Evaluation of postoperative changes in the course of mandibular canals impacted by cystic lesions

dc.contributor.authorDemirsoy, Mustafa Sami
dc.contributor.authorErdil, Aras
dc.contributor.authorÇolak, Sefa
dc.contributor.authorMaden, Abdülsamed
dc.contributor.authorTümer, Mehmet Kemal
dc.date.accessioned2024-10-24T06:34:49Z
dc.date.available2024-10-24T06:34:49Z
dc.date.issued2022
dc.departmentALKÜ, Fakülteler, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Radyolojisi Ana Bilim Dalı
dc.description.abstractBackground This study aims to determine the positional alterations in the course of mandibular canal, which were caused by the common cystic lesions in the posterior mandible. Also, the effects of treatment methods on bone formation were evaluated. Methods We designed a retrospective cohort study with patients which were treated due to cystic lesions in the maxillofacial region between the years 2012–2018. Forty eight subjects were included and grouped regarding histopathologic diagnoses (radicular dentigerous and odontogenic keratocyst) and treatment methods (enucleation and marsupialization). The mean (range) of patients’ age was 31.25 (18–66) years, and there were 32 male and 16 female individuals. The displacement of mandibular canals was verified on preoperative cone-beam computed tomographic images. The measurements of displacement and bone formation were performed on panoramic radiographs. In the statistical analysis of the data, descriptive statistics, parametric independent sample t-test, non-parametric Kruskal Wallis test, and one-way analysis of variance test were utilized. Results All the evaluated mandibular canals were replaced by a mean(SD) of 5.46(2.59)?mm after the lesions eliminated, which was significant in the marsupialization group (p?=?0.002). The bone formation was significantly higher in the enucleation group (p?=?0.003). The multiple regression analyses revealed that the treatment methods significantly influenced the replacement of mandibular canal (p?<?0.001) and the bone formation (p?=?0.026). Conclusion In cases where there is an adequate distance between the lesion and the mandibular canal, the enucleation technique was found to be superior in terms of bone formation and the amount of bone height obtained.
dc.identifier.doidoi: 10.1016/j.jormas.2021.01.001.
dc.identifier.endpage36en_US
dc.identifier.issue1en_US
dc.identifier.startpage31en_US
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/33429065/
dc.identifier.urihttps://hdl.handle.net/20.500.12868/2485
dc.identifier.volume123en_US
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.relation.ispartofJournal of Stomatology, Oral and Maxillofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectOdontogenic cysts
dc.subjectMandibular canal
dc.subjectDisplacement
dc.subjectCone-beam computed tomography
dc.subjectRadiography
dc.subjectPanoramic
dc.titleEvaluation of postoperative changes in the course of mandibular canals impacted by cystic lesions
dc.typeArticle

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