Osseous defects of radicular cysts after cystectomy repairing with autogenous tooth sticky bone graft in the maxillary aesthetic area

Abstract

Abstract Background: Radicular cysts are the most frequent inflammatory odontogenic cysts of the jaw. Cystectomy of larger radicular cysts in the maxillary aesthetic area often results in collapsed lip deformities. BonMaker® ATB has been investigated and demonstrated excellent autogenous bone graft candidacy. The aim of this study is to share a single team’s experience in repairing osseous defects after cystectomy in the maxillary aesthetic area by using autogenous tooth sticky bone grafts prepared with extracted third molars. Method: A total of 12 patients with radicular cysts and impacted third molars were enrolled in this retrospective clinical study. The whole procedure was performed under general anesthesia. First, the impacted third molars were extracted, and autogenous tooth sticky bone grafts were prepared by mixing autogenous fibrin glue. Subsequently, cystectomy and grafting were performed and covered with concentrated growth factors. The patients were followed up at four months. Results: The 12 patients included seven males and five females with a median age of 26 years. Primary wound healing of the graft donor and receiving site was achieved in all patients without complications. Osseous defects of radicular cysts demonstrated satisfactory ossification without bone resorption during the postsurgical follow-up after four months. Conclusion: Autogenous tooth sticky bone grafts show promising alveolar bone repair quality.