PREVALENCE AND MODALITIES OF TREATMENT OF LARGE ODONTOGENIC CYSTS IN THE POPULATION OF KOSOVO - A SERIES OF 69 CASES

Purpose: Present the findings through a study of 69 cases of large odontogenic cysts, treated over a period of 5 years; distribution by age, sex, anatomical localization, type of odontogenic cyst and modalities used for their treatment. Materials and methods: 69 cases affected by large odontogenic cysts were included in this study. All cases were treated surgically at the Oral Surgery Clinic of U.D.C.C.K. (University Dentistry Clinical Center of Kosovo). The diagnosis was made on the basis of clinical and radiological examination and was confirmed by histopathological examination. Each case was analyzed separately and with the use of local anesthesia on the enucleation or marsupialization of the cyst was done. Healing of the bone defect was evaluated with periodic radiographs following the reduction of the bone defect. Results : Of the 69 cases treated, the prevalence of radicular cysts was higher with 62.3%, followed by follicular cysts with 20.2% and residual cysts with 17.3%. The upper jaw is most often attacked by radicular cysts with 24 cases, while the mandible more often by follicular cysts with 8 cases. The most affected age with large cysts is the third and fourth decade of life. Enucleation of the cystic lesion was done in 67 cases while in 2 cases the marsupialization and preservation of the tooth was done. Spontaneous bone regeneration has been recorded in all cases. Conclusion: Odontogenic cysts can cause significant bone defects in the jaw. In this group of population in Kosovo with large cysts, the prevalence of radicular cysts was higher in relation to follicular and residual cysts. The bone defect created, after enucleation of large cysts, surrounded by sufficient walls can be regenerated spontaneously without the use of bone grafts