Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report

The odontogenic keratocyst (OKC) is among the most aggressive odontogenic cysts because of its high recurrent rate. This study's objective was to describe a 7-year radiological and clinical follow-up of an OKC with two recurrences and a combination of surgical treatments. The cyst contents were...

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Bibliographic Details
Published in:Healthcare (Basel) 2023-02, Vol.11 (3), p.416
Main Authors: Gelețu, Gabriela Luminița, Burlacu, Alexandru, Baciu, Elena-Raluca, Diaconu-Popa, Diana, Murariu, Alice, Foia, Liliana Georgeta, Ungureanu, Loredana, Onică, Neculai
Format: Article
Language:English
Subjects:
Alliances
Biopsy
Care and treatment
Case Report
Case reports
Cysts
Dentists
Diagnosis
Iodine
Local anesthesia
Methods
Odontogenesis
Physiological aspects
Surgeons
Surgery
Teeth
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Summary:The odontogenic keratocyst (OKC) is among the most aggressive odontogenic cysts because of its high recurrent rate. This study's objective was to describe a 7-year radiological and clinical follow-up of an OKC with two recurrences and a combination of surgical treatments. The cyst contents were drained at the biopsy to allow decompression, and then marsupialization (Partsch I) was carried out with good results. In the following two years, the endodontic and radiological evaluation of the neighboring teeth indicated endodontic avoidance. The remaining OKC enucleation (Partsch II) with chemical curettage and suture was performed two years after the first presentation, and the multifocal recurrences developed were also treated by enucleation and chemical curettage. At the last radiological follow-up, no recurrence was evident. Based on our experience, we concluded that patients diagnosed with a OKC should be radiologically evaluated at least once a year for at least 7 years, the endodontic diagnosis and treatment of neighboring teeth should be performed as early as possible, and the combination of surgical treatment and the long follow-up period is challenging.
ISSN:2227-9032
2227-9032
DOI:10.3390/healthcare11030416