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Impact on Pulp Vitality of Affected Teeth after Decompression for Jaw Cystic Lesions
Yi Zhang1, Jingang Yang2, Elvis Han Cui3
1Department of Endodontics and Operative Dentistry, Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Department of Oral Medicine, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China; College of Stomatology, Shanghai Jiao Tong University, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China.
Introduction:
Jaw cystic lesions are common oral and maxillofacial conditions that may affect teeth and important anatomical structures. Decompression and 2-stage curettage are widely used treatments for this condition. This study aims to compare the pulp vitality of affected teeth in patients with jaw cystic lesions before and after decompression and 2-stage curettage, thereby clarifying the impact on the pulp vitality of the involved teeth.
Methods:
Thirty patients diagnosed with cystic lesions of the jawbone underwent decompression followed by 2-stage curettage treatment. The pulp vitality of the affected teeth was assessed using an electric pulp test before decompression, 3 months after decompression, and 3 months after curettage.
Results:
Among 102 teeth from 30 patients initially included in the study, 79 teeth from 24 patients were analyzed after excluding patients lost to follow-up. Before decompression, 64 (81.01%) and 15 (18.99%) teeth showed positive and negative pulp responses, respectively, compared with 69 (87.34%) and 10 (12.66%) teeth 3 months after decompression. After curettage, 68 teeth (86.08%) showed positive pulp responses, while 11 (13.92%) showed negative pulp responses.
Conclusion:
Decompression not only preserves natural teeth but also helps maintain pulp vitality. A comprehensive evaluation of the affected teeth is recommended before surgery for jaw cystic lesions, and root canal treatment should not be initiated hastily.
