Predicting Risk Factors for Complications in Jaw Cyst Treatment: Insights from a Retrospective Study.

Area of Science:

• Oral and Maxillofacial Surgery
• Pathology
• Radiology

Background:

• Differentiating odontogenic from non-odontogenic jaw cysts and tumors can be complex.
• Complications arise from secondary infections, impacted teeth, cortical changes, and root resorption.

Purpose of the Study:

• Identify risk factors for complications during jaw cyst enucleation.
• Develop a clinical model for predicting complications.
• Determine indications for preoperative root canal treatment of adjacent teeth.

Main Methods:

• Retrospective review of surgical, pathological, and radiological reports.
• Analysis of patient records including diagnosis, lesion size, and preoperative treatments.
• Statistical analysis of complications in relation to various patient and procedural factors.

Main Results:

• Ten complications occurred in 77 patients.
• Lesion size and procedure type (cyst enucleation, apicoectomy, bone graft) were significant risk factors.
• Preoperative root canal therapy and male gender showed a positive correlation with complications.

Conclusions:

• Additional procedures, except bone grafting, may reduce complication risk.
• Larger cyst size is associated with increased complication risk.
• Thorough precautions, patient counseling, and follow-up are essential, especially for bone grafts.