Vojnosanitetski pregled 2016 Volume 73, Issue 2, Pages: 129-134
https://doi.org/10.2298/VSP140828147P
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Retrospective study of spontaneous bone regeneration after decompression of large odontogenic cystic lesions in children
Pejović Marko (Faculty of Dental Medicine, Clinic of Oral Surgery, Belgrade)
Stepić Jelena (Faculty of Dental Medicine, Clinic of Oral Surgery, Belgrade)
Marković Aleksa (Faculty of Dental Medicine, Clinic of Oral Surgery, Belgrade)
Dragović Miroslav (Faculty of Dental Medicine, Clinic of Oral Surgery, Belgrade)
Miličić Biljana (Faculty of Dental Medicine, Department of Medical Statistics and Informatics, Belgrade)
Čolić Snježana (Faculty of Dental Medicine, Clinic of Oral Surgery, Belgrade)
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.
Keywords: odontogenic cysts, oral surgical procedures, decompression, surgical, treatment outcome, pediatric dentistry
Projekat Ministarstva nauke
Republike Srbije, br. 175021