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Management of large residual cyst in elderly patient with decompression alone: Case report

Balkan Journal of Dental MedicineOctober 13, 2022October 13, 2022

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Torul Damlaa, Bereket Cihan Mehmeta, Özkan Enesb

aOndokuz Mayis University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Samsun, Turkey
bBafra Oral and Dental Health Hospital, Samsun, Turkey

Summary

Background/Aim: Residual cysts comprise approximately 10% of all odontogenic cysts. They are more commonly seen in 4th-6th decades of life, and occur due to incomplete previous surgical removal of a radicular cyst; or due to left epithelial remnants stimulated by tooth extraction. These lesions are often treated with enucleation. However, this procedure is not always the ideal treatment solution for elderly people due to the presence of physical and mental disorders, and risk of jaw fracture. Case Report: In this case report, the successful treatment of a large residual cyst in the symphysis of a 93 year-old female patient by performing decompression alone is presented. A plastic drain was placed on the wall of the cyst to allow irrigation. Regeneration was observed in the cyst cavity 3 months after surgery. The 1-year follow up showed that the majority of the cyst cavity was filled with new bone. Conclusions: In elderly patients, large inflammatory cysts can be successfully treated with decompression considering the limited regeneration capacity and difficulties in follow-up.

Keywords: odontogenic cyst; decompression; geriatrics; mandible

Reference

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Anavi, Y., Gal, G., Miron, H., Calderon, S., Allon, D.M. (2011) Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 112(2): 164-169

Bereket, C., Bekçioğlu, B., Koyuncu, M., Şener, İ., Kandemir, B., Türer, A. (2013) Intraosseous carcinoma arising from an odontogenic cyst: a case report. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 116(6): e445-e449

Bodner, L., Bar-Ziv, J. (1998) Characteristics of bone formation following marsupialization of jaw cysts. Dentomaxillofacial Radiology, 27(3): 166-171

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Bonwell, P.B., Parsons, P.L., Best, al M., Hise, S. (2014) An Interprofessional Educational Approach to Oral Health Care in the Geriatric Population. Gerontology & Geriatrics Education, 35(2): 182-199

Demirkol, M., Aras, M., Ay, S., Ege, B., Yanik, S. (2014) Clinicopathological study of jaw cysts in southeast region of Turkey. European Journal of Dentistry, 8(1): 107

Enislidis, G., Fock, N., Sulzbacher, I., Ewers, R. (2004) Conservative treatment of large cystic lesions of the mandible: a prospective study of the effect of decompression. British Journal of Oral and Maxillofacial Surgery, 42(6): 546-550

Jamdade, A., Nair, G.R., Kapoor, M., Sharma, N., Kundendu, A. (2012) Localization of a Peripheral Residual Cyst: Diagnostic Role of CT Scan. Case Reports in Dentistry, 2012: 1-6

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Ruiz, P.A., de Toledo, O.A., Nonaka, C.francisco W., Pinto, L.P., de Souza, L.B. (2010) Immunohistochemical expression of vascular endothelial growth factor and matrix metalloproteinase-9 in radicular and residual radicular cysts. Journal of Applied Oral Science, 18(6): 613-620

Sisman, Y., Etöz, O.A., Mavili, E., Sahman, H., Tarim, E.E. (2010) Anterior Stafne bone defect mimicking a residual cyst: a case report. Dentomaxillofacial Radiology, 39(2): 124-126

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Balkan Journal of Dental Medicine, 2018, vol. 22, br. 3, str. 171-174

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