Odontogenic keratocyst associated with dental retention in the mandibular region. Presentation of a case and review of the literature
The odontogenic keratocyst is a benign pathological entity with a high recurrence rate. It is presented as a rounded structure consisting of a fibrous tissue capsule enclosing a lumen filled with liquid or semi-liquid material (keratin). It is lined by thin stratified squamous epithelium with a thic...
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| Autores principales: | , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE)
2024
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| Acceso en línea: | https://revistas.unne.edu.ar/index.php/rfo/article/view/8048 |
| Aporte de: |
| Sumario: | The odontogenic keratocyst is a benign pathological entity with a high recurrence rate. It is presented as a rounded structure consisting of a fibrous tissue capsule enclosing a lumen filled with liquid or semi-liquid material (keratin). It is lined by thin stratified squamous epithelium with a thickness of 6-10 cell layers. Its etiology is linked to remnants of the dental lamina or associated with the nevoid basal cell carcinoma syndrome. Imaging studies typically reveal a unilocular or multilocular radiolucent area (honeycomb pattern) that is oval or rounded, with well-defined or scalloped borders. Treatment plans vary and are categorized into two main approaches: conservative and radical. A variety of adjuvanttherapies, such as cryotherapy, peripheral osteotomy and Carnoy's solution are used to enhance treatment success and reduce the risk of recurrence in the short and long term. The treatment of choice for odontogenic keratocysts is generally conservative, involving surgical enucleation, often accompanied by secondary methods such as marsupialization, decompression, and peripheral ostectomy. This report presents the clinical case of an 18-year-old male patient with an odontogenic keratocyst in the mandibular body. Surgical treatment included enucleation with peripheral ostectomy, irrigation of the surgical bed, and suturing of the deep and superficial mucosal layers. |
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