Journal of IMAB - Annual Proceeding (Scientific Papers)
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 Corresponding Autor, Hristo Daskalov2
1) Department of Maxillofacial Surgery, 2) Department of Oral Surgery,
Faculty of Dental Medicine, Medical University, Plovdiv, Bulgaria.

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;;

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Received: 29 August 2013
Published online: 18 October 2013

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