The Application of Wing-shaped Window Decompression Device in the Treatment of Large Odontogenic Keratocyst: A Randomized Controlled Study

Abstract Background: In order to improve the decompression and drainage effects after marsupialization of large Odontogenic Keratocyst in the jawbone, a new type of cyst plug was designed, and the feasibility of its clinical application was explored. Methods: A total of 42 patients with large Odontogenic Keratocyst requiring decompression were included and randomly divided into two groups: Control group (n=21) and Experimental group (n=21). Patients in the Control group underwent traditional drainage tube insertion, while patients in the Experimental group received personalized wing-shaped plug. The clinical efficacy of the wing-shaped plug was evaluated, and the postoperative recovery time of the two groups of patients was compared. Results: The average wearing time of the wing-shaped plug was approximately 14 months. Compared to the control group, the treatment duration was shortened by about 3 months, with better fit, comfort, less food residue, minimal irritation to surrounding tissues, aesthetically pleasing appearance, and less experienced pain. Conclusion: The adaptive wing-shaped plug provides better prognosis for patients undergoing decompression of Odontogenic Keratocysts and holds significant potential in clinical application.