SpringerLink
Log in

Morphological characteristics of radicular cysts using computed tomography

  • Original Article
  • Published:
Odontology Aims and scope Submit manuscript

Abstract

The purpose of this study was to evaluate computed tomography (CT) findings of radicular cysts with a focus on location, size, and condition of the surrounding bone. Subjects comprised 60 men and 86 women (mean age 47.2 years) with histopathologically confirmed radicular cysts who underwent CT examination between 2012 and 2014. Mesiodistal and buccolingual diameters were measured at the location where the lesion appeared to be largest on CT axial images. Of the 146 cases, 103 lesions were in the maxilla and 43 were in the mandible. Mesiodistal diameter of the maxillary lesions was significantly larger than that of the mandibular lesions. However, the ratio of mesiodistal diameter to buccolingual diameter in the mandible was significantly larger than that in the maxilla. Bone expansion was more significant in the maxilla than in the mandible. Mesiodistal and buccolingual diameters in only the maxilla and perilesional sclerotic radiolucency in images of both jaws were significantly associated with the severity of clinical symptoms. The findings suggest that radicular cysts in the maxilla are accompanied by bone expansion in the mesiodistal and buccolingual directions and those in the mandible progress in the mesiodistal direction without bone expansion. Clinical acute symptoms (pain and swelling) are correlated with lesion size in the maxilla; such a correlation is not clear for mandibular lesions, and discovery of mandibular lesions may, therefore, be delayed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price includes VAT (Germany)

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Johnson NR, Gannon OM, Savage NW, Batstone MD. Frequency of odontogenic cysts and tumors: a systematic review. J Investig Clin Dent. 2014;5(1):9–14.

    Article  Google Scholar 

  2. Keinan D, Cohen RE. The significance of epithelial rests of Malassez in the periodontal ligament. J Endod. 2013;39(5):582–7.

    Article  Google Scholar 

  3. Marmary Y, Koter T, Heling I. The effect of periapical rarefying osteitis on cortical and cancellous bone. A study comparing conventional radiographs with computed tomography. Dentomaxillofac Radiol. 1999;28(5):267–71.

    Article  Google Scholar 

  4. Scarfe WC, Czerniejewski VJ, Farman AG, Avant SL, Molteni R. In vivo accuracy and reliability of color-coded image enhancements for the assessment of periradicular lesion dimensions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;88(5):603–11.

    Article  Google Scholar 

  5. Estrela C, Bueno MR, Azevedo BC, Azevedo JR, Pécora JD. A new periapical index based on cone beam computed tomography. J Endod. 2008;34(11):1325–31.

    Article  Google Scholar 

  6. Lin H-P, Chen H-M, Yu C-H, Kuo R-C, Kuo Y-S, Wang Y-P. Clinicopathological study of 252 jaw bone periapical lesions from a private pathology laboratory. J Formos Med Assoc. 2010;109(11):810–8.

    Article  Google Scholar 

  7. Chen J-H, Tseng C-H, Wang W-C, Chen C-Y, Chuang F-H, Chen Y-K. Clinicopathological analysis of 232 radicular cysts of the jawbone in a population of southern Taiwanese patients. Kaohsiung J Med Sci. 2018;34(4):249–54.

    Article  Google Scholar 

  8. Shubbar A, Bolhari B, Fakhari N, Alemi P, Nosrat A. Non-surgical retreatment of maxillary lateral incisor with unusual anatomy: a case report and mini review. Iran Endod J. 2017;12(3):381–5.

    PubMed  PubMed Central  Google Scholar 

  9. Cimilli H, Kartal N. Endodontic treatment of unusual central incisors. J Endod. 2002;28(6):480–1.

    Article  Google Scholar 

  10. Zhang R, Wang H, Tian Y-Y, Yu X, Hu T, Dummer PMH. Use of cone-beam computed tomography to evaluate root and canal morphology of mandibular molars in Chinese individuals. Int Endod J. 2011;44(11):990–9.

    Article  Google Scholar 

  11. Yoshiura K, et al. Morphologic analysis of odontogenic cysts with computed tomography. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997;83(6):712–8.

