Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Spontaneous bone regeneration after enucleation of jaw cysts: a comparative study of panoramic radiography and computed tomography

악골 낭종의 적출술 후 골재생에 대한 파노라마 촬영과 컴퓨터 단층촬영의 비교 분석

  • Kim, Taek-Sung (Department of Oral and Maxillofacial surgery, College of Dentistry, Dankook University) ;
  • Lee, Jae-Hoon (Department of Oral and Maxillofacial surgery, College of Dentistry, Dankook University)
  • 김택성 (단국대학교 치과대학 구강악안면외과학교실) ;
  • 이재훈 (단국대학교 치과대학 구강악안면외과학교실)
  • Received : 2010.03.04
  • Accepted : 2010.04.05
  • Published : 2010.04.30
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Abstract

Introduction: A cyst is a closed pathologic sac containing fluid or semi-solid material in central region. The most common conventional treatment for a cyst is enucleation. It was reported that spontaneous bone healing could be accomplished without bone grafting. We are trying to evaluate bone reconstruction ability by analyzing panorama radiograph and computed tomography (CT) scan with retrograde studying after cyst enucleation. In this way we are estimating critical size defect for spontaneous healing without bone graft. Materials and Methods: The study comprised of 45 patients who were diagnosed as cysts and implemented enucleation treatment without bone graft. After radiograph photo taking ante and post surgery for 6, 12, 18, 24 months, the healing surface and volumetric changes were calculated. Results: 1. Spontaneous bone healing was accomplished clinically satisfying 12 months later after surgery. But analyzing CT scan, defect volume changes indicate 79.24% which imply incomplete bone healing of defect area. 2. Comparing volume changes of defect area of CT scan, there are statistical significance between under $5,000mm^{3}$ and over $5,000mm^{3}$. The defect volume of $5,000mm^{3}$ shows $2.79{\times}1.91$cm in panoramic view. Conclusion: Bone defects, which are determined by a healed section using a panoramic view, compared to CT scans which do not show up. Also we can estimate the critical size of defects for complete healing.

Keywords

References

  1. Korean association of oral and maxillofacial surgeons. Textbook of oral & maxillofacial surgery. 1st ed. Seoul: Dental & Medical Publishing Co.; 1998.
  2. Saap JP, Eversole LR, Wysocki GP. Contemporary oral and maxillofacial pathology. St Louis: Mosby; 1997.
  3. Peterson LJ, Ellis E III, Hupp JR, Tucker MR, eds. Contemporary oral and maxillofacial surgery. 3rd ed. St. Louis: Mosby; 1998.
  4. Bodner L, Bar-Ziv J. Characteristics of bone formation following marsupialization of jaw cysts. Dentomaxillofacl Radiol 1998;27:166-71. https://doi.org/10.1038/sj.dmfr.4600344
  5. Thomas EH. Cysts of the jaws: saving involved vital teeth by tube drainage. J Oral Surg (Chic) 1947;5:1-9.
  6. 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. https://doi.org/10.1053/joms.2000.8732
  7. 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
  8. Yim JH, Lee JH. Panoramic analysis about spontaneous bone regeneration after enucleation of jaw cyst. J Korean Assoc Maxillofac Plast Reconstr Surg 2009;31:229-36.
  9. Santamarｌ′a J, Garcｌ′a AM, dxe Vicente JC, Landa S, Lo′pez- Arranz JS. Bone regeneration after radicular cyst removal with and without guided bone regeneration. Int J Oral Maxillofac Surg 1998;27:118-20. https://doi.org/10.1016/S0901-5027(98)80308-1
  10. van Doorn ME. Enucleation and primary closure of jaw cysts. Int J Oral Surg 1972;1:17-25. https://doi.org/10.1016/S0300-9785(72)80032-2
  11. Schlegel KA, Lang FJ, Donath K, Kulow JT, Wiltfang J. The monocortical critical size bone defect as an alternative experimental model in testing bone substitute materials. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:7-13. https://doi.org/10.1016/j.tripleo.2005.09.011
  12. Shapurian T, Damoulis PD, Reiser GM, Griffin TJ, Rand WM. Quantitative evaluation of bone density using the Hounsfield index. Int J Oral Maxillofac Implants 2006;21:290-7.
  13. McCullough EC. Factors affecting the use of quantitative information from a CT scanner. Radiology 1977;124:99-107.
  14. Kim CH, Jung JI. Study for hounsfield units in computed tomogram with jaw lesion. J Korea Assoc Oral Maxillofac Surg 2006; 32:391-6.
  15. Huh JY, Choi BH, Kim BY, Lee SH, Zhu SJ, Jung JH. Critical size defect in the canine mandible. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;100:296-301. https://doi.org/10.1016/j.tripleo.2004.12.015
  16. Cha SK, Kim IK, Oh SS, Choi JH, Oh NS, Lim YI, et al. Clinical study of cyst in the jaw. J Koreaa Assoc Oral Maxillofac Surg 2001;27:167-73.

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