Cystic Lesions of the Jaw : A Study in 42 Thai Patients at Department of Dentistry, Burirum Hospital
Main Article Content
Abstract
Objective: To study the pathological result, the number, sex, age, location, and treatment of cystic lesions of the jaw at Buriram Hospital.
Setting: Department of Dentistry, Buriram Hospital.
Research design: Retrospective study
Subject: 42 Thai patients who had undergone biopsy with known pathological result at Buriram Hospital during the period January 2002 to November 2006.
Method: All cystic lesions of the jaw diagnosed at Department of Oral Pathology, Chulalongkorn University and Khonkaen University during the period January 2002 to November 2006 were assessed for number, sex, age, location, and treatment in this study.
Results: 43 cysts in the jaw bones were removed from 42 patients, of whom 23 were males and 19 were females with ages ranging from 6-77 years. The average age of the patient was 31.62, SD = 18.74. 19 cases (45.24%) were classified as dentigerous cysts, 17 cases (40.48%) as radicular cysts, 5 cases (11.90%) as odontogenic keratocysts and 1 case (2.38%) as paradental cyst. Dentigerous cysts occurred most frequently in 2nd decade and found in relation to the maxillary canine and mandibular third molar.
Conclusion: Over a five-year period, 43 cysts in the jaw bones were removed from 42 patients. Dentigerous cysts were the most common cysts of the jaws followed by the radicular cysts, keratocysts and paradental cyst. Accurate diagnosis is essential for proper patient therapy and follow-up. A diagnosis based solely on clinical information can be problematic. In many cases, histologic examination of surgically removed tissue is necessary to establish a definitive diagnosis.
Key words: Odontogenic cyst, jaw bones, oral
Article Details
References
2. Regezi JA, Sciubba JJ, Jordan TCK. Oral Pathology : clinical pathologic correlations. 4th ed, St Louis : WB Saunders ; 2003.
3. Kramer IRH, Pindborg JJ, Shear M. Histological typing of odontogenic tumours. 2nd ed. Berlin : Springer Verlag ; 1992.
4. วินัย ศิริจิตร. การวิเคราะห์โรคในช่องปาก จากผลการตรวจชิ้นเนื้อในภาควิชาทันตพยาธิวิทยา คณะทันตแพทยศารตร์ จุฬาลงกรณ์มหาวิทยาลัย. ว.ทันต.จุฬา 2522;3:133-46.
5. สุพิศ จึงพาณิชย์. รอยโรคถุงน้ำของกระดูกขากรรไกร : วิเคราะห์ผู้ป่วย 419 ราย. ว.ทันต. 2541;5:312-21.
6. Kreidler JF, Raubenheimer EJ, van Heerden WFP. A retrospective analysis of 367 cystic lesions of the jaw- the Ulm experience. J Craniomaxillofac Surg 1993;2:339-41
7. Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. Oral Surg Oral Med Oral Pathol 1994;77:276-80.
8. Koseoglu BG, Atalay B, Erdem MA. Odontogenic cysts : a clinical study of 90 cases. J Oral Sci 2004;46:253-7.
9. ณรงค์ศักดิ์ บุญเฉลียว. การศึกษาถุงผ้าและ เนื้องอกในช่องปากในผู้ป่วยไทยจำนวน 103 ราย ของกลุ่มงานทันตกรรม โรงพยาบาลสุรินทร์. ว.ศัลย์ช่องปาก-แม็กชิลโลเฟเชียล. 2548;19:80-86.
10. Wolf J, Hietanen J. The mandibular infected buccal cyst (paradental cyst). A radiographic and histological study. British Journal of Oral and Maxillofacial Surgery 1990;28:322-25.
11. Magnusson B, Borrman H. The paradental cyst a clinicopathologic study of 26 cases. Swed Dent J 1995;19:1-7.
12. Daley TD, Wysocki GP. The small dentigerous cyst : A diagnostic delemma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;79:77-81.
13. Holmlund A, Anneroth G, Lundquist G, Nordenram A. Ameloblastomas originating from odontogenic cysts. J Oral Pathol Med 1991;20:318-21.
14. Ali M, Baighman RA. Maxillary odontogenic keratocyst : a common and serious clinical misdiagnosis. JADA 2003;134:877-83.
15. El-Hajj G, Anneroth G. Odontogenic keratocysts- a retrospective clinical and histosogic study. Int. J. Oral Maxillofac Surg. 1996;25:124-9.