ENUCLEATION WITH ADJUVENT THERAPY FOR TREATMENT OF AGGRESSIVE ODONTOGENIC KERATOCYST IN MANDIBLE: A CASE REPORT

Main Article Content

Akshita Arya
Ruchika Tiwari
Aksha Bhargava
Yashpal Singh

Keywords

OKC, Enucleation, BIPP, KCOT, Jaw Cyst

Abstract

The maxillofacial region is frequently affected by the developmental odontogenic cyst known as an odontogenic keratocyst (OKC), which develops from the remnants of the dental lamina. Due to their ability to grow aggressively, potentially recur, and be linked to hereditary disorders, it is crucial to have an accurate diagnosis for OKC.  The OKC stands out among jaw cysts and has a propensity to return associated with combative clinical behavior. This report discusses, a 27-year-old female, experiencing pain and swelling in the mandibular left anterior and posterior regions. After reviewing medical history and conducting medical, radiological, along with histopathological examinations, it was determined that she had an odontogenic keratocyst. In order to treat this condition, surgical enucleation, which is a conservative strategy known for its positive outcomes and BIPP packing have been utilized. The process of bone formation completes over time and the swelling shrinks in size.

Abstract 129 | pdf Downloads 113

References

1. Philipsen HP. Om keratocyster (kolesteatom) I kaekberne. Tandlaegegebladet. 1956; 60:963-81.
2. Nayak MT, Singh A, Singhvi A, Sharma R. Odontogenic keratocyst: what is in the name? J Nat Sci Biol Med. 2013 Jul-Dec;4(2):282-5. doi: 10.4103/0976-9668.116968, PMID 24082717.
3. Madras J, Lapointe H. Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. J Can Dent Assoc. 2008; 74(2):165-165h. PMID 18353202.
4. Mohanty S, Dabas J, Verma A, Gupta S, Urs AB, Hemavathy S. Surgical management of the odontogenic keratocyst: A 20-year experience. Int J Oral Maxillofac Surg. 2021; 50(9):1168-76. doi: 10.1016/j.ijom.2021.02.015, PMID 33663899.
5. Brøndum N, Jensen VJ. Recurrence of keratocysts and decompression treatment. A long-term follow-up of forty-four cases. Oral Surg Oral Med Oral Pathol. 1991; 72(3):265-69. doi: 10.1016/0030-4220(91)90211-t, PMID 1717918.
6. Haring JI, Van Dis ML. Odontogenic keratocysts: a clinical, radiographic, and histopathologic study. Oral Surg Oral Med Oral Pathol. 1988; 66(1):145-53.doi: 10.1016/0030-4220(88)90082-5, PMID 2457195..
7. Stoelinga PJW, Bronkhorst FB. The incidence, multiple presentation and recurrence of aggressive cysts of the jaws. J Craniomaxillofac Surg. 1988 May; 16(4):184-95. doi: 10.1016/s1010-5182(88)80044-1, PMID 3290262.
8. Neville BW. Oral and maxillofacial pathology. 3rd ed. St. Louis: Mosby, Elsevier; 2009.
9. Khalam AS, Zacariah RK. Under Diagnosis of an Odontogenic Keratocyst- A Controversial Lesion. IOSR-JDMS. 2012; 2 (5):37-40. doi: 10.9790/0853-0253740.
10. Karandikar S, Nilesh K, Dadhich A. Large odontogenic keratocyst of the mandible: A case report. JIDA. 2011; 5: 822-4.
11. Almeida P Jr., Cardoso LC, Garcia IR Jr., Magro-Filho O, Luvizuto ER, Felipini RC. Conservative approach to the treatment of keratocystic odontogenic tumor. J Dent Child (Chic). 2010; 77(3):135-9. PMID 22044465.
12. Kshirsagar RA, Bhende RC, Raut PH, Mahajan V, Tapadiya VJ, Singh V. Odontogenic keratocyst: developing a protocol for surgical intervention. Ann Maxillofac Surg. 2019; 9(1):152-7. doi: 10.4103/ams.ams_137_18, PMID 31293945.
13. Freedman M, Stassen LF. Commonly used topical oral wound dressing materials in dental and surgical practice – a literature review. J Ir Dent Assoc. 2013; 59(4):190-5. PMID 24156211.
14. Shear M. The aggressive nature of the odontogenic keratocyst: is it a benign cystic neoplasm? Part 1. Clinical and early experimental evidence of aggressive behaviour. Oral Oncol. 2002; 38(3):219-26. doi: 10.1016/s1368-8375(01)00065-3, PMID 11978543.