Clinical Management of Odontogenic Keratocyst: Case Report and Integrative Literature Review
Ângelo Fonseca-Silva
School of Dentistry, Faculdades Unidas do Norte Minas – Funorte, MG, Brazil.
Carolina Carvalho de Oliveira Santos
Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri – UFVJM, Diamantina, MG, Brazil.
Thiago Fonseca-Silva *
Department of Dentistry, School of Biological and Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri – UFVJM, Diamantina, MG, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Introduction: The odontogenic keratocyst is a common odontogenic cyst which affects mainly the posterior region of the mandible.
Aims: The aim of this study was to discuss the clinical management of odontogenic keratocyst, based on a case report and an integrative literature review.
Case Report: A 34-year-old woman has visited the Oral Surgery Division with a complaint of alignment discomfort of her teeth. Radiographic examination showed a well-defined multi-focus radiolucent area in the left posterior region of the mandible with involvement of cortical lingual bone. The incisional biopsy was performed and the diagnosis of Odontogenic Keratocyst was confirmed. Conservative treatment with decompression management was accomplished. 11 months follow-up reveled considerable reduction in lesion size, bone neoformation and mandibular cortical bone consolidation.
Conclusion: Conservative or radical management of odontogenic keratocyst depends on several factors such as location and size of the lesion, involvement of nerves and vessels and bone destruction area. The choice of treatment must be discussed and defined for each case, aiming at the patient’s well-being and the case outcome.
Keywords: Odontogenic keratocyst, decompression, odontogenic cyst, treatment