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Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2013, vol. 19, book 4
Subject Collection: Oral and Dental Medicine
Pages: 401-403
DOI: 10.5272/jimab.2013194.401
Published online: 18 October 2013
J of IMAB 2013; 19(4):401-403
JAW CYSTS AND GUIDED BONE REGENERATION (a late complication after enucleation)
Hristina Lalabonova1 
, Hristo Daskalov2
1) Department of Maxillofacial Surgery, 2) Department of Oral Surgery,
Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.
ABSTRACT:
Maxillary jaw bone possesses a high regenerative capacity. Yet sometimes the defects enucleation of jaw cysts leaves may regenerate only partially or not at all. For this reason some researchers advise treatment of the residual cavities after cystectomy using bone regeneration stimulation methods. We report a case of an atypical complication after enucleation of a maxillary cyst manifesting itself eight years after the initial treatment. The symptoms the patient reported were at first periodic sweating on the left sides of face and head. This was followed by a piercing pain in the left palpebral fissure radiating to the middle of the palate and felt in the left cheekbone, left eye and left supraorbital ridge. The patient has a history of maxillary cysts recurring three times and of three operations she had 20, 12 and 8 years previously. The multiple recurrences of the cysts after their enucleation indicates poor regenerative capacity of the body which resulted in the formation of cicatricial tissue. It is most probably this tissue that was responsible for the disruption of the nerve conduction capacity which can account for the reported symptoms. We filled the cavity with bone graft material which boosted the bone structure regeneration. Although maxillary jaws possess high regenerative capacity we advise the use of guided bone regeneration in cases of large bone defects that usually occur after enucleation of jaw cysts.
Key words: radicular maxillary cyst; complication; Frey's syndrome; guided bone regeneration; neuralgia;
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Please cite this article as:
Lalabonova H, Daskalov H. Jaw cysts and guided bone regeneration (a late complication after enucleation). J of IMAB. 2013; 19(4):401-403. doi: 10.5272/jimab.2013194.401.
Correspondence to: Assoc. prof. Hristina Lalabonova, Department of Maxillofacial Surgery, Faculty of Dental Medicine, 11, Opalchenska Str., 4000 Plovdiv, Bulgaria; lalabonova@abv.bg;
REFERENCES:
1. Atanassov D. (editor) Oral surgery. Textbook for students of dentistry. Taffprint, Plovdiv. 2011; pp.925. [in Bulgarian]
2. Ugrinov R, (editor). Maxillofacial and oral surgery. Kivi, Sofia, 2006; pp.664. [in Bulgarian]
3. Bodner L. Effect of decalcified freeze-dried bone allograft on the healing of jaw defects after cyst enucleation. J Oral Maxillofac Surg. 1996 Nov;54(11):1282-1286. [PubMed]
4. Bodner L. Osseous regeneration in the jaws using demineralized allogenic bone implants. J Craniomaxillofac Surg. 1998 Apr;26(2):116-120. [PubMed]
5. Chiapasco M, Rossi A, Motta JJ, Crescentini M. Spontaneous bone regeneration after enucleation of large mandibular cysts: a radiographic computed analysis of 27 consecutive cases. J Oral Maxillofac Surg. 2000 Sep;58(9):942-948. [PubMed] [CrossRef]
6. Dahlin C, Gottlow J, Linde A, Nyman S. Healing of maxillary and mandibular bone defects using a membrane technique: An experimental study in monkeys. Scand J Plast Reconstr Surg Hand Surg. 1990; 24(1):13-9. [PubMed]
7. Ettl T, Gosau M, Sader R, Reichert TE. Jaw cysts - Filling or no filling after enucleation? A review. J Craniomaxillofac Surg. 2012 Sep;40(6):485-93. [PubMed] [CrossRef]
8. Lin L, Chen MY, Ricucci D, Rosenberg PA. Guided tissue regeneration in periapical surgery. J Endodont. 2010 Apr;36(4):618-625. [PubMed] [CrossRef]
9. Mosqueda-Taylor A, Irigoyen-Camacho ME, Diaz-Franco MA, Torres-Tejero MA. Odontogenic cysts. Analysis of 856 cases. Med Oral. 2002 Mar-Apr;7(2):89-96. [PubMed]
10. Mamun S, Akhter M, Molla MR. Bone grafts in jaw cysts – hydroxyapatite & allogeneic bone – A comparative study. Bangabandhu Sheikh Mujib Medical University Journal. 2009; 2(1):25-30.
11. Ochandiano Caicoya S. Bone cavity filling with alloplastic material in maxillofacial surgery. Rev Esp Cir Oral y Maxilofac. 2007; 29(1):21-32.
12. Tortorici S, Amodio E, Massenti MF, Buzzanca ML, Burruano F, Vitale F. Prevalence and distribution of odontogenic cysts in Sicily: 1986-2005. J Oral Science. 2008 Mar;50(1):15-18. [PubMed].
Received: 29 August 2013
Published online: 18 October 2013