Planning of Large Odontogenic Cysts Treatment Using Panoramic and CBCT Images.

Yıl 2020, Cilt: 6 Sayı: 1, 45 - 53, 30.04.2020

Saim Yanık , Mehmet Emrah Polat

https://doi.org/10.19127/mbsjohs.649495

Öz

Objective: We explored the utility of Cone Beam Computed Tomography (CBCT) and Orthopantomography (OPG) in terms of treatment planning to determine which form of radiography can more reliably assess cyst volume.
Methods: We evaluated the panoramic and CBCT images of nine patients who consulted ours.
clinic for treatment of large cystic lesions. Overall, 27 images were reviewed and analyzed by 21 oral and maxillofacial surgeons. We asked five questions (detailed in the main text).
Results: We evaluated the 189 answers in the questionnaire. The surgeons recommended marsupialization followed by enucleation, marsupialization, and enucleation (70.89 %, 14.28 %, and 14.81 %, respectively). The answers to the reasons of these treatment choices showed that the size of the cysts and relationship with the adjacent anatomical structures are the most effective factors. In after marsupialization challenges, 85.71% of the answers considered that the lesion had shrunk sufficiently to allow enucleation according to OPG’s, however, this rate decreased to 42.23% when the same surgeons evaluated the CBCT images of the patients after marsupialization. Ninety-nine percent of the responses reported that CBCT was much more reliable than OPG.
Conclusion: In this study, we concluded that OPG imaging method can be used for the diagnosis and follow-up of cystic lesions, but in order to determine the accuracy of timing, adequacy of new bone formation and whether the cyst has shrunk sufficiently in volume, during the transition from the marsupialization process to the enucleation process, it is necessary to use CBCT imaging method. Further clinical trials should be conducted to define the effects of three dimensions images regarding surgical treatments of different kinds of oral and maxillofacial region cystic lesions.

