Odontogenic cysts. Analysis of 856 cases.

Odontogenic cysts (OC) are one of the main causes of jaw destruction. Information about these lesions in the Mexican population is scant. And for this reason the purpose of this work is to describe the frequency of the different varieties of OC recorded in two oral pathology services in Mexico City. As well as to compare the findings with those previously reported in other studies and to analyze the association of these lesions with the gender of the affected patients and the type of oral pathology service. There were a total of 856 OC; of these, 449 (52.5%) occurred in men, 403 in women (47%), and in 4 cases (0.5%) gender was not stated. There were 8 out of the 10 different types of OC recognized by the WHO. The most frequently diagnosed OC were radicular cyst (342 cases), dentigerous cyst (283 cases) and odontogenic keratocyst (184 cases). Together, these three entities represented 94.5% of all OC. Both the gender and the type of oral pathology service showed a significant association with radicular and dentigerous cysts (p<0.01). The knowledge of the origin, clinico-pathological features and the biological behavior of these lesions are basic aspects to achieve an early diagnosis and a proper treatment.