Faculty of Dentistry, Oral and Maxillofacial Surgery, Gaziantep University, Gaziantep, Turkey.
BMC Oral Health. 2024 Oct 23;24(1):1271. doi: 10.1186/s12903-024-04945-9.
The aim of the study was to evaluate the trabeculation increase of treated mandibular cysts.
The study included 26 female and 33 male patients (age mean: 38,4 years) with cysts larger than 3 cm in the posterior region of the mandible who were admitted to the same center. Two groups in treatment technique: marsupialization (n = 29) and enucleation (n = 30). Four groups in cyst types: dentigerous cyst (n = 21), keratocyst (n = 19), radicular cyst (n = 15) and residual cyst (n = 4). Cyst size was divided into two categories: smaller than 5.5 cm (n = 31) and larger than 5.5 cm (n = 28). Panoramic radiographs (PR) of the patients were analyzed at the beginning, 6. month and 12. month.
At the end of the treatment, there was no statistically significant difference in terms of Fractal Analysis (FA) between patients treated with marsupialization and enucleation, but considering that the cysts in the marsupialization group were larger in size, a faster increase in FA was observed in the marsupialization group. When the cysts were grouped according to their size, it was observed that healing tissues in cysts smaller than 5.5 cm reached normal FA values faster, while healing in the middle of cysts larger than 5.5 cm took more time.
FA is a reproducible and reliable method. In large cysts, marsupialization results in a faster recovery, but FA values at the end of treatment are similar to the enucleation group. Cysts larger than 5.5 cm show a more rapid increase in Fractal Dimension (FD). The centre of the cysts is the area that heals the latest. Studies with larger sample sizes are needed to evaluate the difference in healing between cyst types.
Clinical trial number: Not applicable.
本研究旨在评估治疗后下颌囊肿的小梁增生情况。
本研究纳入了 26 名女性和 33 名男性患者（平均年龄：38.4 岁），这些患者的下颌后区存在大于 3cm 的囊肿，并被收入同一中心进行治疗。根据治疗技术分为两组：袋形切除术（n=29）和切除术（n=30）。根据囊肿类型分为四组：含牙囊肿（n=21）、角化囊肿（n=19）、根尖囊肿（n=15）和残余囊肿（n=4）。囊肿大小分为两类：小于 5.5cm（n=31）和大于 5.5cm（n=28）。对患者的全景片（PR）在治疗开始时、6 个月和 12 个月时进行分析。
在治疗结束时，袋形切除术和切除术患者的分形分析（FA）之间没有统计学上的显著差异，但考虑到袋形切除术组的囊肿更大，FA 增加更快。当根据囊肿大小进行分组时，发现小于 5.5cm 的囊肿的愈合组织更快地达到正常 FA 值，而大于 5.5cm 的囊肿的中间愈合需要更多的时间。
FA 是一种可重复和可靠的方法。在大囊肿中，袋形切除术能更快地恢复，但治疗结束时的 FA 值与切除术组相似。大于 5.5cm 的囊肿的分形维数（FD）增加更快。囊肿的中心是愈合最慢的区域。需要更大样本量的研究来评估不同类型囊肿的愈合差异。
无。
