## 4 Treatment Methods for Odontogenic Cyst-like Lesions  
Two main surgical approaches can be applied, depending on the patient's age and the size of the lesion (Table 2) [3,18,19]. The first, more radical method is aimed to remove the cyst completely in a one-step procedure called enucleation. The second approach, performed in various modifications (i.e., marsupialization, decompression), is focused on reducing the intracystic pressure to preserve the surrounding tissues and unerupted cyst-associated permanent teeth. This minimally invasive treatment is a gold standard in growing patients [19,20]. \begin{table}
\begin{tabular}{c c c c} \hline \hline
**Method** & **Enucleation of Cyst [18]** & & **Marsupialization [3,19]** \\ \hline Procedure & - & Complete removal of lesion & - & Conservative surgical approach, including \\ Procedure & - & Complete removal of lesion & - & fenestration of cyst wall, to evacuate its content \\  & & & & and decrease its size \\  & - & Reduced risk of recurrence and malignant & - & Unerupted tooth is preserved, and \\ Advantages & & transformation; whole cystic epithelial lining is & - & Release of intracystic pressure stimulates bone \\  & - & removed & - & formation \\  & - & Shorter time of postoperative care & - & Decreased risk of iatrogenic damage to \\  & & & & surrounding structures during surgery \\  & - & Involved unerupted teeth are removed & - & Risk of recurrence from residual cyst lining \\  & - & Large cyst removal poses a risk of & - & malignant transformation \\ Disadvantages & & complications such as pathological bone & - & Release of intracystic pressure stimulates bone \\  & & fracture, damage to surrounding structures, & - & Decreased risk of iatrogenic damage to \\  & & oronasal communication, etc. & - & - \\ \hline \hline \end{tabular}
\end{table} 
Table 2: Two main surgical treatment methods for cyst-like odontogenic lesions. A search in the PubMed/MEDLINE database revealed 49 articles describing the orthodontic-surgical approach to dentigerous cyst treatment in the last decade, 12 of which were published in the last 5 years and are summarized in Table 3 [18; 19; 20; 21; 22; 23; 24; 25; 26; 27; 28; 29]. \begin{table}
\begin{tabular}{c c c c} \hline \hline
**Method** & \multicolumn{2}{c}{**Enucleation of Cyst [18]**} & \multicolumn{2}{c}{**Marsupialization [3; 19]**} \\ \hline Indications & - & Small or moderate cysts with favorable & - & Growing patients, to prevent loss of a viable \\  & - & surgical access & - & permanent tooth \\  & - & Adult patients & - & Large cysts with a risk of bone fracture \\  & - & Third molar involved in a lesion & - & Cysts reaching maxillary sinus or nasal cavity \\  & - & Third molar removal may not require further & \\  & - & orthodontic treatment & \\  & - & Another location in dental arch, with two & \\ Orthodontic & & possible approaches: & - & In case of lack of spontaneous eruption, \\ Implications & 1. & Maintaining/regaining space to provide & & orthodontic traction of unerupted teeth can be \\  & & conditions for further prosthetic & required; treatment with fixed appliances \\  & & restoration & & might be required to achieve proper alignment \\  & 2. & Space closure by movement of & & \\  & & extant teeth & & \\ \hline \hline \end{tabular}
\end{table} 
Table 2: _Cont._  
\begin{table}
\begin{tabular}{c c c c c c} \hline \hline
**Year** & **Author** & **Unerupted Teeth** & **Patient Age** & **Treatment Method** & **Treatment Time** \\ \hline
2020 & [PERSON] et al. [21] & \ \begin{tabular}{c} 36 displaced bucco \\ inferiorly with \\ shortened roots; \\ 37 displaced distally \\ (less than 1/4 root length \\ developed) \\ \end{tabular}  & 10 y 2 m & \begin{tabular}{c} M + OTr with TADs \\ and FA \\ \end{tabular}  & 4 y \\
2020 & [PERSON] et al. [22] & 21 (open apex) with & 7 y & \begin{tabular}{c} M + Se + further \\ orthodontic treatment \\ due to transposition of \\ 22 and 23 \\ \end{tabular}  & Lack of data (patient \\
2020 & [PERSON] et al.