Dott.re Giuseppe Spinelli

Cystic neoformations

INTRODUCTION CYSTIC INFORMATION

Oncologic Surgery

Cystic neoformations that can be subdivided in turn into:

  • A) Non-inflammatory odontogenic cysts: (gingival cysts, periodontal cysts, dentigerous cysts, odontogenic keratocysts, odontogenic calcifying cysts).
  • B) Inflammatory odontogenic cysts: (radicular cysts, residual cysts, lateral inflammatory cyst, lateral cysts).
  • C) Non-odontogenic cysts: (nasopalatine cysts, mandibular median cysts, nasoalveolar cysts).
  • D) Pseudocysts: (solitary bone cyst, aneurysmal cyst, Stafne cyst).
THE CYCLES OF MASCELLARI

The jaw cysts are lesions characterized by a liquid-filled cavity covered by an internal epithelial wall and an external connective lining.

SYMPTOMS OF CYSTS JAWS

In most cases, cysts are asymptomatic, unless they become infected or cause deformation of the jaw bones. Usually they do not cause erosion of the dental roots but are often associated with a displacement of these. If there is erosion of the roots, lesions of neoplastic origin must be suspected.

Just as an alteration of the sensitivity of the trigeminal nerve branches must be viewed with suspicion.

Radiologically they appear in the form of radiolucent areas with clear margins and with a more radiopaque sclerotic border due to a bone reaction at the periphery of the lesion (condensing osteitis).

Cysts can be uni or multiloculated.

SURGICAL TREATMENT OF THE CYSTS

The treatment of cysts consists in the enucleation of the lesion, alternatively in marsupialization but there are also combined techniques.

The enucleation of the cysts consists in the complete removal of the cyst, the residual cavity must then be inspected and cleaned (curettage) in order to prevent this recurrence.

Recurrence of cysts is however possible.