AVANÇOS NO DIAGNÓSTICO E MANEJO DE LESÕES CÍSTICAS E TUMORAIS BENIGNAS DA MANDÍBULA
DOI:
https://doi.org/10.36557/2674-8169.2024v6n8p3613-3626Keywords:
Cistos Odontogênicos, Tumores da Mandíbula, Patologias OdontogênicasAbstract
Odontogenic lesions originate from epithelial tissues related to the development of the odontogenic apparatus or from remnants of cells trapped during organogenesis. It can affect different regions, tissues of the oral cavity and important anatomical structures that include the maxillae and mandible. Odontogenic cysts are pathological lesions that form in the oral cavity and may contain liquid, semi-fluid or gas.Therefore, this literature review aims to present advances in the diagnosis and management of benign cystic and tumoral lesions of the jaw. Odontogenic cysts are classified as developmental, inflammatory and non-odontogenic cysts, are generally asymptomatic and grow slowly. They can cause displacement of surrounding structures, expansion, malocclusion and facial asymmetry. Odontogenic tumors can be benign or malignant in origin, resulting from the multiplication of cells. Diagnosis and treatment of cystic lesions are important because these lesions can cause complications such as bone deformation, tooth loss and develop into tumors. Thus, the diagnosis of cystic lesions in the jaw can be obtained through orthopantomography, computed tomography and cone beam computed tomography examinations. Among the most recommended treatments for cystic lesions are decompression, marsupialization, enucleation and bone resection, or even a combination of all these treatments. However, each technique has its advantages and disadvantages. Therefore, it is of utmost importance to integrate advanced technologies in the diagnosis and treatment of odontogenic lesions, aiming at the patient's well-being and recovery.
Downloads
References
Bergamini ML, Sanches GT, Pina PSS, D’Avila RP, Canto AMD, Ogawa CM et al. (2021). Cistos dentígeros múltiplos incomuns avaliados por tomografia computadorizada de feixe cônico: relato de caso em um paciente não sindrômico. Braz J Otorhinolaryngol. 87:110-3. https://doi.org/10.1016/J.BJORLP.2020.11.017
Bhardwaj B, Sharma S, Chitlangia P, Agarwal P, Bhamboo A, Rastogi K. (2016). Mandibular dentigerous cyst in a 10-year-old child. Int J Clin Pediatr Dent. 9(3):281–4. https://doi.org/10.5005/jp-journals-10005-1378
Berretta LM, Melo G, Mello FW, Lízio G, Rivero ERC. (2021). Effectiveness of marsupialisation and decompression on the reduction of cystic jaw lesions: a systematic review. Br J Oral Maxillofac Surg. 59(10):E17-E42. https://doi.org/10.1016/j.bjoms.2021.03.004
Cassetta M, Carlo SD, Pranno N, Stagnitti A, Pompa V, Pompa G. (2012). “The use of high resolution magnetic resonance on 3.0-T system in the diagnosis and surgical planning of intraosseous lesions of the jaws: preliminary results of a retrospective study,” European Review for Medical and Pharmacological Sciences. 16(14):2021–2028. https://pubmed.ncbi.nlm.nih.gov/23242732/
Castro-Núnez J. (2016). Decompression of odontogenic cystic lesions: Past, present, and future. J Oral Maxillofac Surg. 74(1):104.e1-104.e9. https://doi.org/10.1016/j.joms.2015.09.004
Chupillón À, Antonio H, Chávez S, Portocarrero H. (2020). Quiste Odontogénico Inflamatorio: Reporte de Caso Odontogenic Inflammatory Cyst: Case Report. Rev. Salud & Vida Sipanense. 7(2):132–143. https://doi.org/10.26495/svs.v7i2.1473
Dallepiane FG, Batu VC, Fuhr MCS, Milani ACC, Felin GC. (2022). Cisto dentígero em região anterior da mandíbula. RSBO. 19(2):469-76. https://periodicos.univille.br/RSBO/article/view/1891/1547
Deepa KK, Jannu A, Kulambi M, Shalini HS. (2021). A case of dentigerous cyst in a pediatric patient-With an insight into differential diagnostic entities. Advances Oral Maxillofacial Surg. 3:100130. https://doi.org/10.1016/j.adoms.2021.100130
Fujita M, Matsuzaki H, Yanagi Y, Hara M, Katase N, Hisatomi M, Unetsubo T, Konouchi H, Nagatsuka H, Asaumi J-I. (2013). “Diagnostic value of MRI for odontogenic tumours,” Dentomaxillofacial Radiology. 42(5):20120265. https://doi.org/10.1259/dmfr.20120265
Kirtaniya BC, Sachdev V, Singla A, Sharma AK. (2010). Marsupialization: a conservative approach for treating dentigerous cyst in children in the mixed dentition. J Indian Soc Pedod Prev Dent. 28:203–8. https://doi.org/10.4103/0970-4388.73795
Kumar R, Singh RK, Pandey RK, Mohammad S, Ram H. (2012). Inflammatory dentigerous cyst in a ten-year-old child. Natl J Maxillofac Surg.3(1):80–3. https://doi.org/10.4103/0975-5950.102172
Kwon Y, Ko K, So B, Kim D, Jang H, Kim S, Lee E, Lim H. (2020). Effect of Decompression on Jaw Cystic Lesions Based on Three-Dimensional Volumetric Analysis. Medicina. 56(11):602- 609. https://doi.org/10.3390/medicina56110602
Imada TSN, Tieghi Neto V, Bernini GF, Santos PSS, RubiraBullen IRF, BravoCalderòn D, Oliveira DT, Gonçales ES. (2014). Unusual bilateral dentigerous cysts in a nonsyndromic patient assessed by cone beam computed tomography. Contemporary Clinical Dentistry. 5(2):240-242. https://pdfs.semanticscholar.org/661b/e982c28d7cb0ca20208e929904414fb48ae0.pdf
Lévano S, Calderón V, Trevejo-Bocanegra A. (2021). Caracterización imagenológica del quiste residual maxilar: Reporte de caso y revisión de la literatura. Rev Estomatol Hered. 31(1): 60–5. https://doi.org/10.20453/reh.v31i1.3927
Marin S, Kirnbauer B, Rugani P, Mellacher A, Payer M, Jaksen N. (2019). The effectieness of decompression as initial treatment for jaw cysts: A 10-year retrospective study. Med Oral Patol Oral y Cir Bucal. 24(1):e47-52. https://doi.org/10.4317/medoral.22526
Marker P, Brondum N, Clausen PP, Bastian HL. (1996). Treatment of large odontogenic keratocysts by decompression and later cystectomy: A long-term follow-up and a histologic study of 23 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 82(2):122-131. https://doi.org/10.1016/s1079-2104(96)80214-9
Neville B. (2016). Patologia Oral e Maxilofacial. Editora: Elsevier Brasil. 928 p.
