Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice

Silva, Yuri Slusarenko; Homem, Maria da Graça Naclério

doi:10.23937/2469-5734/1510070

Cited by 8 publications

(10 citation statements)

References 32 publications

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“…Since the origin of the OKCs in the dentate area is likely remnants of the dental lamina, rather than hamartias in the overlying mucosa 146 , one has to conclude that these remnants are also present in the immediate environment of the OKC 147 . That theory would coincide perfectly well with the fact that many OKCs in the dentate area have a lateral periodontal or lateral follicular presentation [6][7][8][9] .…”

Section: Discussionmentioning

confidence: 52%

“…On the other hand, the capsule of the OKC in the tooth-bearing area may be adhered to the tooth root and could be left behind after its enucleation, thus increasing the risk of recurrence. Therefore, in doubtful cases or cases of external radicular resorption, tooth extraction together with lesion enucleation should be considered 9 .…”

Section: Discussionmentioning

confidence: 99%

“…To the best of our knowledge, such study has never been carried out but the outcome may have implications for the approach of non-suspicious looking cystic lesions in the body and anterior region of the mandible. A considerable number of OKCs seem to have a lateral periodontal of lateral follicular presentation [6][7][8][9] .…”

Section: Introductionmentioning

confidence: 99%

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The presentation of recurrent odontogenic keratocysts of the mandible with an emphasis on the tooth‐bearing area: a systematic review and meta‐analysis

2020

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Aim: To gain insight in the actual ratio of recurrent odontogenic keratocysts (OKCs) occurring in the tooth-bearing area as compared to the posterior region of the mandible in order to come up with reliable data to base upon a rational treatment policy. Material and Methods: We searched MEDLINE, Web of Science, Scopus, Cochrane Library and Google Scholar databases for studies reporting on the location of recurrent mandibular OKCs. Risk Difference with a confidence interval of 95% of having the lesion in the tooth-bearing area versus the posterior region was the effect measure. P value for the summary effect of <0.05 was considered statistically significant. Results: The 1411 records retrieved were reduced to 13 studies to be qualitative/quantitative assessed. The pooled values showed that the difference in the clinical risk of having recurrent OKCs in the posterior region of the mandible and in the tooth-bearing area of the maxilla is of 7% (CI: À0.08, 0.22; P = 0.36), the posterior region being more susceptible to develop a recurrent OKC. Conclusions: The recurrence rate of OKCs in the posterior mandible is not significantly higher than of those located in the tooth-bearing part of the mandible; however, there is no reason to follow a more aggressive treatment policy for OKCs in the tooth-bearing area. Clinical RelevanceScientific rationale for study Once patients have an estimated difference of 21% to have primary keratocysts in the posterior mandible, it is important to gain insight into the actual ratio of recurrent keratocysts of the mandible. Principal findingsThe difference in the clinical risk of having recurrent keratocysts between the posterior region and toothbearing area of the mandible is 7%. Practical implicationsThe ratio of recurrent keratocysts in the posterior mandible is not significantly higher as compared to the tooth-bearing area. Therefore, there is no reason to follow a more aggressive treatment policy for keratocysts in the tooth-bearing area.

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Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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The presentation of recurrent odontogenic keratocysts of the mandible with an emphasis on the tooth‐bearing area: a systematic review and meta‐analysis

2020

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“…The cyst wall is fibrous and lined by a folded, thin, regular parakeratinized epithelium 5-8 cell layers thick, without rete ridges. The parakeratin surface is typically corrugated, and the basal layer is well defined and often palisaded, with hyperchromatic nuclei and focal areas showing reversed nuclear polarity (9). The management of OKCs aims to reduce the risk of recurrence while minimizing, at the same time, the morbidity for the patient.…”

Section: Discussionmentioning

confidence: 99%

Odontogenic Keratocyst Mimicking a Radicular Cyst

2021

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The odontogenic keratocyst (OKC) is a benign intraosseous cyst of the odontogenic origin, characterized by an aggressive behavior with a relatively high recurrence rate.OKC is mostly presented at the 2nd and 3rd decades and predominantly affect males. It affects mandible more than maxilla and is frequently found at the angle of mandible. OKC can clinically and radiographically mimic other benign and less aggressive lesions. It is therefore important to differentiate them from other cysts and tumors, for a proper treatment and reduction of recurrences.We report the case of a 19-year-old woman who presented with a swelling in left mandible. The clinicaland radiographicfeatures were in favor of a radicular cyst.Histological examination, however, contradicted this diagnosis, indicating a case of OKC.

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“…The epithelial cells of OKC and microcysts, are often found in the mucosa of the alveolar ridges which can cause recurrence. 10,11 Long term follow-up with clinical and radiographic examination is essential up to five post-surgical years to rule out recurrence. 12…”

Section: Figure 3: Post-operative Occipitomental View One Year After mentioning

confidence: 99%

Marsupialization Followed by Enucleation and Chemical Cauterization for Treatment of Odontogenic Keratocyst Involving Maxillary Sinus: A Case Report

Jamal¹,

Baig²,

Saher³

et al. 2019

JIMDC

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A B S T R A C TOdontogenic keratocysts are odontogenic cysts which have locally infiltrative behavior. They mostly occur in second and fourth decades but can occur at any age throughout life. In majority of cases, they are located in the posterior region of mandible, but can also be found in the maxilla especially in the canine region. In this article, we have discussed the diagnosis and management of a large odontogenic keratocyst cyst involving the maxillary sinus. A 22 years old male patient presented with pain and swelling on right side of the face since last one year. There was history of pus discharge and gradual increase in size of the swelling since last 3-4 months. Patient took antibiotics but there was no improvement. Odontogenic keratocyst is a developmental pathology which arises from additional remnants of dental lamina of oral epithelium. They present with swelling, pain and pus formation/discharge as signs of infection. Often, when the lesion is large there can be paresthesia of the lower lip. These lesions can also be clinically asymptomatic. Mostly they appear as well-demarcated unilocular radiolucency having a thin, sclerotic well-defined margin. There are many treatment options like enucleation, marsupialization, decompression, curettage, use of chemical agents like Carnoy's solution, cryotherapy with liquid nitrogen or peripheral osteotomy and surgical resection of lesion.Cite this case Report: Jamal M, Baig MZ, Saher L, Asim M, Ahmed M. Marsupialization followed by enucleation and chemical cauterization for treatment of odontogenic keratocyst involving maxillary sinus: A Case Report. J Islamabad Med Dental Coll. 2019; 8(4):208-212.

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Conservative Treatment of Primary and Nonsyndromic Odontogenic Keratocyst: An Overview of the Practice

Cited by 8 publications

References 32 publications

The presentation of recurrent odontogenic keratocysts of the mandible with an emphasis on the tooth‐bearing area: a systematic review and meta‐analysis

The presentation of recurrent odontogenic keratocysts of the mandible with an emphasis on the tooth‐bearing area: a systematic review and meta‐analysis

Odontogenic Keratocyst Mimicking a Radicular Cyst

Marsupialization Followed by Enucleation and Chemical Cauterization for Treatment of Odontogenic Keratocyst Involving Maxillary Sinus: A Case Report

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