    Article  Google Scholar 

  12. Baumgaertel S, Hans MG. Buccal cortical bone thickness for mini-implant placement. Am J Orthod Dentofac Orthop. 2009;136(2):230–5.

    Article  Google Scholar 

  13. Farnsworth D, Rossouw PE, Ceen RF, Buschang PH. Cortical bone thickness at common miniscrew implant placement sites. Am J Orthod Dentofac Orthop. 2011;139(4):495–503.

    Article  Google Scholar 

  14. Lim JE, Lee SJ, Kim YJ, Lim WH, Chun YS. Comparison of cortical bone thickness and root proximity at maxillary and mandibular interradicular sites for orthodontic mini-implant placement. Orthod Craniofac Res. 2009;12(4):299–304.

    Article  Google Scholar 

  15. Park H-S, Lee Y-J, Jeong S-H, Kwon T-G. Density of the alveolar and basal bones of the maxilla and the mandible. Am J Orthod Dentofac Orthop. 2008;133(1):30–7.

    Article  Google Scholar 

  16. Masumoto T, Hayashi I, Kawamura A, Tanaka K, Kasai K. Relationships among facial type, buccolingual molar inclination, and cortical bone thickness of the mandible. Eur J Orthod. 2001;23(1):15–23.

    Article  Google Scholar 

  17. Nair PNR. Pathogenesis of apical periodontitis and the causes of endodontic failures. Crit Rev Oral Biol Med. 2004;15(6):348–81.

    Article  Google Scholar 

  18. Chuenchompoonut V, Ida M, Honda E, Kurabayashi T, Sasaki T. Accuracy of panoramic radiography in assessing the dimensions of radiolucent jaw lesions with distinct or indistinct borders. Dentomaxillofac Radiol. 2003;32(2):80–6.

    Article  Google Scholar 

  19. McIvor J. The radiological features of ameloblastoma. Clin Radiol. 1974;25(2):237–42.

    Article  Google Scholar 

  20. Summers L. The incidence of epithelium in periapical granulomas and the mechanism of cavitation in apical dental cysts in man. Arch Oral Biol. 1974;19(12):1177–80.

    Article  Google Scholar 

  21. Sukegawa S, et al. Intraoperative navigation-assisted accurate bone lid surgery to remove a mandibular lesion: a case report. Oral Maxillofac Surg Cases. 2017;3(1):15–9.

    Article  Google Scholar 

  22. Dunfee BL, Sakai O, Pistey R, Gohel A. Radiologic and pathologic characteristics of benign and malignant lesions of the mandible. Radiographics. 2006;26(6):1751–68.

    Article  Google Scholar 

Download references

Funding

The authors received no support from any grant.

Author information

Authors and Affiliations

  1. Division of Oral and Maxillofacial Surgery, Kagawa Prefectural Central Hospital, 1-2-1, Asahi-machi, Takamatsu, Kagawa, 760-8557, Japan

    Shintaro Sukegawa & Yoshihiko Furuki

  2. Department of Oral Diagnosis and Dentomaxillofacial Radiology, Okayama University Hospital, Okayama, Japan

    Hidenobu Matsuzaki & Jun-ichi Asaumi

  3. Department of Oral Pathology and Bone Metabolism, Institute of Biomedical Sciences, Nagasaki University, Nagasaki, Japan

    Naoki Katase

  4. Department of Oral Pathology and Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan

    Hotaka Kawai

  5. Department of Oral and Maxillofacial Surgery, Shimane University, Faculty of Medicine, Shimane, Japan

    Takahiro Kanno

Authors
  1. Shintaro Sukegawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hidenobu Matsuzaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Naoki Katase
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hotaka Kawai
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Takahiro Kanno
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jun-ichi Asaumi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Yoshihiko Furuki
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shintaro Sukegawa.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sukegawa, S., Matsuzaki, H., Katase, N. et al. Morphological characteristics of radicular cysts using computed tomography. Odontology 108, 74–83 (2020). https://doi.org/10.1007/s10266-019-00443-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10266-019-00443-5

Keywords

Search

Navigation