Which of the following is an indication of enucleation?
Treatment of odontogenic keratocyst
Recurrence of cystic lesions of any cyst type
Large cyst to avoid pathological fracture of jaw
Both 1 and 2
Enucleation
→ Recommended treatment of choice.
→ Enucleation allows for the cystic cavity to be covered by a mucoperiosteal flap and the space fills with blood clot, which will eventually organize and form normal bone.
Indications:
→ For the treatment of odontogenic keratocysts.
→ Recurrence of cystic lesions of any cyst type.
Advantages:
→ Primary closure of the wound.
→ Healing is rapid.
→ Postoperative care reduced.
→ Thorough examination of entire cystic lining can be done.
Disadvantages:
→ Adjacent vital structure can be damaged.
→ Necrosis of the pulp.
→ Mandible will become weak, due to larger cyst removal, making it prone to jaw fracture.
→ Unerupted teeth in dentigerous cyst will be removed, with lesion in young persons.