牙源性囊肿是颌骨中可以达到大尺寸的骨病变。减压,一种有助于手术治疗的技术,旨在缩小其尺寸。我们旨在对用于牙源性囊肿减压的主要类型的装置进行系统回顾,并分析适应症,类型,优势,以及所用设备的缺点。我们搜索了PubMed,科学直接,LILACS,EMBASE,和WebofScience,直到2023年2月,没有时间限制。我们考虑了至少有10名患者的研究,仅以英语发表,那些报告病例和病例系列的,牙源性囊肿减压的随机临床试验,以及减压期间使用的设备类型。所有报告的牙源性囊肿都必须在各自的出版物中通过活检证实。我们在选定的数据库中找到了713篇文章。删除重复项后,499只剩下。阅读标题和摘要后,我们排除了461篇文章,因此保留了38篇。选择了9项研究进行审查,共有244名患者。共发现206个病变,并通过解剖病理学检查证实:123个角化囊肿,40个牙轮囊肿,34根囊肿,一个上皮起源的囊肿,但没有规格,和八个单囊性成釉细胞瘤.虽然我们没有找出哪种装置最适合牙源性囊肿的减压,我们的研究结果表明,那些最有效的应该尽可能舒适,并应该留在原地。它们应该在口腔中具有稳定性并且易于患者清洁。
Odontogenic cysts are bony lesions in the jaws that can reach large sizes. Decompression, a technique that helps in their surgical treatment, aims to reduce their size. We aimed to conduct a systematic review of the main types of device used for the decompression of odontogenic cysts and to analyse the indications, types, advantages, and disadvantages of the devices used. We searched PubMed, Science Direct, LILACS, EMBASE, and Web of Science until February 2023, with no time restriction. We considered studies with a minimum of 10 patients published only in English, those that reported cases and case series, randomised clinical trials of the decompression of odontogenic cysts, and the types of devices used during the decompression period. All reported odontogenic cysts had to have been confirmed by biopsy in their respective publications. We found 713 articles in the selected databases. After removing duplicates, 499 remained. After reading the titles and abstracts, we excluded 461 articles so 38 remained. Nine studies were selected for the review, totalling 244 patients. A total of 206 lesions were identified and confirmed by anatomopathological examination: 123 keratocysts, 40 dentigerous cysts, 34 radicular cysts, one cyst of epithelial origin but without specification, and eight unicystic ameloblastomas. Although we did not find out which device is best for the decompression of odontogenic cysts, our findings show that those that are most effective should be as comfortable as possible and should remain in place. They should have stability in the oral cavity and be easy for the patient to clean.