Clinicopathologic features associated with recurrence of the odontogenic keratocyst: a cohort retrospective analysis

Cunha, Joanna Farias da; Gomes, Carolina Cavaliéri; Mesquita, Ricardo Alves; Goulart, Eugênio Marcos Andrade; Castro, Wagner Henriques; Gomez, Ricardo Santiago

doi:10.1016/j.oooo.2016.01.015

Cited by 52 publications

(44 citation statements)

References 39 publications

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“…In this study a single patient diagnosed with jaw neoformation underwent enucleation of the lesion and apical root resection of the teeth involved into the neoformation; after 12 months the patients presented relapse of the OKC. Cunha et al observed that OKCs with tooth involvement recurred more frequently and speculated that the epithelium of the cystic capsule may insinuate between the dental roots causing relapse of the lesions [18]. For this reason, apical root resection might be avoided with a preoperative diagnosis of OKCs to minimize recurrence of the lesions due to the involvement of dental roots by the epithelium of the cysts and tooth extraction may be preferred [19].…”

Section: Discussionmentioning

confidence: 99%

Factors influencing the recurrence of keratocysts: monocentric study

Giovacchini

Bensi

Paradiso

et al. 2019

J Oral Med Oral Surg

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Introduction: The purpose of the study was to retrospectively analyse the recurrence rate of odontogenic keratocysts and to identify eventual features of the lesions that may influence recurrence. Material and methods: This was a retrospective study carried out for a period of 3 years. The medical records of patients treated in our institution were analysed to identify all the cases of odontogenic keratocysts. Results: A total of 16 odontogenic keratocysts were recorded. These lesions were treated with simple enucleation with or without adjuvant Carnoy's solution. The relapse occurred in 4 patients treated with simple enucleation and in none of the patients that underwent enucleation and Carnoy's solution application. The kind of treatment appeared not to influence recurrence rate at statistical analysis. Conclusions: Odontogenic keratocyst is a lesion with a locally aggressive behavior and a high tendency to relapse. This tendency of recurrence may be greater with syndromic presentation of odontogenic keratocyst, with soft tissue involvement, and with teeth proximity to the lesion. The application of Carnoy's solution may be useful to minimize recurrence rate in those odontogenic keratocysts with an aggressive clinical behavior and secondly may be used for all the other lesions treated with simple enucleation that experienced relapse.

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Section: Discussionmentioning

confidence: 99%

Factors influencing the recurrence of keratocysts: monocentric study

Giovacchini

Bensi

Paradiso

et al. 2019

J Oral Med Oral Surg

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“…Odontogenic keratocyst is a cyst with variable clinical behaviour in view of its infiltrative capacity and high risk of recurrence. The treatment usually consists of aggressive interventions with great loss of bone structures and associated teeth . These peculiar characteristics have led the WHO in 2005 to classify this lesion as an odontogenic neoplasm of epithelial origin, denominated “keratocystic odontogenic tumour.” However, despite its clinical and molecular characteristics, this lesion was recently reclassified as a developmental odontogenic cyst .…”

Section: Discussionmentioning

confidence: 99%

A retrospective multicentre study of cystic lesions and odontogenic tumours in older people

et al. 2018

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“…A common location is in the mandibular angle and ramus; asymmetry occurs occasionally and more likely in the third decade. Clinical symptoms are rarely observed, as it grows painless and silently through medullary bone fenestrating cortical bone and, it is more common in the third decade of life 10,14 .…”

Section: Discussionmentioning

confidence: 99%

Association of Treatment and a 3-D image follow - up on a Recurrent Keratocyst

Thereza-Bussolaro¹,

Pachêco‐Pereira²,

Flores‐Mir³

et al. 2017

JORDI - Journal of Oral Diagnosis

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Introduction: Accordingly to the latest edition of the World Health Organization (WHO) the previously known Keratocyst Odontogenic Tumour (KCOT) has now returned to the simple odontogenic cyst (OKC) classification. We present a case successfully treated by a combination of minimal-invasive approaches. Case Presentation: A large OKC was identified extending from tooth 3.8 through the condylar process in the mandible and staged surgical conservative approaches were performed. Total healing was achieved and followed -up over 8 years. The case was well documented via panoramic radiographs, CBCTs, and a 3D image tool illustrates the cortical bone destruction (before treatment) and the cortical bone healing after treatment. Discussion: Agreement regarding terminology and treatment of OKC has been reached. In this case, a complete healing of a recurrent OKC was achieved by decompression, enucleation, and blurring of the bone walls. Rigorous follow-up enriched by a 3D reconstruction imaging allows an educational view of the healing. Conclusion: This case suggests that a staged surgery approaches concurrent to rigorous patient follow-up could be a feasible alternative to extensive OKT treatment.And, reinforces the importance of collaboration between orthodontist, pathologist, OMS, and the patient have crucial importance in the conservative management of the lesion.

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Clinicopathologic features associated with recurrence of the odontogenic keratocyst: a cohort retrospective analysis

Cited by 52 publications

References 39 publications

Factors influencing the recurrence of keratocysts: monocentric study

Factors influencing the recurrence of keratocysts: monocentric study

A retrospective multicentre study of cystic lesions and odontogenic tumours in older people

Association of Treatment and a 3-D image follow - up on a Recurrent Keratocyst

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