CLINICO-RADIOGRAPHIC STUDY OF ODONTOGENIC CYSTS AT A TERTIARY CARE CENTRE

Authors

  • Kamran Ali
  • Faisal Munir
  • Abdur Rehman
  • Iram Abbas
  • Nofil Ahmad
  • Muhammad Usman Akhtar

Abstract

Background: Cysts of the jaws constitute an important pathology in the oral and maxillofacial region and are broadly classified as odontogenic and non-odontogenic. Objective of this study was to document the clinical and radiographic presentation of odontogenic cysts at a tertiary care centre. Methods: In this descriptive case-series, patients presenting with features of suspected cystic lesions of the jaws were investigated using radiographs and incisional biopsy. Subjects showing clinico-radiographic features of odontogenic cyst(s) with subsequent confirmation on histopathological examination were included. Results: A total of 112 subjects were investigated for suspected jaw cysts and cystic diagnosis of odontogenic cysts was confirmed in 100 patients with 53 males (53%) and 47 females (47%). The age range of patients was from 12–55 years. Radicular cyst was the most commonly diagnosed odontogenic cyst (63%) followed by dentigerous cyst (22%) and odontogenickeratocyst (14%). Anterior maxilla was the most affected site (44%) followed by posterior mandible (30%). Conclusion: Odontogenic cysts constitute an established pathology affecting the jaws with varying frequency. This study augments the data cited from Western countries and re-emphasizes the need for early diagnosis and prompt management. It also highlights the differences in the presentation of odontogenic cysts as observed in the current series.Keywords: Cyst, Jaws, Odontogenic, non-odontogenic

References

Tortorici S, Amodio E, Massenti MF, Buzzanca ML, Burruano F, Vitale F. Prevalence and distribution of odontogenic cysts in Sicily: 1986–2005. J Oral Sci 2008;50(1):15–8.

McDonald AR, Pogrel MA, Carson J, Regezi J. p53-positive squamous cellcarcinoma originating from an odontogenic cyst. J Oral MaxillofacSurg 1996;54(2):216–8.

Gerhards F, Kuffner HD, Wagner W. Pathological fractures of the mandible. A review of the etiology and treatment. Int J Oral Maxillofac Surg 1998;27(3):186–90.

Jones AV, Craig GT, Franklin CD. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period. J Oral Pathol Med 2006;35(8):500–7.

Bataineh AB, Rawashdeh MA, Al Qudah MA. The prevalence of inflammatory and developmental odontogenic cysts in a Jordanian population: a clinicopathologic study. Quintessence Int 2004;35(10):815–9.

Ochsenius G, Escobar E, Godoy L, Peñafiel C. Odontogenic cysts: analysis of 2,944 cases in Chile.Med Oral Patol Oral Cir Bucal 2007;12(2):E85–91.

Iatrou I, Theologie-Lygidakis N, Leventis M. Intraosseous cystic lesions of the jaws in children: a retrospective analysis of 47 consecutive cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(4):485–92.

Abrahams JJ, Oliverio PJ. Odontogenic cysts: improved imaging with a dental CT software program. AJNR Am J Neuroradiol 1993;14(2):367–74.

Kolokythas A, Fernandes RP, Pazoki A, Ord RA. Odontogenickeratocyst: to decompress or not to decompress? A comparative study of decompression and enucleation versus resection/peripheral ostectomy. J Oral Maxillofac Surg 2007;65(4):640–4.

Sembronio S, Albiero AM, Zerman N, Costa F, Politi M. Endoscopically assisted enucleation and curettage of large mandibular odontogenickeratocyst. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(2):193–6.

Meningaud JP, Oprean N, Pitak-Arnnop P, Bertrand JC. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci 2006;48(2):59–62.

Iatrou I, Theologie-Lygidakis N, Leventis M. Intraosseous cystic lesions of the jaws in children: a retrospective analysis of 47 consecutive cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(4):485–92.

Neville BW, Damm DD, Allen CM, Bouqout JE. (editors) Oral and maxillofacial pathology. 2nd ed. Philadelphia (PA): Saunders; 2004.p. 90–603.

Ioannidou F, Mustafa B, Seferiadou-Mavropoulou T. Odontogenic cysts of the jaws. A clinicostatistical study. Stomatologia (Athenai) 1989;46(2):81–90

Published

2014-03-01

Most read articles by the same author(s)

1 2 > >>