A 6-Year Retrospective Study about Cysts in the Oral and Maxillofacial Region

ABSTRACT

PURPOSE: This study was designed to evaluate the clinical aspect of cysts which arised in the oral and maxillofacial region.PATIENTS AND METHODS: We reviewed clinical record, radiograph, histopathologic and operative report of 155 patients who had been diagnosed as cysts and treated at the department of oral and maxillofacial surgery in Chonnam National University Hospital from January 2003 to December 2008. Gender, age,classifiaction, anatomic distribution, clinical sign and symptoms, treatment, complications and recurrence rate were studied.RESULTS: 1. Among 155 patients, the male patients(64.5%) were more than the female(35.5%). 2. The average age of the patients was 37.2 years(ranging from 5 to 79 years). 3. In pathologic classification, radicular cyst and dentigerous cyst were most common cysts, irrespective of 73 cases(48.3%) and 35 cases(23.2%). 4. The frequently involved cystic regions were followed as mandibular molars(38.1%), and maxillary incisors(30.2%). 5. The frequent sequence of clinical symptoms was edema(29.9%), no symptom(18.9%), tenderness(13.9%), pain(11.5%) and abscess(9.4%). 6. The most prevalent treatment was the combination operation, such as cyst enucleation with extraction or endodontic treatment of the causative tooth(76.8%) 7. Among 155 cases, 2 cases that were treated using enucleation method were recurred(1.3%).