Anahtar Kelimeler

CBCT, panoramic, odontogenic cysts, marsupialization, enucleation

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

• Adibi S, Zhang W, Servos T, O'Neill PN.Cone beam computed tomography indentistry: what dental educators and learners should know. J Dent Educ 2012;76:1437-42.
• Anavi Y, Gal G, Miron H, Calderon S, Allon DM. Decompression of odontogenic cystic lesions: clinical long-term study of 73 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:164-9.
• Araujo GTT, Peralta-Mamani M, Silva AFMD, Rubira CMF, Honório HM, Rubira-Bullen IRF. Influence of cone beam computed tomography versus panoramic radiography on the surgical technique of third molar removal: a systematic review. Int. J. Oral Maxillofac. Surg 2019;48:1340–7.
• Aravindaksha SP, Balasundaram A, Gauthier B, Pervolarakis T, Boss H, Dhawan A, et al. Does the use of cone beam CT for the removal of wisdom teeth change the surgical approach compared with panoramic radiography? J Oral Maxillofac Surg 2015;73:e12.
• Bouquet A, Coudert JL, Bourgeois D, Mazoyer JF, Bossard D. Contributions of reformatted computed tomography and panoramic radiography in the localization of third molars relative to the maxillary sinus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98.342–347.
• Brasil DM, Nascimento EHL, Gaêta-Araujo H, Oliveira-Santos C, Maria de Almeida S. Is Panoramic Imaging Equivalent to Cone-Beam Computed Tomography for Classifying Impacted Lower Third Molars?. J Oral Maxillofac Surg 2019;1-7.
• Ecker J, Horst RT, Koslovsky D. Current role of Carnoy’s solution in treating keratocystic odontogenic tumors. J Oral Maxillofac Surg 2016;74:278–82.
• Fortes JH, Santos CO, Matsumoto W, Motta RJG, Tirapelli C. Influence of 2D vs 3D imaging and professional experience on dental implant treatment planning. Clinical Oral Investigations 2019; 23:929–36.
• Ghaeminia H, Meijer GJ, Soehardi A, Borstlap WA, Mulder J, Bergé SJ. Position of the impacted third molar in relation to the mandibular canal, Diagnostic accuracy of cone beam computed tomography compared with panoramic radiography. Int. J. Oral Maxillofac Surg 2009; 38: 964-71.
• Giuliani M, Grossi GB, Lajolo C. Conservative management of a large odonto- genic keratocyst: report of a case and review of the literature. J Oral Maxillofac Surg 2006;64:308-16.
• Hermann L, Wenzel A, Schropp L, Matzen LH. Impact of cbct on treatment decision related to surgical removal of impacted maxillary third molars: does cbct change the surgical approach?. Dentomaxillofacial Radiology 2019;48: 20190209.
• Lambert P, Morris H, Ochi S. Positive effect of surgical experience with implants on second stage implant survival. JOralMaxillofac Surg 1997;55:12–8.
• Lee ST, Kim SG, Moon SY, Oh JS, JS You, Kim JS. The effect of decompression as treatment of the cysts in the jaws: retrospective analysis. J Korean Assoc Oral Maxillofac Surg 2017;43:83-7.
• Lizio G, Sterrantino AF, Ragazzini S, Marchetti C. Volume reduction of cystic lesions after surgical decompression: A computerised three-dimensional computed tomographic evaluation. Clin Oral Investig 2013;17:1701–8.
• Lorenzo JM, Quintanilla JAS, Alonso AF, Mallou JV, Cunqueiro MMS. Anatomical characteristics and visibility of mental foramen and accessory mental foramen: Panoramic radiography vs. cone beam CT. Med Oral Patol Oral Cir Bucal 2015:1;20 (6):707-14.
• Ludlow JB, Ivanovic M. Comparative dosimetry of dental CBCT devices and 64-slice CT for oral and maxillofacial radiology, Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:1.106-14.
• Nirmalendu S, Kedarnath NS, Singh M. Orthopantomography and Cone‑Beam Computed Tomography for the Relation of Inferior Alveolar Nerve to the Impacted Mandibular Third Molars. Annals of Maxillofacial Surgery 2019;9(1):4-9.
• Oliveros-Lopez L, Fernandez-Olavarria A, Torres-Lagares D, Serrera-Figallo MA, Castillo-Oyagüe R, Segura-Egea JJ, et al. Reduction rate by decompression as a treatment of odontogenic cysts. Med Oral Patol Oral Cir Bucal 2017;22:643-50.
• Partsch C. Treatment of keratocysts: The case for decompression and marsupialization. J Oral Maxillofac Surg 2005;63:1667-73.
• Pico CL, do Vale FJ, Caramelo FJ, Corte-Real A, Pereira SM. Comparative analysis of impacted upper canines: Panoramic radiograph vs Cone Beam Computed Tomography. J Clin Exp Dent. 2017; 9: e1176-82.
• Prabhusankar K, Yuvaraj A, Prakash CA, Parthiban J, Praveen B. CBCT Cyst Leasions Diagnosis Imaging Mandible Maxilla. J Clin Diagn Res 2014;8:3-5.
• Rosai J. Rosai and Ackerman’s Surgical Pathology. 2011;265-7.
• Shahidi S, Shakibafard A, Zamiri B, Mokhtare MR, Houshyar M, Mahdianf S. The feasibility of ultrasonography in defining the size of jaw osseous lesions. J Dent (Shiraz) 2015;16:335-40.
• Shudou H, Sasaki M, Yamashiro T, Tsunomachi S, Takenoshita Y, Kubota Y, et al. Marsupialisation for keratocystic odontogenic tumours in the m andible: longitudinal image analysis of tumour size using 3D visualised CT scans. Int. J Oral Maxillofac Surg 2012;41:290–6.
• Tang Z, Liu X, Chen K. Comparison of digital panoramic radiography versus cone beam computerized tomography for measuring alveolar bone. Head & Face Medicine 2017; 13:2
• Themkumkwun S, Kitisubkanchana J, Waikakul A, Boonsiriseth K. Maxillary molar root protrusion into the maxillary sinus: a comparison of cone beam computed tomography and panoramic findings. Int. J. Oral Maxillofac. Surg 2019;48:1570-6
• Wakolbinger R, Beck-Mannagetta J. Long-term results after treatment of extensive odontogenic cysts of the jaws: a review. Clin Oral Investig 2016;20:15–22.
• Wang Y, He D, Yang C, Wang B, Qian W. An easy way to apply orthodontic extraction for impacted lower third molar compressing to the inferior alveolar nerve. J Craniomaxillofac Surg 2012;40:234-7.
• Yahara Y, Kubota Y, Yamashiro T, Shirasuna K.Eruption prediction of mandibular premolars associated with dentigerous cysts. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;108:28–31.