Features of differential diagnosis of odontogenic cystsin children

Abstract

Relevance: Odontogenic jaw cysts of inflammatory genesis in children are a cavity formation in the bone tissue with a predominantly asymptomatic course. This clinical and radiological picture may be characteristic of a number of different pathologies, which poses the clinician with the task of conducting a thorough differential diagnosis. The purpose of the study: To perform a retrospective analysis of histological examination protocols of surgical material of patients operated on for jaw cysts. Materials and methods: The analysis of protocols of pathohistological examination of surgical material of patients operated on for jaw cysts for the period 20182022 in the childrens dental polyclinic No. 2 of Volgograd was performed. The data obtained were processed by methods of variational statistics. Results: 89 histological examination protocols were studied, the majority were radicular cysts associated with temporary teeth-58 (70.7 %), followed by follicular cysts-16 (19.5 %), then radicular cysts associated with permanent teeth - 7 (8.5 %), and in 1 (1.2 %) case a residual cyst was diagnosed. In 6 (6.7 %) cases, there was a discrepancy between clinical and pathohistological diagnoses. Conclusion: A pathohistological examination of the cyst shell is mandatory to establish a final diagnosis, however, for the differential diagnosis of a radicular cyst from a temporary tooth and a follicular cyst, a correlation of clinical, radiological and pathohistological signs is necessary.