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Radiographic Assessment of a Keratocystic Odontogenic Tumour Using Cone-beam Computed Tomography

Overview
Publisher Springer
Specialties Dentistry
Pediatrics
Date 2013 Apr 13
PMID 23580153
Citations 3
Authors
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Abstract

Background: The keratocystic odontogenic tumour (KCOT), formerly known as the odontogenic keratocyst, is a benign intra-osseous odontogenic tumour. The KCOT is characterised by a potential for locally destructive behaviour and a relatively high recurrence rate. Most KCOT are incidentally discovered as well-defined unilocular or multilocular radiolucencies on routine panoramic radiographs.

Case Report: A 15-year-old boy was referred to dental care with a non-syndromic KCOT in the right angle of the mandible. Using cone-beam computed tomography (CBCT) as a diagnostic instrument for precise assessment of the KCOT, the exact location of the lesion was determined.

Treatment: The cystic formation was enucleated without peripheral ostectomy.

Follow-up: At post-operative follow-up after 3 and 6 months, the boy reported no pain and there was no residual swelling or fracture. Imaging was planned after 1 year to decide whether further surgical treatment is indicated.

Conclusion: The CBCT is considered beneficial in cases of cystic formations to determine the localisation and borders of the lesion in all three dimensions.

Citing Articles

The Utility of Cone Beam Computed Tomography Scans in Diagnosing and Treating Anterior Lesions of the Maxilla and Mandible.

Muttanahally K, Sheppard S, Yadav S, Tadinada A Cureus. 2024; 16(1):e52804.

PMID: 38389599 PMC: 10883409. DOI: 10.7759/cureus.52804.


Cone Beam Computed Tomography in Oral and Maxillofacial Surgery: An Evidence-Based Review.

Weiss 2nd R, Read-Fuller A Dent J (Basel). 2019; 7(2).

PMID: 31052495 PMC: 6631689. DOI: 10.3390/dj7020052.


Evaluation of keratocystic odontogenic tumors using cone beam computed tomography.

Gumusok M, Toraman Alkurt M, Museyibov F, Ucok O J Istanb Univ Fac Dent. 2017; 50(3):32-37.

PMID: 28955573 PMC: 5573512. DOI: 10.17096/jiufd.58691.

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