Decompression procedure as a successful initial approach to a large maxillary dentigerous cyst in a 12-year-old boy – a case report

Momir Stevanović; Sanja Vujović; Raša Mladenović; Mirko Mikić; Miroslav Vasović

doi:10.2298/VSP211025105S

Momir Stevanović University of Kragujevac, Faculty of Medical Sciences, Department of Oral Medicine and Periodontology
Sanja Vujović University of Kragujevac, Faculty of Medical Sciences, Department of Oral Medicine and Periodontology
Raša Mladenović University of Kragujevac, Faculty of Medical Sciences, Department of Pediatric and Preventive Dentistry https://orcid.org/0000-0003-0767-8423
Mirko Mikić University of Montenegro, Faculty of Medicine, Department for Dentistry, Podgorica, Montenegro
Miroslav Vasović University of Kragujevac, Faculty of Medical Sciences, Department of Oral Surgery

DOI: https://doi.org/10.2298/VSP211025105S

Ključne reči: deca;, dekompresija, hirurška;, cista, odontogena;, dijagnoza;, maksila;, hirurgija, oralna, procedure

Sažetak

Uvod. Folikularna cista je patološka lezija, povezana sa krunicom neizniklih ili impaktiranih zuba. Dekompresija je predložena kao inicijalni tretman u terapiji velikih cista, posebno kod mlađih pacijenata. Cilj rada bio je da se predstave klinički, radiološki, patohistološki i terapijski aspekti velike folikularne ciste u maksili. Prikaz bolesnika. Dvanaestogodišnji dečak sa velikom folikularnom cistom u gornjoj vilici upućen je u našu kliniku. Folikularna cista se nalazila oko krunice neizniklog levog maksilarnog očnjaka. Terapija ciste obuhvatila je inicijalnu dekompresiju sa biopsijom, praćenu sekundarnom enukleacijom nakon 9 meseci, i ortodontski tretman. Histopatološka analiza potvrdila je konačnu dijagnozu folikularne ciste. Zaključak. Inicijalna dekompresija sa naknadnom enukleacijom pokazala se kao efikasna terapijska opcija u lečenju velike folikularne ciste.

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1. Kirtaniya BC, Sachdev V, Singla A, Sharma AK. Marsupialization: A conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent 2010; 28(3): 203‒8.

2. Durmus B, Pekel B, Ugurlu F, Tanboga I. Outcome of a dentigerous cyst following decompression using a removable appliance: a case report. Oral Health Dent Manag 2014; 13(1): 87‒90.

3. Meng Y, Zhao YN, Zhang YQ, Liu DG, Gao Y. Three-dimensional radiographic features of ameloblastoma and cystic lesions in the maxilla. Dentomaxillofac Radiol 2019; 48(6): 20190066.

4. Huang G, Moore L, Logan RM, Gue S. Histological analysis of 41 dentigerous cysts in a paediatric population. J Oral Pathol Med 2019; 48(1): 74‒8.

5. Marin S, Kirnbauer B, Rugani P, Mellacher A, Payer M, Jakse N. The effectiveness of decompression as initial treatment for jaw cysts: A 10-year retrospective study. Med Oral Patol Oral Cir Bucal 2019; 24(1): e47‒e52.

6. Yun SU, Jung HW, Cho BY, Choi BJ, Lee B, Kwon YD, et al. Conservative Treatment Using Marsupialization for Cysts Occurring in the Jaw of Adolescents: A Case Report. J Korean Dent Sci 2014; 7(1): 31‒7.

7. Costa FW, Carvalho FS, Chaves FN, Soares EC. A suitable device for cystic lesions close to the tooth-bearing áreas of the jaws. J Oral Maxillofacial Surg 2014; 72: 96‒8.

8. Kwon YJ, Ko KS, So BK, Kim DH, Jang HS, Kim SH, et al. Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis. Medicina (Kaunas) 2020; 56(11): 602.

9. Schlieve T, Miloro M, Kolokythas A. Does decompression of odontogenic cysts and cystlike lesions change the histologic diagnosis? J Oral Maxillofac Surg 2014; 72(6): 1094‒105.

10. Chouchene F, Ameur WB, Hamdi H, Bouenba M,Masmoudi F,Baaziz A, et al. Conservative Approach of a Dentigerous Cyst. Case Rep Dent 2021; 2021: 5514923.

11. Scariot R, da Costa DJ, Rebellato NL, Müller PR, Gugisch RC. Treatment of a large dentigerous cyst in a child. J Dent Child (Chic) 2011; 78(2): 111‒4.

12. AboulHosn M, Noujeim Z, Nader N, Berberi A. Decompression and Enucleation of a Mandibular Radicular Cyst, Followed by Bone Regeneration and Implant-Supported Dental Restoration. Case Rep Dent 2019; 2019: 9584235.

13. Lee ST, Kim SG, Moon SY, Oh JS, You JS, Kim JS. The effect of decompression as treatment of the cysts in the jaws: retrospective analysis. J Korean Assoc Oral Maxillofac Surg 2017; 43(2): 83‒7.

14. Oliveros-Lopez L, Fernandez-Olavarria A, Torres-Lagares D, Serrera-Figallo MA, Castillo-Oyagüe R, Segura-Egea JJ, et al. Reduction rate by decompression as a treatment of odontogenic cysts. Med Oral Patol Oral Cir Bucal 2017; 22(5): e643‒e650.

15. Riachi F, Khairallah CM, Ghosn N, Berberi AN. Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar. Clin Pract 2019; 9(1): 1132.

Postupak dekompresije kao uspešan inicijalni pristup u lečenju velike maksilarne folikularne ciste kod 12-godišnjeg dečaka

Sažetak

Reference