Inflammatory and developmental odontogenic cysts: 23-year observational and retrospective study

Iago Demétrio da Silva, Fernanda Lobo, Breno Gabriel da Silva, Elen de Souza Tolentino, Lilian Cristina Vessoni Iwaki, Mariliani Chicarelli da Silva

Abstract


Objective: This observational and retrospective study evaluated the prevalence and characteristics of odontogenic cysts, outlining the epidemiological profile of these lesions. Material and methods: The following data were collected from the medical records of patients with a diagnosis confirmed by microscopy: age, sex, ethnicity, anatomical location, histopathological diagnosis and treatment, between 1995 and 2018. Results: Of the 70 cysts, 75.7% were inflammatory and 24.2% development. The inflammatory periapical cyst was the most prevalent (62.8%) followed by the dentigerous cyst (71.0%). The lateral radicular cysts and odontogenic keratocysts obtained the same percentage (5.7%), followed by the residual cyst (4.3%), paradental (2.8%) and the orthokeratinized variable (1.5%). Women were slightly more affected (1.12: 1) with greater involvement of leucodermas (80%). Age and anatomical location differed according to each lesion, although the anterior maxilla region was more affected. Enucleation was the most used treatment (75.7%), except for odontogenic keratocysts, in which marsupialization was performed in 75% of the cases. Conclusion: Epidemiological data provide an important insight into the prevalence, extent and severity of these lesions, allowing early diagnosis and prevention, in order to guarantee the reduction of cases and improve the quality of life of the population.

Keywords


Odontogenic Cysts; Pathology; Epidemiology; Diagnosis

References


Prockt AP, Shebela CR, Maito FDM, Sant’Ana-Filho M, Rados PV. Odontogenic cysts: analysis of 680 cases in Brazil. Head Neck Pathol. 2008;2(3):150-6.

Cedin AC, Paula FA Jr, Landim ER, Silva FLP, Oliveira LF, Sotter AC. Endoscopic treatment of odontogenic cyst with intra-sinusal extension. Braz J Otorhinolaryngol. 2005;71(3):392-5.

Politano GT, Manetta IP, Araújo VS, Aguiar JMRP, Brianez N, Echeverria S, et al. Cisto radicular: relato de caso clínico. Rev ConScientiae Saúde. 2009;8(1):129-32.

Santos LCS, Ramos EAG, Meira TM, Figueiredo CRLV, Santos JN. Etiopatogenia do cisto radicular: parte I. Rev Cienc Med Biol. 2006;5(1):69-74.

Anavi Y, Gal G, Miron H, Calderon S, Allon DM. Decompression of odontogenic cysticlesions: clinical long-term study of 73 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(2):164-9.

Johnson NR, Gannon OM, Savage NW, Batstone MD. Frequency of odontogenic cysts and tumors: a systematic review. J Investig Clin Dent. 2014;5(1):9-14.

Vieira EMM, Neves MHM, Pimenta ETP, Siqueira CRB, Castro PHS. Diagnóstico de lesão intra-óssea por imagem. RGO. 2007;55(4):413-6.

Garib DG, Raymundo R Jr, Raymundo MV, Raymundo DV, Ferreira SN. Tomografia computadorizada de feixe cônico (Cone beam): entendendo este novo método de diagnóstico por imagem compromissora aplicabilidade na Ortodontia. Dental PressJ Orthod. 2007;12(2):139-56.

Bussab WO, Morettin PA. Estatística Básica. 6 Ed. São Paulo: Saraiva; 2010.

Stoelinga PJ, Bronkhorst FB. The incidence, multiple presentation and recurrence of aggressive cysts ofthe jaws. J Craniomaxillofac Surg. 1988;16:184-95.

Martins-Filho PRS, Brasileiro BF, Piva MR, Silva LCF, Reinheimer DM, Marzola C. Cisto radicular na maxila relato de caso clínico cirúrgico. Rev ATO. 2009;4(10):881-9.

Meghji S, Qureshi W, Henderson B, Harris M. The role of endotoxin and cytokinesin the pathogenesis of odontogenic cysts. Arch Oral Biol.1996; 41(6):523-31.

Magnusson B, BorrmanH. The paradentalcyst a clinicopathologic study of 26 cases. SwedDentJ.1995;19(1-2):1-7.

Colgan CM, Henry J, Napier SS, Cowan CG. Paradental cysts: a role for food impaction in the pathogenesis? A review of cases from Northern Ireland. Br J Oral Maxillofac Surg. 2002;40(2):163-8.

Philipsen HP, Reichart PA, Ogawa I, Suei Y, Takata T. The inflammatoryparadentalcyst: a critical review of 342 cases from a literature survey, including 17 new cases from the author’s files. JOral PatholMed. 2004;33(3):147-55.

Kanno CM, Gulinelli JL, Nagata MJ, Soubhia AM, Crivelini MM. Paradental cyst: report of two cases. J Periodontol. 2006;77(9):1602-6.

Soluk-tekkesin M, Wright JM. The world health organization classification of odontogenic lesions: a summary of the changes of the 2017 (4th) edition. Turk Patoloji Derg. 2018;34(1):1-18.

Kambalimath HD, Kambalimath HV, Agrawal SM, Singh M, Jain N, Anurag B, et al. Prevalence and distribution of odontogenic cyst in indian population: a 10 year retrospective study. J Maxillofac Oral Surg. 2014;13(1):10-5.

Nigel RJ, Neil WS, Stauros K, Martin DB. A prospective epidemiological study for odontogenic andnon-odontogenic lesions of the maxilla and mandible in Queensland. J Oral Maxillofac Pathol. 2013;115(4):515-22.

Tekkesin MS, Olgac V, Aksakalli N, Alatli C. Odontogenic and nonodontogenic cysts in Istanbul: analysis of 5088 cases. Head Neck. 2012;34:852-5.

Mallmann CT, Vieira RR, Silva SO, De Carli BMG, De Carli JP. Tumor odontogênico ceratocístico: levantamento de casos e revisão de literatura. Odonto. 2012;20(40):67-72.




DOI: https://doi.org/10.22456/2177-0018.92271

Licença Creative Commons

e-ISSN 2177-0018 / ISSN 0566-1854.

descrição da foto descrição da foto descrição da foto descrição da foto descrição da foto descrição da foto descrição da fotodescrição da foto