Clinical analysis of 1,038 cases of odontogenic jawbone cysts

Abstract Background This study aims to analyse the clinical characteristics of different types of odontogenic jawbone cysts (OJCs) and to provide a theoretical basis for prevention and clinical treatment. Methods Data from 1,038 patients with OJCs were collected, and relevant information, such as se...

Full description

Saved in:
Bibliographic Details
Main Authors: Chongli Du, Zeyu Wang, Duoduo Lan, Ruikun Zhu, Dong Wang, Hanying Wang, Chengao Wan, Tingyi Gao, Rui Han, Liang Liu, Kai Zhang
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-05167-9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841559103131877376
author Chongli Du
Zeyu Wang
Duoduo Lan
Ruikun Zhu
Dong Wang
Hanying Wang
Chengao Wan
Tingyi Gao
Rui Han
Liang Liu
Kai Zhang
author_facet Chongli Du
Zeyu Wang
Duoduo Lan
Ruikun Zhu
Dong Wang
Hanying Wang
Chengao Wan
Tingyi Gao
Rui Han
Liang Liu
Kai Zhang
author_sort Chongli Du
collection DOAJ
description Abstract Background This study aims to analyse the clinical characteristics of different types of odontogenic jawbone cysts (OJCs) and to provide a theoretical basis for prevention and clinical treatment. Methods Data from 1,038 patients with OJCs were collected, and relevant information, such as sex, age, clinical symptoms and signs, imaging data, number of lesions, lesion location, pathological diagnosis, clinical treatment and prognosis, was statistically analysed. Results According to the World Health Organization (WHO) classification of OJCs in 2022, the highest incidence rate was observed for radicular cysts (RCs), accounting for 58.96% of the total number of cases, followed by dentigerous cysts (DCs), accounting for approximately 23.22% of cases. lateral periodontal cysts (LPCs) and calcifying odontogenic cysts (COCs) comprised the lowest number of cases. The age distribution of patients was between 4 and 89 years, and the high incidence age group was youth and middle age, accounting for 66.67% of the total number of cases. The male-to-female ratio of patients was 1.51:1, and there was a statistically significant difference between the sexes(p < 0.05).In terms of the site of incidence, odontogenic keratocysts (OKCs) were prevalent in the mandibular molar region. In addition, mandibular ramus, inflammatory collateral cysts (ICCs) and dentigerous cysts (DCs) were more common in the mandibular third molar, and radicular cysts (RCs) and calcifying odontogenic cysts (COCs) were prevalent in the maxillary anterior region. On imaging, 955 (92.0%) lesions were solitary, and 83 (8.0%) were multiple. The treatment included four types of surgery, including simple curettage, marsupialization, marsupialization followed by secondary curettage, and partial resection of the jaw, and a total of 921 patients were followed up, with a recurrence rate of 2.82%. Conclusions OJCs are more common in males than in females, and a statistically significant difference is observed in the most prevalent types of cysts occurring at different ages and in various regions of the jawbone (p < 0.05). Early diagnosis should be made with the help of X-rays, age, location, and clinical symptoms. In addition, appropriate treatment methods should be selected, and long-term follow-up observation is needed.
format Article
id doaj-art-e4142acc86e14e369a20aa5ae987ee6a
institution Kabale University
issn 1472-6831
language English
publishDate 2024-11-01
publisher BMC
record_format Article
series BMC Oral Health
