Clinical retrospective analysis of 200 cases with cystic lesions of the jaw bone

doi:10.19438/j.cjoms.2019.03.016

Abstract

Abstract: PURPOSE: To retrospectively analyze the composition and treatment of cystic lesions of jaw bone, to explore the clinical characteristics of cystic lesions of jaw bone, and compare the efficacy and prognosis of different treatment methods, so as to provide basis for improving diagnosis and treatment. METHODS: From January 2009 to September 2015, a total of 200 patients with cystic lesions of jaw bone treated in the Department of Oral and Maxillofacial Surgery in the Affiliated Hospital of Inner Mongolia Medical University were collected. SPSS 16.0 software package was used to compare the effects of different treatment methods. RESULTS: The proportion of apical cysts accounted for the most, the number of male patients was more than that of female patients, and the peak incidence was from 41 to 50 years; the lesions were formed more frequently in the maxilla than in the mandible, more in the left than in the right; patients with toothache and swelling pain in jaw bone accounted the most. Curettage was superior to decompression in the treatment of medium-sized cystic lesions, and decompression was superior to curettage in the treatment of large cystic lesions, the difference between different treatment modalities was statistically significant (P<0.05). The recurrence rate of odontogenic keratocyst and ameloblastoma treated by curettage was higher than that treated by decompression, but the difference was not significant (P>0.05). CONCLUSIONS: Curettage for small and medium-sized cystic lesions of jaw bone is effective and can shorten the healing time, while decompression for large cystic lesions is effective and beneficial to preserve adjacent tissue structure. Decompression and curettage can be used for the treatment of multicystic lesions of jaw bone.

Key words: Jaw bone cystic lesions, Recurrence, Retrospective analysis

CLC Number:

R782.3

FAN Yong-jing, JIN Wu-long, LIU Ying. Clinical retrospective analysis of 200 cases with cystic lesions of the jaw bone[J]. China Journal of Oral and Maxillofacial Surgery, 2019, 17(3): 269-274.

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