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Risk Factor Analysis of Graft Failure With Concomitant Cyst Enucleation of the Jaw Bone: A Retrospective Multicenter Study

Title
Risk Factor Analysis of Graft Failure With Concomitant Cyst Enucleation of the Jaw Bone: A Retrospective Multicenter Study
Authors
Lim H.-K.Kim J.-W.Lee U.-L.Lee H.
Ewha Authors
김진우
SCOPUS Author ID
김진우scopus
Issue Date
2017
Journal Title
Journal of Oral and Maxillofacial Surgery
ISSN
0278-2391JCR Link
Citation
vol. 75, no. 8, pp. 1668 - 1678
Publisher
W.B. Saunders
Indexed
SCI; SCIE; SCOPUS scopus
Abstract
Purpose Cysts are common pathologic entities in the oral and maxillofacial region. Enucleation is commonly used for treatment and is occasionally followed by bone grafting. However, no studies have evaluated factors affecting the failure of grafts used for cystic defects in the oral and maxillofacial region. Therefore, the present study was conducted to determine the risk factors for postoperative graft failure in patients treated with cyst enucleation and simultaneous bone grafting. Materials and Methods Clinical data for 305 patients who had undergone cyst enucleation with simultaneous bone grafting were retrospectively investigated in this multicenter case-and-control study. The predictor variables included host, pathologic, and treatment factors. The outcome variable was success or failure of the bone graft. Descriptive statistics were computed, and the P value was set at.05. Results Bone graft failure was observed in 48 cases. The mean duration from surgery to failure was 38.7 days. Multivariable logistic regression analysis showed a significant association between graft failure and younger age (odds ratio [OR] = 1.033; P =.016), smoking (OR = 2.598; P =.017), preoperative infection (OR = 4.660; P =.001), large cysts (OR = 1.052; P =.010), impaction of the mandibular third molar in the cystic cavity (OR = 3.021; P =.007), perilesional osteosclerosis (OR = 4.973; P =.001), and the use of mixed non-autogenous and autogenous bone grafts (OR = 3.891; P =.007). Conclusions This study provides a list of important factors that should be considered by clinicians planning enucleation and simultaneous bone grafting for cysts in the oral and maxillofacial region. © 2017 American Association of Oral and Maxillofacial Surgeons
DOI
10.1016/j.joms.2017.02.003
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