Abstract

Odontogenic inflammatory cysts are benign lesions that often arise from chronic periapical inflammation. They are asymptomatic and grow without causing immediate symptoms. These cysts can pose diagnostic challenges due to their potential for significant expansion and the need for differentiation from other maxillary lesions. Histological examination remains essential for definitive diagnosis and treatment requires a personalized approach, considering cyst size, tooth involvement and patient compliance. This case report presents the management of an extensive odontogenic inflammatory cyst in a 50-year-old male smoker with a history of ulcerative colitis. The
patient presented a small maxillary lesion and an extensive mandibular one, both causing bone deformation, without sensory or infectious symptoms. The patient underwent decompression and biopsy of the mandibular lesion, followed by endodontic treatments and cystectomy. The outcome was favorable with no complications or recurrence. This case highlights the importance of a sequential treatment approach to avoid complications
and preserve relevant structures, demonstrating the efficacy of decompression in reducing bone defects and facilitating subsequent surgical interventions.

Keywords

• Cysts
• Radicular cyst
• Odontogenic cysts
• Cystectomy
• Maxillofacial surgery
• Surgical decompression

References

• Sarkar, P.; Junquera, L. Odontogenic cysts. In Stat-Pearls; StatPearls Publishing: Treasure Island (FL), 2022.
• Neville, B.W.; Damm, D.D.; Allen, C.M.; Chi, A.C. Oral and maxillofacial pathology, 4 ed.; Elsevier: St. Louis, 2016.
• Shear, M.; Speight, P.M. Cysts of the oral and maxillofacial regions, 4 ed.; Blackwell Munksgaard: Oxford, 2007.
• Németh, Z.; Kádár, K.; Joób-Fancsaly, Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011, 111, 294–303. https://doi.org/10.1016/j.tripleo.2010.09.083.
• Tolstunov, L.; Treasure, T. Reduction rate by decompression as a treatment of odontogenic cysts. Med Oral Patol Oral Cir Bucal 2017, 22, e643–e650. https://doi.org/10.4317/medoral.21916.
• Pogrel, M.A. Decompression and marsupialization as a treatment for the odontogenic keratocyst. Oral Maxillofac Surg Clin North Am 2003, 15, 415–427. https://doi.org/10.1016/S1042-3699(03)00038-4.

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• Oral Surgery

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