In 169 patients with postoperative maxillary cysts who were operated on at our clinic, we examined the clinical course of disease, clinical symptoms, characteristics of the cysts, location and size of the cysts, location and size of the bone defects, and positional relationship between the cysts and teeth. Furthermore, factors associated with the expression and the type of symptoms were also examined, and the following results were obtained.
1) Characteristics of cysts: Multilocular cysts were associated with more frequent and severer symptoms than unilocular cysts.
2) Location and size of cysts: Cysts in a lower position were frequently associated with symptoms, especially intraoral symptoms. Cysts in a higher position were associated mainly with buccal symptoms. Cyst size was not significantly associated with the occurrence of symptoms.
3) Location and size of bone defects: Cysts with bone defects in the anterior part of the maxillary sinus were frequently associated with symptoms, especially buccal symptoms. Furthermore, large bone defects were more frequently associated with symptoms.
4) Positional relationship between cysts and teeth: Cysts with root chip (s) in their cavities were frequently associated with symptoms, especially intraoral symptoms.
Examination of factors associated with the occurrence and type of symptoms will help to predict the outcome of postoperative maxillary cysts and help to determine whether or not an operation is indicated for symptom-free cysts.
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