Paz GP, Pereira IS, Souza JMPA, Jonas LO. (2022). Cistos e tumores odontogênicos: relevância clínica e radiográfica. Rev. Cient. do Tocantins. 2(2):2-11. https://itpacporto.emnuvens.com.br/revista/article/view/58/53
Perjuci F, Ademi-Abdyli R, Abdyli Y, Morina E, Gashi A, Agani Z, Ahmedi J. (2018). Evaluation of Spontaneous Bone Healing After Enucleation of Large Residual Cyst in Maxilla without Graft Material Utilization: Case Report. Acta Stomatologica Croatica. 52(1):53–60. https://doi.org/10.15644/asc52/1/8
Pinto ASB, Costa ALF, Galvão NS, Ferreira TLD, LSLPC. (2016). Value of Magnetic Resonance Imaging for Diagnosis of Dentigerous Cyst. Hindawi Publishing Corporation Case Reports in Dentistry. 2806235(6). http://dx.doi.org/10.1155/2016/2806235
Riachi F, Khairallah CM, Ghosn N, Berberi, AN. (2019). Cyst volume changes measured with a 3D reconstruction after decompression of a mandibular dentigerous cyst with an impacted third molar. Clin Pract. 9(1):12-7. https://doi.org/10.4081/cp.2019.1132
Sá ACD, Zardo M, Paes Júnior AJO, Souza RP, Neme MP, Sabedotti I, Lovato AFG, Costa KD, Rapoport A. (2004). Ameloblastoma da mandíbula: relato de dois casos. 37(6). https://doi.org/10.1590/S0100-39842004000600017
Santos LCC, Fialho PV, Oliveira Neto EF, Souza AS. (2019). Abordagem cirúrgica de cisto residual infectado em mandíbula: relato de caso. Rev. UNINGÁ. 56(S3): 113-118. https://revista.uninga.br/uninga/article/view/2702/1931
Scholl RJ, Kellett HM, Neumann DP, Lurie AG. (1999). Cysts and cystic lesions of the mandible: clinical and radiologic-histopathologic review. RadioGraphics. 19(5):1107–1124. https://doi.org/10.1148/radiographics.19.5.g99se021107
Shear M. (1992). Cysts of the oral regions. third ed. Oxford: Wright. p. 59–75.
Som PM, Bergeron RT. (1991). Head and neck imaging. 3rd ed. St. Louis, MO: Mosby Year Book.
Speight P, Fantasía JE, Neville BW. (2017). Odontogenic and NonOdontogenic Developmental Cysts. In: El-Naggar A K, Chan JKC, Grandis JR, Takata T, Slootweg PJ. Eds. WHO Classification of Head and Neck Tumours, IARC Press, Lyon, 234-242.
Srinivasan K, Bhalla AS, Sharma R, Kumar A, Roychoudhury A, Bhutia O. (2012). “Diffusion-weighted imaging in the evaluation of odontogenic cysts and tumours,” British J Radiology. 85(1018):e864–e870. https://doi.org/10.1259/bjr/54433314
Ziccardi VB, Eggleston TI, Schneider RE. (1997). Using fenestration technique to treat a large dentigerous cyst. J Am Dent Assoc, Chicago. 128(2): 201-5. https://doi.org/10.14219/jada.archive.1997.0165
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Kethylin Nascimento, Eudécio Carvalho Neco, Rodrigo Crispim Londres, Letícia Daniele Fridel, Ellyciane Maria Cândido Lacerda, Wendson Rafael Souza Barros, Diogo Tissot , Alyne Vasconcelos de Oliveira, Dayane Barbosa Costa, Danielle Machado Vieira , Vinícius Azevedo Araújo de Andrade, Gilberlânio Felizardo de Sousa Filho, Carlos Perseu Tesoni, Leyne Minelly Nazário De Oliveira , Aline Fernandes de Macedo , Camila Bárbara Batista do Nascimento Santos, Samuel Oliveira Matos, Dayseane Kalline Machado Ferreira, Henrique Cerva de Melo, Mayara Menezes do Nascimento, Jéssica Larissa Brandalise, Rayanne Letícia Barbosa Alves, Gustavo Felipe Giufrida dos Santos, Alisson Hermínio da Silva, Bárbara Fernandes de Alencar, Eryson Ramon Oliveira da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
