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: This study aimed to evaluate the effectiveness of decompression on jaw cysts according to various parameters by volumetric analysis using three-dimensional computed tomography. : Fifty patients who underwent surgical decompression of the jaw cystic lesion were selected, and their preoperative and postoperative computed tomography results between 3 and 27 months were collected. Volumetric analysis was performed to evaluate any differences in the rate of volumetric change according to the sex, age, initial volume of the lesion, duration, location of the lesion, tooth extraction, expansion of the cortical layer, and pathological diagnosis. Multiple linear regression and generalised linear mixed models were used for statistical analyses. : The mean reduction rate among all patients was 54.68%. Multiple linear regression analysis revealed that higher reduction rates were associated with a long decompression period, young patient age, and location of the cyst in the posterior maxilla. Generalised linear mixed models revealed that higher reduction rates were associated with a long decompression period and young patient age. : Decompression was an effective treatment for reducing the cyst size in all patients. Its effectiveness increased with a long treatment duration, young patient age, and cyst location in the posterior maxilla three-dimensionally.
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http://dx.doi.org/10.3390/medicina56110602 | DOI Listing |
Cureus
July 2025
Oral Surgery, Kansai Medical University Medical Center, Moriguchi, JPN.
Diffuse sclerosing osteomyelitis (DSO) is a rare, chronic aseptic osteomyelitis of the mandible characterized by resistance to conventional therapies including nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics, corticosteroids, and surgery. Diagnosis is often delayed due to nonspecific symptoms and lack of typical infectious signs, sometimes resulting in misdiagnosis. We report a case of a 58-year-old male patient with persistent mandibular pain initially misdiagnosed as trigeminal neuralgia and treated with microvascular decompression surgery without improvement.
View Article and Find Full Text PDFInt J Surg Case Rep
August 2025
Department of Stomatology, 920th Hospital of Joint Logistics Support Force, PLA, Kunming 650032, China; Kunming Medical University, Kunming 650500, China. Electronic address:
Introduction And Importance: Dentigerous cysts are among the most common odontogenic cysts, with a postoperative recurrence rate of approximately 5 %-15 %. Large dentigerous cysts present significant clinical challenges due to extensive lesions and severe bone destruction, often resulting in inadequate bone volume and poor soft-tissue conditions for subsequent implant restoration.
Case Presentation: A 71-year-old male presented with a history of a giant right mandibular dentigerous cyst diagnosed 12 years prior, treated by affected tooth extraction and cyst marsupialization (windowing drainage).
Case Rep Dent
July 2025
Pediatric Dental Department, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Dentigerous cysts are common odontogenic cysts that can cause significant disruption to normal tooth eruption and jaw development in pediatric patients. Traditional marsupialization techniques rely on tissue-borne appliances, which often lead to discomfort and frequent dislodgement in young patients. This case report presents a novel tooth-borne appliance, the Kang Appliance, as an effective alternative for marsupialization.
View Article and Find Full Text PDFBMC Oral Health
July 2025
Department of Oral and Maxillofacial Surgery, Liaocheng People's Hospital, Medical College of Liaocheng University, Liaocheng, Shandong, P. R. China.
Background: Dentigerous cysts are among the most common benign lesions encountered in oral and maxillofacial surgery. While these cysts typically develop in association with impacted mandibular third molars, their occurrence in relation to mandibular first molars represents an exceptionally rare clinical entity. This study aims to systematically describe the surgical management, standardized postoperative care protocols, and long-term follow-up strategies for this rare presentation.
View Article and Find Full Text PDFClin Med Insights Case Rep
May 2025
Faculty of Dental Medecine of Monastir, Farhat Hached Hospital, Service of Dentistry, Sousse, Tunisia.
Dentigerous cysts are the most common type of developmental odontogenic cysts. Multiple devices has been described for decompression. The current case report describes the use of a custom-made decompression appliance, designed through a digital workflow, in managing dentigerous cysts.
View Article and Find Full Text PDF