Consequences of Decompression Treatment With a Special-Made Appliance of Nonsyndromic Odontogenic Cysts in Children
Odontogenic cysts can cause changes in bone structure. The purpose of this study is to evaluate the change in bone healing before and after decompression of nonsyndromic odontogenic cysts in children. A retrospective cohort study was performed including children diagnosed with nonsyndromic odontogen...
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| Published in: | Journal of oral and maxillofacial surgery Vol. 80; no. 7; pp. 1223 - 1237 |
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| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
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Elsevier Inc
01-07-2022
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| Abstract | Odontogenic cysts can cause changes in bone structure. The purpose of this study is to evaluate the change in bone healing before and after decompression of nonsyndromic odontogenic cysts in children.
A retrospective cohort study was performed including children diagnosed with nonsyndromic odontogenic cysts between January 2016 and December 2020. Study variables included the measurement times (baseline: T0, 1-month postoperative: T1, and end treatment: T2), measurement regions (middle cyst and control area), maxilla, and mandible. The primary and secondary outcome variables were fractal dimension (FD), treatment time, and cyst volume, respectively. Bone healing was evaluated using the fractal analysis method, the results of which are expressed as the FD. Data were analyzed by Friedman repeated measures analysis of variance by ranks, the Wilcoxon rank, Mann-Whitney U, and Kruskal-Wallis tests, Spearman correlation analysis, and linear regression model.
Twenty-three children (9 girls,14 boys) with a mean age of 9.57 ± 2.02 years were included into the study. A comparison of the measurement regions showed that the middle cyst area (1.279 ± 0.090) had significantly lower FD values than control area before decompression (T0; P < .001). Statistically significant differences were observed in FD values at T0, T1, and T2 (1.279 ± 0.090, 1.311 ± 0.090, and 1.384 ± 0.075) in the middle cyst area (P <. 001). After decompression, no significant difference was found in FD values between the middle cyst (1.384 ± 0.075) and the control area (1.401 ± 0.050).
Decompression resulted in successful bone healing in children with odontogenic cysts. Conservative treatment methods should be preferred due to the continuation of growth and development in pediatric patients. |
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| AbstractList | PURPOSEOdontogenic cysts can cause changes in bone structure. The purpose of this study is to evaluate the change in bone healing before and after decompression of nonsyndromic odontogenic cysts in children. METHODSA retrospective cohort study was performed including children diagnosed with nonsyndromic odontogenic cysts between January 2016 and December 2020. Study variables included the measurement times (baseline: T0, 1-month postoperative: T1, and end treatment: T2), measurement regions (middle cyst and control area), maxilla, and mandible. The primary and secondary outcome variables were fractal dimension (FD), treatment time, and cyst volume, respectively. Bone healing was evaluated using the fractal analysis method, the results of which are expressed as the FD. Data were analyzed by Friedman repeated measures analysis of variance by ranks, the Wilcoxon rank, Mann-Whitney U, and Kruskal-Wallis tests, Spearman correlation analysis, and linear regression model. RESULTSTwenty-three children (9 girls,14 boys) with a mean age of 9.57 ± 2.02 years were included into the study. A comparison of the measurement regions showed that the middle cyst area (1.279 ± 0.090) had significantly lower FD values than control area before decompression (T0; P < .001). Statistically significant differences were observed in FD values at T0, T1, and T2 (1.279 ± 0.090, 1.311 ± 0.090, and 1.384 ± 0.075) in the middle cyst area (P <. 001). After decompression, no significant difference was found in FD values between the middle cyst (1.384 ± 0.075) and the control area (1.401 ± 0.050). CONCLUSIONSDecompression resulted in successful bone healing in children with odontogenic cysts. Conservative treatment methods should be preferred due to the continuation of growth and development in pediatric patients. Odontogenic cysts can cause changes in bone structure. The purpose of this study is to evaluate the change in bone healing before and after decompression of nonsyndromic odontogenic cysts in children. A retrospective cohort study was performed including children diagnosed with nonsyndromic odontogenic cysts between January 2016 and December 2020. Study variables included the measurement times (baseline: T0, 1-month postoperative: T1, and end treatment: