Int J Stomatol

Int J Stomatol ›› 2020, Vol. 47 ›› Issue (1): 37-42.doi: 10.7518/gjkq.2020026

• Original Articles • Previous Articles     Next Articles

Comparative study of digital modified and traditional base type cyst plug marsupialization of cystic lesions of the jaw

Wang Jiayun,Hu Huan,Lin Yunhong()   

  1. Dept. of Prosthodontics, Affiliated Hospital of Stomatology, Kunming Medical University, Kunming 650000, China
  • Received:2019-03-06 Revised:2019-09-06 Online:2020-01-01 Published:2020-01-01
  • Contact: Yunhong Lin E-mail:linyunhon@163.com

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Abstract:

Objective To compare the clinical application and therapeutic effect of digital modified and traditional base type cyst plug in the treatment of jaw cyst decompression. Methods Thirty-seven cases of jaw cyst patients were selected and randomly divided into two groups: digital modified cyst plug group and traditional base type cyst plug group. Compare the differences of the two groups of the cyst plug used in the technician production and clinical operation, the post-wear satisfaction score and the change of the cyst size after 12 months. Results The difference in average time between the technician production and clinical operation of the two groups of cyst plug was statistically significant (P=0.00). There was a statistically significant difference in the satisfaction scores of comfort and cleanliness between the two groups (P＜0.05), but there was no significant difference in the satisfaction scores between the two groups (P＞0.05). After 12 months of wearing the cyst plug, the cysts size were significantly reduced, but there was no statistical difference between the two groups (P>0.05).Conclusion The digital modified cyst plug and the traditional base type cyst plug can achieve good results after the decompression of the jaw cyst. The digital modified cyst plug has high timeliness and high patients satisfaction, so it can be used as a preferred treatment for postoperative decompression of the jaw.

Key words: decompression, cyst plug, stereo lithography apparatus

CLC Number: 

  • R782

TrendMD: 

Fig 1

Steps for making digital improved plug device"

Tab 1

Plug device satisfaction rating"

分级 固位 舒适度 清洁度 总体评价
满意 固位佳,行使口腔功能时固定在位,稳定 无压痛、刺激痛,无异物感 表面光滑连续,无软垢附着 各方面使用满意
一般 固位尚可,行使口腔功能时易松脱,不稳定 局部压痛、刺激痛,稍有异物感 表面欠光滑,轻度软垢附着 有较少不适,但不影响使用
不满意 固位差,佩戴后无法行使口腔功能 广泛压痛、刺激痛,明显异物感 表面粗糙,重度软垢附着 基本无法使用

Tab 2

Satisfaction evaluation results of plug device"

