, Lin LM, Spangberg LS. Wound healing of apical tissues after root canal therapy: a long-term clinical, radiographic, and histopathologic observation study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:609-21. https://doi.org/10.1016/j.tripleo.2009.05.028
  11. Halse A, Molven O, Fristad I. Diagnosing periapical lesions-disagreement and borderline cases. Int Endod J 2002;35:703-9. https://doi.org/10.1046/j.1365-2591.2002.00552.x
  12. Horowitz I, Bodner L. Use of xenograft bone with aspirated bone marrow for treatment of cystic defect of the jaws. Head Neck 1989;11:516-23. https://doi.org/10.1002/hed.2880110608
  13. Dodde R 2nd, Yavuzer R, Bier UC, Alkadri A, Jackson IT. Spontaneous bone healing in the rabbit. J Craniofac Surg 2000; 11:346-9. https://doi.org/10.1097/00001665-200011040-00013
  14. Hjorting-Hansen E, Andreasen JO. Incomplete bone healing of experimental cavities in dog mandibles. Br J Oral Surg 1971; 9:33-40. https://doi.org/10.1016/S0007-117X(71)80006-9
  15. Chiapasco M, Rossi A, Motta JJ, Crescentini M. Spontaneous bone regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg 2000;58:942-8; discussion 949. https://doi.org/10.1053/joms.2000.8732

Cited by

  1. Restoration of Facial Deformity Caused by a Radicular Cyst after Marsupialization vol.56, pp.9, 2010, https://doi.org/10.3342/kjorl-hns.2013.56.9.599
  2. Efficacy of balloon catheter as stent for natural ostium on Caldwell-Luc operation vol.42, pp.1, 2010, https://doi.org/10.14815/kjdm.2015.42.1.9