A Custom-Made Obturator for The Decompression of Odontogenic Cysts. An Orthodontist's Role in Effective Non-Surgical Treatments for Large Cystic Lesions

Abstract Odontogenic cysts present management challenges, especially in large lesions. Decompression is a preferred conservative method, and custom obturators have proven effective in maintaining drainage and promoting hygiene. A case study of a 38-year-old male with large mandibular Odontogenic keratocysts (OKCs) demonstrated the success of a custom obturator made from self-curing acrylic, featuring Adams clasps, a labial bow, and a decompression tube for stability. One month postoperatively, there was significant cyst size reduction and bone regeneration, confirming the appliance's efficacy. While custom obturators are versatile across patient demographics, fabrication challenges do exist. Emerging 3D printing technologies show promise for improving efficiency and accessibility, highlighting the advancement of minimally invasive OKC management with favourable outcomes. This article reviews and discusses the advantages of using an obturator in a case study for decompression of an OKC following marsupialization.