分组 满意 一般 不满意 P值
固位 改良组 17 5 0 0.78
基托组 6 7 0
舒适度 改良组 19 3 0 0.04
基托组 4 8 1
清洁度 改良组 6 13 3 0.02
基托组 3 9 1
[1] 张志愿, 俞光岩 . 口腔颌面外科学[M]. 7版. 北京: 人民卫生出版社, 2013: 306-316.
Zhang ZY, Yu GY. Oral and maxillofacial surgery [M]. 7th ed. Beijing: People’s Medical Publishing House, 2013: 306-316.
[2] Zecha JA, Mendes RA, Lindeboom VB , et al. Recurrence rate of keratocystic odontogenic tumor after conservative surgical treatment without adjunctive therapies - A 35-year single institution experience[J]. Oral Oncol, 2010,46(10):740-742.
[3] 何秋敏, 许彪, 朱瑾 , 等. 开窗减压术联合囊肿塞治器在下颌骨大型囊性病变中的应用[J]. 云南医药, 2017,38(2):145-146.
He QM, Xu B, Zhu J , et al. Application of fenestration decompression combined with cyst plug in large cystic lesions of mandible[J]. Yunnan Med, 2017,38(2):145-146.
[4] 李思毅, 胡永杰, 张陈平 . 开窗减压术在颌骨巨大囊性病变中的应用[J]. 国外医学·口腔医学分册, 2004,31(6):462-464.
Li SY, Hu YJ, Zhang CP . Application of fenestration decompression in maxillary giant cystic lesions[J]. Foreign Med Sci: Stomatol, 2004,31(6):462-464.
[5] 郭立娜, 金武龙, 杜佼 , 等. 囊肿塞治器在颌骨囊肿开窗减压术中的应用[J]. 内蒙古医科大学学报, 2014,36(2):178-180.
Guo LN, Jin WL, Du J , et al. Application of cyst plug in fenestration decompression of maxillary cyst[J]. J Inner Mongolia Med Univers, 2014,36(2):178-180.
[6] Miyazaki T, Hotta Y, Kunii J , et al. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience[J]. Dent Mater J, 2009,28(1):44-56.
[7] Eggbeer D, Bibb R, Williams R . The computer-aided design and rapid prototyping fabrication of remov-able partial denture frameworks[J]. Proc Inst Mech Eng H, 2005,219(3):195-202.
[8] Williams RJ, Bibb R, Eggbeer D , et al. Use of CAD/CAM technology to fabricate a removable partial denture framework[J]. J Prosthet Dent, 2006,96(2):96-99.
[9] Alghazzawi TF . Advancements in CAD/CAM tech-nology: options for practical implementation[J]. J Prosthodont Res, 2016,60(2):72-84.
[10] Kanazawa M, Inokoshi M, Minakuchi S , et al. Trial of a CAD/CAM system for fabricating complete dentures[J]. Dent Mater J, 2011,30(1):93-96.
[11] Infante L, Yilmaz B ,McGlumphy E, et al.Fabricating complete dentures with CAD/CAM technology[J]. J Prosthet Dent, 2014,111(5):351-355.
[12] 陈国栋, 卿安蓉 . 开窗减压术治疗颌骨大型囊性病变[J]. 广东牙病防治, 2014,22(3):144-146.
Chen GD, Qin AR . Fenestration decompression for large cystic lesions of jaw[J]. J Dent Prev Treat, 2014,22(3):144-146.
[13] 张林, 石连水, 朱洪水 , 等. 硅橡胶引流塞治器在下颌骨囊性病变开窗术后的应用[J]. 实用口腔医学杂志, 2012,28(6):784-786.
Zhang L, Shi LS, Zhu HS , et al. The application of silicone drainage obturator after fenestration of large cystic lesion in mandible[J]. J Pract Stomatol, 2012,28(6):784-786.
[14] Ramsey WO, Denegri RF, King WF . Clasp retained devices for drainage of marsupialized cysts[J]. J Oral Maxillofac Surg, 1982,40(11):759-761.
[15] Gunraj MN . Decompression of a large periapical lesion utilizing an improved drainage device[J]. J Endod, 1990,16(3):140-143.
[16] 冯雪峰, 肖迪, 王如 . 带环唇弓囊肿塞治器在下颌骨囊肿开窗减压术中的应用[J]. 口腔医学研究, 2016,32(2):147-149.
Feng XF, Xiao D, Wang R . Application of cyst plug with a lip bow and ring fixed in drainage after mar-supialization of large mandibular cystic lesions[J]. J Oral Sci Res, 2016,32(2):147-149.
[17] 赵熠, 刘冰, 王贻宁 . 囊肿塞在颌骨囊肿袋形术后引流中的应用[J]. 上海口腔医学, 2007,16(6):592-594.
Zhao Y, Liu B, Wang YN . Application of a cyst plug in drainage after marsupialization of jaw cysts[J]. Shanghai J Stomatol, 2007,16(6):592-594.
[1] Zhang Qian, Yang Xudong. Research progress on the effectiveness assessment of decompression on large jaw cystic lesions [J]. Inter J Stomatol, 2017, 44(4): 493-496.
[2] Li Wenchao1, Ruan Ning1, Xu Jiang2. Using fenestration and decompression technique to treat unicystic ameloblastoma and preserve the second molar [J]. Inter J Stomatol, 2017, 44(2): 157-160.
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[1] . [J]. Foreign Med Sci: Stomatol, 1999, 26(06): .
[2] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[3] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[4] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[5] . [J]. Foreign Med Sci: Stomatol, 1999, 26(05): .
[6] . [J]. Foreign Med Sci: Stomatol, 1999, 26(04): .
[7] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 458 -460 .
[8] . [J]. Foreign Med Sci: Stomatol, 2005, 32(06): 452 -454 .
[9] . [J]. Inter J Stomatol, 2008, 35(S1): .
[10] . [J]. Inter J Stomatol, 2008, 35(S1): .