Retrospective evaluation of cystic decompression and marsupialisation procedures in odontogenic cysts

The most common jaw lesions, the odontogenic ones, are treated with less radical surgeries such as decompression as well as marsupialization, which have now been shown to be a substitute. To compare the clinical efficacy of the two methods, the results of 124 patients under treatment between 2018 and 2022 were analyzed in accordance with a retrospective study. Decompression was found to reduce the cyst size (78.4 % vs. 71.6 %) and also minimize the treatment period (8.3 vs. 11.7 months) as compared to marsupialization. The improvement of bone density was close in both groups, the complication rate was low and recurrences were minimal. These results advocate the use of decompression as a more productive conservative treatment, in big cysts and young patients.