T2), measurement regions (middle cyst and control area), maxilla, and mandible. The primary and secondary outcome variables were fractal dimension (FD), treatment time, and cyst volume, respectively. Bone healing was evaluated using the fractal analysis method, the results of which are expressed as the FD. Data were analyzed by Friedman repeated measures analysis of variance by ranks, the Wilcoxon rank, Mann-Whitney U, and Kruskal-Wallis tests, Spearman correlation analysis, and linear regression model. Twenty-three children (9 girls,14 boys) with a mean age of 9.57 ± 2.02 years were included into the study. A comparison of the measurement regions showed that the middle cyst area (1.279 ± 0.090) had significantly lower FD values than control area before decompression (T0; P < .001). Statistically significant differences were observed in FD values at T0, T1, and T2 (1.279 ± 0.090, 1.311 ± 0.090, and 1.384 ± 0.075) in the middle cyst area (P <. 001). After decompression, no significant difference was found in FD values between the middle cyst (1.384 ± 0.075) and the control area (1.401 ± 0.050). Decompression resulted in successful bone healing in children with odontogenic cysts. Conservative treatment methods should be preferred due to the continuation of growth and development in pediatric patients. Odontogenic cysts can cause changes in bone structure. The purpose of this study is to evaluate the change in bone healing before and after decompression of nonsyndromic odontogenic cysts in children. A retrospective cohort study was performed including children diagnosed with nonsyndromic odontogenic cysts between January 2016 and December 2020. Study variables included the measurement times (baseline: T , 1-month postoperative: T , and end treatment: T ), measurement regions (middle cyst and control area), maxilla, and mandible. The primary and secondary outcome variables were fractal dimension (FD), treatment time, and cyst volume, respectively. Bone healing was evaluated using the fractal analysis method, the results of which are expressed as the FD. Data were analyzed by Friedman repeated measures analysis of variance by ranks, the Wilcoxon rank, Mann-Whitney U, and Kruskal-Wallis tests, Spearman correlation analysis, and linear regression model. Twenty-three children (9 girls,14 boys) with a mean age of 9.57 ± 2.02 years were included into the study. A comparison of the measurement regions showed that the middle cyst area (1.279 ± 0.090) had significantly lower FD values than control area before decompression (T ; P < .001). Statistically significant differences were observed in FD values at T , T , and T (1.279 ± 0.090, 1.311 ± 0.090, and 1.384 ± 0.075) in the middle cyst area (P <. 001). After decompression, no significant difference was found in FD values between the middle cyst (1.384 ± 0.075) and the control area (1.401 ± 0.050). Decompression resulted in successful bone healing in children with odontogenic cysts. Conservative treatment methods should be preferred due to the continuation of growth and development in pediatric patients. |
| Author | Gumus, Husniye Sezer, Aybuke Bahadir Dogan, Salih Ozturk, Gulce Soylu, Emrah Yilmaz, Serkan |
| Author_xml | – sequence: 1 givenname: Gulce orcidid: 0000-0002-5838-5025 surname: Ozturk fullname: Ozturk, Gulce email: gulcecosar@hotmail.com organization: Lecturer, Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey – sequence: 2 givenname: Salih orcidid: 0000-0001-6554-295X surname: Dogan fullname: Dogan, Salih organization: Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey – sequence: 3 givenname: Husniye surname: Gumus fullname: Gumus, Husniye organization: Associate Professor, Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey – sequence: 4 givenname: Emrah orcidid: 0000-0002-9828-5096 surname: Soylu fullname: Soylu, Emrah organization: Associate Professor, Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Erciyes University, Kayseri, Turkey – sequence: 5 givenname: Aybuke Bahadir orcidid: 0000-0002-2937-4562 surname: Sezer fullname: Sezer, Aybuke Bahadir organization: Research Assistant, Department of Pediatric Dentistry, Faculty of Dentistry, Erciyes University, Kayseri, Turkey – sequence: 6 givenname: Serkan orcidid: 0000-0001-7149-0324 surname: Yilmaz fullname: Yilmaz, Serkan organization: Research Assistant, Department of the Oral and Maxillofacial Radiology, Faculty of Dentistry, Erciyes University, Kayseri, Turkey |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35429461$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1016_j_jdent_2022_104295 crossref_primary_10_7126_cumudj_1253545 crossref_primary_10_21673_anadoluklin_1202049 |
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| Title | Consequences of Decompression Treatment With a Special-Made Appliance of Nonsyndromic Odontogenic Cysts in Children |
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