Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제40권5호
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  • Pages.225-232
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  • 2014
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Characteristics of bony changes and tooth displacement in the mandibular cystic lesion involving the impacted third molar

  • Lee, Jin-Hyeok (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Kim, Sung-Min (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Kim, Hak-Jin (Department of Oral and Maxillofacial Surgery, Yongin Severance Hospital, Yonsei University College of Dentistry) ;
  • Jeon, Kug-Jin (Department of Oral and Maxillofacial Radiology, Yongin Severance Hospital, Yonsei University College of Dentistry) ;
  • Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry) ;
  • Huh, Jong-Ki (Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry)
  • 투고 : 2014.07.04
  • 심사 : 2014.09.07
  • 발행 : 2014.10.31
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초록

Objectives: The purpose of this retrospective study is to find the differentiating characteristics of cystic and cystic-appearing lesions that involve the impacted mandibular third molar by analyzing panoramic radiographs and computed tomography images, and to aid the preoperative diagnosis. Materials and Methods: Eighty-one patients who had a mandibular cystic or cystic-appearing lesion that involved impacted mandibular third molar and underwent cyst enucleation were included in the study. The preoperative panoramic radiograph and computed tomography findings were analyzed in accordance to the histopathologic type. Results: Most of the cystic lesions containing the mandibular third molar were diagnosed as a dentigerous cyst (77.8%). The occurrence of mesio-distal displacement of the third molar was more frequent in the odontogenic keratocyst (71.4%) and in the ameloblastoma (85.7%) than in the dentigerous cyst (19.1%). Downward displacement was primarily observed in each group. Odontogenic keratocyst and ameloblastoma showed more aggressive growth pattern with higher rate of bony discontinuity and cortical bone expansion than in dentigerous cyst. Conclusion: When evaluating mandibular cystic lesions involving the impacted mandibular third molar, dentigerous cyst should first be suspected. However, when the third molar displacement and cortical bone absorption are observed, then odontogenic keratocyst or ameloblastoma should be considered.

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참고문헌

  1. Devenney-Cakir B, Subramaniam RM, Reddy SM, Imsande H, Gohel A, Sakai O. Cystic and cystic-appearing lesions of the mandible: review. AJR Am J Roentgenol 2011;196:WS66-77. https://doi.org/10.2214/AJR.09.7216
  2. Knutsson K, Brehmer B, Lysell L, Rohlin M. Pathoses associated with mandibular third molars subjected to removal. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:10-7. https://doi.org/10.1016/S1079-2104(96)80371-4
  3. Scholl RJ, Kellett HM, Neumann DP, Lurie AG. Cysts and cystic lesions of the mandible: clinical and radiologic-histopathologic review. Radiographics 1999;19:1107-24. https://doi.org/10.1148/radiographics.19.5.g99se021107
  4. Dunfee BL, Sakai O, Pistey R, Gohel A. Radiologic and pathologic characteristics of benign and malignant lesions of the mandible. Radiographics 2006;26:1751-68. https://doi.org/10.1148/rg.266055189
  5. Yoshiura K, Higuchi Y, Araki K, Shinohara M, Kawazu T, Yuasa K, et al. Morphologic analysis of odontogenic cysts with computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;83:712-8. https://doi.org/10.1016/S1079-2104(97)90325-5
  6. Eun SA, Kim KD, Park CS. Differential diagnosis between odontogenic keratocyst and ameloblastoma by computed tomography. Korean J Oral Maxillofac Radiol 2002;32:89-97.
  7. Tsukamoto G, Sasaki A, Akiyama T, Ishikawa T, Kishimoto K, Nishiyama A, et al. A radiologic analysis of dentigerous cysts and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001;91:743-7. https://doi.org/10.1067/moe.2001.114157
  8. Saravana GH, Subhashraj K. Cystic changes in dental follicle associated with radiographically normal impacted mandibular third molar. Br J Oral Maxillofac Surg 2008;46:552-3. https://doi.org/10.1016/j.bjoms.2008.02.008
  9. Baykul T, Saglam AA, Aydin U, Basak K. Incidence of cystic changes in radiographically normal impacted lower third molar follicles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005;99:542-5. https://doi.org/10.1016/j.tripleo.2004.08.010
  10. Cankurtaran CZ, Branstetter BF 4th, Chiosea SI, Barnes EL Jr. Best cases from the AFIP: ameloblastoma and dentigerous cyst associated with impacted mandibular third molar tooth. Radiographics 2010;30:1415-20. https://doi.org/10.1148/rg.305095200
  11. Haring JI, Van Dis ML. Odontogenic keratocysts: a clinical, radiographic, and histopathologic study. Oral Surg Oral Med Oral Pathol 1988;66:145-53. https://doi.org/10.1016/0030-4220(88)90082-5
  12. Guven O, Keskin A, Akal UK. The incidence of cysts and tumors around impacted third molars. Int J Oral Maxillofac Surg 2000;29:131-5. https://doi.org/10.1016/S0901-5027(00)80011-9
  13. Reichart PA, Philipsen HP, Sonner S. Ameloblastoma: biological profile of 3677 cases. Eur J Cancer B Oral Oncol 1995;31B:86-99.
  14. Theodorou SJ, Theodorou DJ, Sartoris DJ. Imaging characteristics of neoplasms and other lesions of the jawbones: part 1. Odontogenic tumors and tumorlike lesions. Clin Imaging 2007;31:114-9. https://doi.org/10.1016/j.clinimag.2006.12.022
  15. Brannon RB. The odontogenic keratocyst. A clinicopathologic study of 312 cases. Part I. Clinical features. Oral Surg Oral Med Oral Pathol 1976;42:54-72. https://doi.org/10.1016/0030-4220(76)90031-1
  16. Werkmeister R, Fillies T, Joos U, Smolka K. Relationship between lower wisdom tooth position and cyst development, deep abscess formation and mandibular angle fracture. J Craniomaxillofac Surg 2005;33:164-8. https://doi.org/10.1016/j.jcms.2005.01.011
  17. Soh BC, Heo MS, An CH, Choi M, Lee SS, Choi SC, et al. Radiographic differential diagnosis between ameloblastoma and odontogenic keratocyst: with emphasis on CT. Korean J Oral Maxillofac Radiol 2002;32:167-73.

피인용 문헌

  1. Comprehensive analysis of ectopic mandibular third molar: a rare clinical entity revisited vol.13, pp.None, 2017, https://doi.org/10.1186/s13005-017-0157-x