Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst

Burcu Yerli; Çağrı Kaplan; Hasan Yeler

doi:10.7126/cumudj.1888786

EN TR

Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst

Abstract

This descriptive case series reports three adult patients with odontogenic cystic lesions, including two cases of radicular cysts and a rare occurrence of bilateral dentigerous cysts in a non-syndromic individual. The present study explores the application of decompression as a management approach for odontogenic cysts, highlighting its role in cases characterized by heightened anatomical risk. Treatment decisions were determined according to lesion dimensions and their anatomical relationship to adjacent neurovascular structures. Primary enucleation was performed in cases where the lesions were limited in size and amenable to safe surgical access, whereas a staged approach consisting of decompression followed by secondary enucleation was selected for extensive cysts demonstrating close anatomical proximity to the inferior alveolar nerve to reduce the likelihood of neurosensory complications. In patients treated with decompression, follow-up evaluations demonstrated a substantial decrease in cystic dimensions along with gradual osseous regeneration, enabling subsequent surgical intervention to be performed under safer conditions. During a prolonged period of clinical and radiographic monitoring exceeding 12 months, neither cyst recurrence nor evidence of neurosensory impairment was identified. Histopathological analysis confirmed the diagnosis across all evaluated specimens. These findings indicate that, when applied under appropriate indications, decompression constitutes a reliable and conservative approach for large and high-risk odontogenic cysts.

Keywords

Yüksek Riskli Odontojenik Kistlerde Dekompresyon: Nadir Bir Bilateral Dentigeröz Kistli Olgu Serisi

Abstract

Bu tanımlayıcı olgu serisi, odontojenik kistlerin tedavisinde dekompresyonun rolünü değerlendirmeyi ve non-sendromik erişkin bir hastada nadir görülen bilateral dentigeröz kisti vurgulamayı amaçlamaktadır. Çalışmaya, ikisi radiküler kist ve biri bilateral dentigeröz kist olmak üzere toplam üç erişkin hasta dahil edilmiştir. Tedavi planlaması, lezyonların boyutu ve kritik nörovasküler yapılarla olan ilişkileri dikkate alınarak yapılmıştır. Cerrahi olarak erişilebilir ve sınırlı lezyonda primer enükleasyon uygulanırken, inferior alveolar sinir ile yakın anatomik komşuluk gösteren geniş lezyonlarda olası nörosensoriyel komplikasyon riskini azaltmak amacıyla dekompresyonu takiben sekonder enükleasyon tercih edilmiştir. Dekomprese edilen olgularda takip süresince kistik hacimde belirgin küçülme ve çevre kemikte progresif rejenerasyon izlenmiş; bu sayede sekonder cerrahi güvenli şekilde gerçekleştirilmiştir. Tüm olguların en az 1 yıllık klinik ve radyografik takibinde nüks veya kalıcı nörosensoriyel komplikasyon saptanmamıştır. Tanılar histopatolojik inceleme ile doğrulanmıştır. Bu bulgular, uygun endikasyonlarda dekompresyonun geniş ve yüksek riskli odontojenik kistlerin yönetiminde etkili ve güvenli bir konservatif yaklaşım olduğunu desteklemektedir.

Keywords

References

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Details

Primary Language

English

Subjects

Oral and Maxillofacial Surgery

Journal Section

Case Report

Authors

Burcu Yerli ^*
0009-0006-5955-7139
Türkiye

Çağrı Kaplan
0009-0003-4860-8082
Türkiye

Hasan Yeler
0000-0003-0963-7350
Türkiye

Publication Date

September 30, 2026

Submission Date

February 13, 2026

Acceptance Date

July 26, 2026

Published in Issue

Year 2026 Volume: 29 Number: 3

DOI

https://doi.org/10.7126/cumudj.1888786

IZ

https://izlik.org/JA89TC69YF

Cite

RIS / Bibtex

APA

Yerli, B., Kaplan, Ç., & Yeler, H. (2026). Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst. Cumhuriyet Dental Journal, 29(3), 566-571. https://doi.org/10.7126/cumudj.1888786

AMA

1.Yerli B, Kaplan Ç, Yeler H. Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst. Cumhuriyet Dent J. 2026;29(3):566-571. doi:10.7126/cumudj.1888786

Chicago

Yerli, Burcu, Çağrı Kaplan, and Hasan Yeler. 2026. “Decompression of High-Risk Odontogenic Cysts: A Case Series With a Rare Bilateral Dentigerous Cyst”. Cumhuriyet Dental Journal 29 (3): 566-71. https://doi.org/10.7126/cumudj.1888786.

EndNote

Yerli B, Kaplan Ç, Yeler H (September 1, 2026) Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst. Cumhuriyet Dental Journal 29 3 566–571.

IEEE

[1]B. Yerli, Ç. Kaplan, and H. Yeler, “Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst”, Cumhuriyet Dent J, vol. 29, no. 3, pp. 566–571, Sept. 2026, doi: 10.7126/cumudj.1888786.

ISNAD

Yerli, Burcu - Kaplan, Çağrı - Yeler, Hasan. “Decompression of High-Risk Odontogenic Cysts: A Case Series With a Rare Bilateral Dentigerous Cyst”. Cumhuriyet Dental Journal 29/3 (September 1, 2026): 566-571. https://doi.org/10.7126/cumudj.1888786.

JAMA

1.Yerli B, Kaplan Ç, Yeler H. Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst. Cumhuriyet Dent J. 2026;29:566–571.

MLA

Yerli, Burcu, et al. “Decompression of High-Risk Odontogenic Cysts: A Case Series With a Rare Bilateral Dentigerous Cyst”. Cumhuriyet Dental Journal, vol. 29, no. 3, Sept. 2026, pp. 566-71, doi:10.7126/cumudj.1888786.

Vancouver

1.Burcu Yerli, Çağrı Kaplan, Hasan Yeler. Decompression of High-Risk Odontogenic Cysts: A Case Series with a Rare Bilateral Dentigerous Cyst. Cumhuriyet Dent J. 2026 Sep. 1;29(3):566-71. doi:10.7126/cumudj.1888786