Page 80 - 7. FINAL draft Compendium 2019 2020_22072022

MINIMALISTIC APPROACHES TO TREATING LARGE ODONTOGENIC CYSTS IN CHILDREN: A
REPORT OF 3 CASES

Goh DS, Leong KJ, Azalina O, Nurnabiha J, Chong EL

Introduction: The management of odontogenic cyst is usually determined by its dimension.
Treatment includes enucleation, decompression or marsupialization and even bony
resection. An invasive surgical approach may result in significant morbidity like pathological
fractures or disfigurement of the mandibular-maxillary complex, adversely affecting
growth and development in children. Objective: To present case series of odontogenic
cysts which grew into a large size and successfully managed via minimally invasive
methods. Case study: A retrospective case series of 3 paediatric patients with large
odontogenic cyst was presented. The radiographic presentation, management and healing
progress of these odontogenic cysts will be highlighted and discussed. Management may
involve aspiration biopsy, incisional biopsy, extraction, root canal therapy or
marsupialisation. Radiographic investigations were taken periodically to monitor the
reaction of the pathology towards treatment over the course of 12-36 months. The
odontogenic cysts reduced in size after the treatment was commenced. This was indicated
by the reduction of size in radiolucent areas noted from radiographs taken during review
visits, and from the improvement of signs and symptoms such as swelling, facial asymmetry
and positioning of teeth at the area of pathology. Conclusion: Some odontogenic cysts
respond well to minimally invasive treatments by removal of the source of inflammation
and by decompressing the cystic cavity. Minimally invasive treatments may allow for a
prompt and simpler alternative. This may prevent gross tissue loss, altered growth and
development of the maxillofacial complex in children.

Keywords: minimally invasive, odontogenic cyst, paediatric, management.

th
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Poster presentation at the 7 Sabah Research Day 2019 on 4-5 September 2019 at Queen Elizabeth Hospital, Kota Kinabalu,
Sabah – Awarded 3 Prize (Case Series/Case Report Category)
rd
Dr Goh Dai Shan
Dr Leong Kei Joe
Dr Azalina Othman
Dr Nurnabiha Jabid
Dr Eunice Li-Ern Chong
Department of Paediatric Dentistry
Sabah Women and Children Hospital
Kota Kinabalu Sabah

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