Treatment of enucleated odontogenic jaw cysts. a systematic review.

Publication date: Available online 29 December 2017
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): M. Buchbender, F.W. Neukam, R. Lutz, C. Schmitt
ObjectivesIn this systematic review, we aimed to assess the impact of filling or not filling enucleated odontogenic jaw cysts on bony defect consolidation. In terms of filling we aimed to assess which is the best filling material based on current evidence.Study designAn electronic search was performed using PubMed, Embase, and Medline databases with the logical operators: "odontogenic cysts" AND "jaw cysts" AND "treatment AND therapy".ResultsThirteen studies with primary enucleation (6 with filling and 7 without filling) were included. In terms of filling either synthetic bone substitutes or autologous bone were used. The primary outcome was bony regeneration judged by radiographic follow-up measurements. 2D radiographic follow-up measurements (densitometry) revealed a bone density increase and comparable bone regeneration in both groups.ConclusionsDue to the low number of studies and the heterogeneity of the included data, evidence based treatment recommendations cannot be given at this time. Also outcomes based on 2D measurements should be interpreted with caution. However, the following factors are suggested having an impact on bony defect consolidation: defect size, defect configuration, the preservation of the periosteum and localization (upper or lower jaw). Prospective comparable clinical studies with a 3D follow-up are needed.



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