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Odontogenic cyst

Odontogenic Cyst: Diagnosis & Treatment Plan Diagnosis 1. Clinical Examination Swelling (asymptomatic or painful) Expansion of the jaw Displacement of teeth Possible infection or drainage 2. Radiographic Evaluation Panoramic X-ray (OPG): Well-defined radiolucent lesion Cone Beam CT (CBCT): Helps assess extent and cortical perforation Periapical X-ray: Localized lesions 3. Histopathological Examination Essential for distinguishing between different cyst types (e.g., dentigerous cyst, radicular cyst, odontogenic keratocyst) Aspiration biopsy in large lesions --- Treatment Plan 1. Small, Non-Infected Cysts Enucleation & Curettage (removal of the cyst in one piece) Extraction of involved teeth (if necessary) 2. Large or Aggressive Cysts (e.g., Odontogenic Keratocyst) Marsupialization (to reduce size before enucleation) Enucleation with peripheral ostectomy (to prevent recurrence) Chemical cauterization (Carnoy’s solution for aggressive lesions) 3. Infected Cysts Antibiotic therapy (if secondary infection is present) Drainage if needed before definitive surgery 4. Recurring or High-Risk Cysts Close follow-up with periodic imaging Possible resection in recurrent cases (e.g., multiple keratocysts in Gorlin syndrome) Postoperative Care Regular follow-ups (clinical and radiographic) Bone healing assessment Prevention of recurrence Would you like recommendations for a specific cyst type?