Therapeutic Management of the Odontogenic Keratocyst. An Energetic Approach with a Conservative Perspective and Review of the Current Therapeutic Options

Overview

Journal J Clin Exp Dent

Specialty Dentistry

Date 2020 Sep 11

PMID 32913578

Citations 8

Authors

Jordi Borras-Ferreres

Alba Sanchez-Torres

Javier Alberdi-Navarro

Jose-Manuel Aguirre-Urizar

Adalberto Mosqueda-Taylor

Cosme Gay-Escoda

Affiliations

Soon will be listed here.

Abstract

Background: Odontogenic keratocysts (OKC) are cystic lesions appearing in the jaws, usually asymptomatic with a progressive growth into the bone. Many of them are diagnosed by a routine radiological examination.

Material And Methods: This study reports a 12-year-old girl that presented an asymptomatic large radiolucent unilocular lesion associated to the crown of 3.8 that caused displacement of the molar and the inferior alveolar canal. Differential diagnosis included OKC, unicystic ameloblastoma, ameloblastic fibroma, dentigerous cyst and orthokeratinized odontogenic cyst. Two surgical interventions were performed; first, a marsupialization, and 10 months after, the third molar extraction plus cyst enucleation, mucosa excision and the application of Carnoy's solution.

Results: The anatomopathological exam confirmed diagnosis of OKC. There was no evidence of recurrence after 2 years of follow-up.

Conclusions: Marsupialization followed by surgical enucleation with mucosa excision and Carnoy's solution can help manage treatment of OKC, a lesion characterized by an aggressive behavior. Odontogenic keratocyst, mucosa excision, carnoy solution, third molar, tooth extraction.

Citing Articles

Long-term follow-up of a large multilocular odontogenic keratocyst. Analysis of recurrences and the applied treatments.

Borras-Ferreres J, Albisu-Altolaguirre I, Gay-Escoda C, Mosqueda-Taylor A J Clin Exp Dent. 2024; 16(9):e1157-e1163.

PMID: 39399852 PMC: 11470458. DOI: 10.4317/jced.62032.

Odontogenic Keratocysts: Presentation and Surgical Outcome in a Sample of Sudanese Patients.

Mohamed A, Babiker A, Khalfallah M, Eltohami Y Int J Dent. 2023; 2023:8763948.

PMID: 37868107 PMC: 10586893. DOI: 10.1155/2023/8763948.

The Role of Adjunctive Chemical Solutions in the Treatment of Odontogenic Keratocysts: A Scoping Review.

Kumar M, Tripathi A, Singh G, Singh A, Gupta A, Kasrija R Cureus. 2023; 15(7):e41822.

PMID: 37575715 PMC: 10423004. DOI: 10.7759/cureus.41822.

Identification of Immune Infiltration in Odontogenic Keratocyst by Integrated Bioinformatics Analysis.

Zhong N, Li S, Man Q, Liu B BMC Oral Health. 2023; 23(1):454.

PMID: 37415178 PMC: 10324234. DOI: 10.1186/s12903-023-03175-9.

A Rare Case of Orthokeratinized Odontogenic Cyst (OOC) in the Posterior Mandible of a Young Adult 18-Year-Old Boy.

Torkzadeh M, Jafari Z, Labafchi A, Shirzadeh A, Mohtasham N, Khatibi B World J Plast Surg. 2023; 12(1):80-85.

PMID: 37220584 PMC: 10200094. DOI: 10.52547/wjps.12.1.80.

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