Pattern of Cystic Lesion of the Jaws on Radiographs in Patients Reported to Saidu College of Dentistry, Swat
DOI:
https://doi.org/10.52206/jsmc.2025.15.2.1186Abstract
Background: Jaw cystic lesions are a significant concern in dental practice, often leading to functional and aesthetic complications if not identified and treated promptly.
Objective: To determine the pattern and location of jaw cystic lesions on radiograph.
Materials and Methods: This descriptive cross-sectional study, conducted at Saidu College of Dentistry analyzed 137 panoramic radiographs with cystic lesions. Ethical approval and informed consent were obtained. Radiographs were selected using non-probability consecutive sampling and classified based on clear operational definitions. Data on demographics and lesion characteristics were recorded. Statistical analysis included descriptive measures, stratification by gender and location, and chi-square testing.
Results: The mean age was 37.7 ± 15.6 years with 56.9% males. Radicular cysts were the most common (47.45%), followed by dentigerous cysts (32.12%), odontogenic keratocysts (18.98%), and eruption cysts (1.46%). Radicular cysts were mainly found in the anterior maxilla and mandible, dentigerous cysts in the mandibular angle, and odontogenic keratocysts in the mandible body. Eruption cysts were exclusive to the posterior maxilla. Gender distribution was not significant (p = 0.89), but lesion location showed statistical significance (p < 0.001).
Conclusion: Radicular cysts are the most common cystic lesions, particularly in the anterior maxilla and mandible. Clinicians should be aware of the distinct patterns of jaw cystic lesions to ensure early diagnosis and effective management, minimizing morbidity
Keywords: Dentigerous cyst, Eruption cyst, Jaw cysts, Odontogenic keratocyst, Panoramic radiographs, Radicular cyst.
References
Sridevi K, Talukdar A, Malathi S, Thota L, Patil MB, Panwar PS, et al. Calcifying epithelial odontogenic cyst of maxilla: A clinical and histological rarity with literature review. Nigerian Med J. 2021;62(1):40-5. https://doi.org/10.60787/NMJ-62-1-8
McLean AC, Vargas PA. Cystic lesions of the Jaws: The Top 10 Differential diagnoses to ponder. Head Neck Pathol. 2023;17(1):85-98. https://doi.org/10.1007/s12105-023-01525-1
Rahi D, Abbassi S, Tajbakhsh N. A systematic review on epidemiologic study on radiolucent lesions in patients referred to radiology departments. Eur J Chem Med Petroleum Res. 2024;3(3):1016-35.
Cserni G, Cserni D, Zombori T, Baráth Z. The role of interdisciplinary communication in the proper diagnostics of jaw cyst. Orvosi Hetilap. 2021; 162(12):458-67. https://doi.org/10.1556/650.2021.32026
Mao W-y, Lei J, Lim LZ, Gao Y, Tyndall DA, Fu K. Comparison of radiographical characteristics and diagnostic accuracy of intraosseous jaw lesions on panoramic radiographs and CBCT. Dentomaxillofac Radiol. 2021;50(2):20200165. https://doi.org/10.1259/dmfr.20200165
Strokov S, Cardot-Leccia N, Raybaud H, Latrèche S, Guillou E, Khenissa N, et al. Cysts of the jaws and how to make their diagnoses under a microscope: a need for a better communication between clinicians and pathologists. J Oral Med Oral Surg. 2024; 30(1):8-12. https://doi.org/10.1051/mbcb/2024010
Çoban E, Altay B, Chodarov A. Odontogenic and non-odondogenic cysts in the jaws: a retrospective analysis. Anat Curr Med J. 2025;7(1):54-9. https://doi.org/10.38053/acmj.1592255
Yalçin BK, Berbero?lu HK, Arala?mak A, Köseo?lu BG, Çakarer S, Tekkesin MS, et al. Evaluation of CT and MRI imaging results of radicular cysts, odontogenic keratocysts, and dentigerous cysts and their contribution to the differential diagnosis. Curr Med Imag. 2022;18(14):1447-52. https://doi.org/10.2174/1573405618666220509114859
Wang Y, Tang F, Li Z, Chen Q. Pseudocysts of the jaw: a retrospective study of 41 cases from a single institution. BMC Oral Health. 2023;23(1):87. https://doi.org/10.1186/s12903-023-02741-5
Joshi M, Samuel S, Abraham A, Deepak DM. Management of Dentigerous Cysts-A Review. J Evol Med Dent Sci. 2021;10(26):1948-54. https://doi.org/10.12968/denu.2017.44.3.182
Awan MUA, Babar A, Ibrahim MW. Pattern and presentation of odontogenic jaw cysts: a clinical experience: odontogenic jaw cysts. Pak Armed Forces Med J. 2017;67(1):102-06.
Orhan K, Celikten B, Oncu A. Imaging of the Most Common Dental Pathologies. Atlas of Dentomaxillofacial Anatomical Imaging: Springer; 2022. p. 191-214.
Perez A, Lenoir V, Lombardi T. Dentigerous cysts with diverse radiological presentation highlighting diagnostic challenges. Diagnost. 2022;12(8):1-9. https://doi.org/10.3390/diagnostics12082006.
Wang X, Wei L, Li B, Li J, Li W, Wang F, et al. Clinical and cone-beam computed tomography features of orthokeratinized odontogenic cysts and odontogenic keratocysts in the mandible. J Oral Maxillofac Surg. 2021;79(6):1255-61. https://doi.org/10.1016/j.joms.2020.11.021
Dhanuthai K, Chantarangsu S, Klanrit P, Chamusri N, Aminishakib P, Khoozestani NK, et al. Cysts of the jaws: a multicentre study. Oral Dis. 2024;30(4):2347-54. https://doi.org/10.1111/odi.14722
Grossmann SM, Machado VC, Xavier GM, Moura MD, Gomez RS, Aguiar MCF, et al. Demographic profile of odontogenic and selected nonodontogenic cysts in a Brazilian population. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(6):e35- e41. https://doi.org/10.1016/j.tripleo.2007.05.028
Ledesma-Montes C, Hernández-Guerrero JC, Garcés-Ort??z M. Clinico-pathologic study of odontogenic cysts in a Mexican sample population. Archiv Med Res. 2000;31(4):373-6. https://doi.org/10.1016/s0188-4409(00)00069-2
Ochsenius G, Escobar E, Godoy L, Peñafiel C. Odontogenic cysts: analysis of 2.944 cases in Chile. Med Oral Patol Oral Cir Bucal. 2007;12(2):85-91.
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