spelling doaj-art-e4142acc86e14e369a20aa5ae987ee6a2025-01-05T12:48:33ZengBMCBMC Oral Health1472-68312024-11-0124111110.1186/s12903-024-05167-9Clinical analysis of 1,038 cases of odontogenic jawbone cystsChongli Du0Zeyu Wang1Duoduo Lan2Ruikun Zhu3Dong Wang4Hanying Wang5Chengao Wan6Tingyi Gao7Rui Han8Liang Liu9Kai Zhang10Department of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Anesthesiology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityDepartment of Stomatology, The First Affiliated Hospital of Bengbu Medical UniversityAbstract Background This study aims to analyse the clinical characteristics of different types of odontogenic jawbone cysts (OJCs) and to provide a theoretical basis for prevention and clinical treatment. Methods Data from 1,038 patients with OJCs were collected, and relevant information, such as sex, age, clinical symptoms and signs, imaging data, number of lesions, lesion location, pathological diagnosis, clinical treatment and prognosis, was statistically analysed. Results According to the World Health Organization (WHO) classification of OJCs in 2022, the highest incidence rate was observed for radicular cysts (RCs), accounting for 58.96% of the total number of cases, followed by dentigerous cysts (DCs), accounting for approximately 23.22% of cases. lateral periodontal cysts (LPCs) and calcifying odontogenic cysts (COCs) comprised the lowest number of cases. The age distribution of patients was between 4 and 89 years, and the high incidence age group was youth and middle age, accounting for 66.67% of the total number of cases. The male-to-female ratio of patients was 1.51:1, and there was a statistically significant difference between the sexes(p < 0.05).In terms of the site of incidence, odontogenic keratocysts (OKCs) were prevalent in the mandibular molar region. In addition, mandibular ramus, inflammatory collateral cysts (ICCs) and dentigerous cysts (DCs) were more common in the mandibular third molar, and radicular cysts (RCs) and calcifying odontogenic cysts (COCs) were prevalent in the maxillary anterior region. On imaging, 955 (92.0%) lesions were solitary, and 83 (8.0%) were multiple. The treatment included four types of surgery, including simple curettage, marsupialization, marsupialization followed by secondary curettage, and partial resection of the jaw, and a total of 921 patients were followed up, with a recurrence rate of 2.82%. Conclusions OJCs are more common in males than in females, and a statistically significant difference is observed in the most prevalent types of cysts occurring at different ages and in various regions of the jawbone (p < 0.05). Early diagnosis should be made with the help of X-rays, age, location, and clinical symptoms. In addition, appropriate treatment methods should be selected, and long-term follow-up observation is needed.https://doi.org/10.1186/s12903-024-05167-9Odontogenic cystsRetrospective studyClinicopathological classification
spellingShingle Chongli Du
Zeyu Wang
Duoduo Lan
Ruikun Zhu
Dong Wang
Hanying Wang
Chengao Wan
Tingyi Gao
Rui Han
Liang Liu
Kai Zhang
Clinical analysis of 1,038 cases of odontogenic jawbone cysts
BMC Oral Health
Odontogenic cysts
Retrospective study
Clinicopathological classification
title Clinical analysis of 1,038 cases of odontogenic jawbone cysts
title_full Clinical analysis of 1,038 cases of odontogenic jawbone cysts
title_fullStr Clinical analysis of 1,038 cases of odontogenic jawbone cysts
title_full_unstemmed Clinical analysis of 1,038 cases of odontogenic jawbone cysts
title_short Clinical analysis of 1,038 cases of odontogenic jawbone cysts
title_sort clinical analysis of 1 038 cases of odontogenic jawbone cysts
topic Odontogenic cysts
Retrospective study
Clinicopathological classification
url https://doi.org/10.1186/s12903-024-05167-9
work_keys_str_mv AT chonglidu clinicalanalysisof1038casesofodontogenicjawbonecysts
AT zeyuwang clinicalanalysisof1038casesofodontogenicjawbonecysts
AT duoduolan clinicalanalysisof1038casesofodontogenicjawbonecysts
AT ruikunzhu clinicalanalysisof1038casesofodontogenicjawbonecysts
AT dongwang clinicalanalysisof1038casesofodontogenicjawbonecysts
AT hanyingwang clinicalanalysisof1038casesofodontogenicjawbonecysts
AT chengaowan clinicalanalysisof1038casesofodontogenicjawbonecysts
AT tingyigao clinicalanalysisof1038casesofodontogenicjawbonecysts
AT ruihan clinicalanalysisof1038casesofodontogenicjawbonecysts
AT liangliu clinicalanalysisof1038casesofodontogenicjawbonecysts
AT kaizhang clinicalanalysisof1038casesofodontogenicjawbonecysts