악골에서 발생한 치성 낭종제거 후 골이식 여부에 따른 치유속도와 양상 비교
Comparison of healing pattern with or without bone graft after odontogenic cyst enucleation
백채환, 박준형, 김군종, 홍종락, 김창수, 팽준영,
소속 상세정보
백채환 ( Baek Chae-Hwan ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
박준형 ( Park Joon-Hyung ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
김군종 ( Kim Gun-Jong ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
홍종락 ( Hong Jong-Rak ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
김창수 ( Kim Chang-Soo ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
팽준영 ( Paeng Jun-Young ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
KMID : 0355620100360060515
Abstract
Introduction: Bone defects in the jaw are frequently observed after odontogenic cyst enucleation. The success of bone healing appears to be related to the size of the bone defect, the anatomical location, the patient’s age and other parameters. The use of bone grafting material is dependent on the operator’s preference. No evidence-based definite treatment protocol has been established. This study evaluated the effect of a bone graft into the defect after odontogenic cyst enucleation.
Materials and Methods : A total of 55 patients, who had been treated for an odontogenic cyst with cyst enucleation from 2000 to 2009 at the department of Oral and Maxillofacial Surgery, Samsung Medical Center, were included in this study. Patients who were followed-up for more than 1 year were included. Two groups were defined according to the bone graft (with or without a bone graft) after cyst enucleation. The differences in the healing periods and patterns of bone healing were compared clinically and radiologically. The postoperative 1 year radiographs were analyzed for bone healing and density. Statistical analysis was performed using a Pearson chi square test and Wilcoxon rank-sum test.
Results: More infection signs were observed in the bone graft group than in the other group, but there was no statistically significant difference. Radiographically, there was also no significant difference in the size of the radiolucent lesions between the two groups.
Conclusion: There was no significant difference in healing between the groups with a bone graft and without bone graft after cyst enucleation.
키워드
Bone graft ; Bone healing; Cyst enucleation; Odontogenic cyst
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