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Incidence of Aggressive Cysts of The Jaws and Their Management
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| Author:
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DR. SUBHASHINI SUBHASHINI, DR. ABDUL WAHAB P U, DR. SANTHOSH KUMAR M P
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| Abstract:
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Cysts in which Carcinoma Arises, recurs or an ameloblastoma develops are called as Aggressive cysts or potentially aggressive cysts. There are essentially five types of cysts that require special attention so as to avoid recurrence or even worse, wide spread disease. They are Odontogenic Keratocysts (OKC), Botryoid cysts, Cysts in which carcinoma arises, Glandular Odontogenic cysts and Calcifying Odontogenic cysts. This study was aimed to estimate the incidence of potentially aggressive cysts, its gender predilection, treatment modalities and recurrence rates. In this retrospective study, datas were retrieved from hospital records. Totally 34 cysts cases who had undergone surgical treatment were collected over a period from July 2019 to March 2020 from a total number of 86000 case records. Datas retrieved were gender, sex, diagnosis, type of cyst, surgical treatment, and recurrence. Statistical analysis was performed using the SPSS software (version 23.0; SPSS, Chicago, IL, USA) and results obtained. Out of 34 cyst cases, 10 (29%) cases were Odontogenic Keratocysts. Among 10 odontogenic Keratocysts, Males (66.7%) were most commonly affected than females (33.3%) Preferred treatment for aggressive cysts was enucleation and chemical cauterization (p<0.03) and there was significant reduction in recurrence rate of cysts with enucleation and chemical cauterization (p=0.01). Most common site of occurrence of aggressive cysts was Mandible (77.8%). It can be concluded from our study that OKC was the most frequently seen potentially aggressive cysts of the Jaw. Enucleation and chemical cauterization was the preferred treatment modality and successful results were achieved. Recurrence rate was minimal and long term follow up is essential to identify and prevent occurrence of untoward complications.
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| Keyword:
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Aggressive cyst; Odontogenic Cysts; odontogenic Keratocyst; enucleation; Chemical cautery
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2020.SP1.050
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| Download:
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