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Stomatologija 2024; 26 (2): 51-4 323 KB

Conservative therapy for odontogenic keratocyst: Decompression as the definitive treatment

Anibal Henrique Barbosa Luna¹, Karoline Gomes da Silveira², Alexander Tadeu Sverzut³, Márcio de Moraes³

Summary

Odontogenic keratocyst (OKC), is a lesion with aggressive behavior and different descriptions of treatment modalities. It most frequently occurs in the posterior region of the mandible, in men in the second and third decades of life. Among the treatments proposed, the great challenge is to reduce the morbidity of the procedure and maintain a low risk or recurrence. The aim was to relate case of patient with OKC located in the mandible and treated by means of decompression only. The case concerned an eight-year-old patient, female gender, presenting with a OKC from teeth permanent mandibular right canine to permanent mandibular left first molars. Assistance was provided with the eruption of permanent mandibular left first and second pre-molar, and patient has been followed up for two year. Conservative treatments offer reduced morbidity and the need for recovery, particularly in the cases of patients who are still growing, or those who are systemically compromised.

Key words: bone cysts, decompression, odontogenic cysts.

Received: 15 04 2020

Accepted for publishing: 21 06 2024

¹Department of Clinical and Social Dentistry, Federal University of Paraiba, João Pessoa, Paraiba, Brazil

²Department of Dentistry, University of Paraíba, Araruna, Paraíba, Brazil

³Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas, São Paulo, Brazil

Address correspondence to Anibal Henrique Barbosa Luna, Department of Clinical and Social Dentistry, Federal University of Paraiba, Campus I - Lot. Cidade Universitaria, João Pessoa/Paraíba, postal code: 58051-900, Brazil.

E-mail address: dr.anibal.luna@gmail.com



	Baltic Dental and Maxillofacial Journal

2024, Vol. 26, No. 2 CONTENTS 2nd International Scientific-Practical Conference "Digital or Conventional? What is more effective?" 17-18 January 2025, Kaunas, Lithuania REVIEWS Influence of surface treatment on the survival rate of miniscrews: A systematic literature review and meta-analysis Kotryna Rumšaitė, Mariam Varoneckaitė, Mantas Šidlauskas, Marijus Leketas, Algirdas Lukošiūnas, Ričardas Kubilius 30-36 SCIENTIFIC ARTICLES Effect of simulated gastric acid on the surface degradation of dental ceramics Noelia Madriz-Montalván, Marine Ortiz-Magdaleno, Norma Verónica Zavala-Alonso, José Elías Pérez-López, Gregorio Sánchez-Balderas, Diana María Escobar-García, Erika de Lourdes Silva-Benítez, Gabriel Fernando Romo-Ramírez 37-45 Prevalence of malocclusions in children with infectious mononucleosis Natalya Chukhray, Nina Smolyar, S. V. Savchyn, O. O. Mashkarynets 46-50 CASE REPORTS Conservative therapy for odontogenic keratocyst: Decompression as the definitive treatment Anibal Henrique Barbosa Luna, Karoline Gomes da Silveira, Alexander Tadeu Sverzut, Márcio de Moraes 51-54 © 2025 Stomatologija		Stomatologija 2024; 26 (2): 51-4 323 KB Conservative therapy for odontogenic keratocyst: Decompression as the definitive treatment Anibal Henrique Barbosa Luna¹, Karoline Gomes da Silveira², Alexander Tadeu Sverzut³, Márcio de Moraes³ Summary Odontogenic keratocyst (OKC), is a lesion with aggressive behavior and different descriptions of treatment modalities. It most frequently occurs in the posterior region of the mandible, in men in the second and third decades of life. Among the treatments proposed, the great challenge is to reduce the morbidity of the procedure and maintain a low risk or recurrence. The aim was to relate case of patient with OKC located in the mandible and treated by means of decompression only. The case concerned an eight-year-old patient, female gender, presenting with a OKC from teeth permanent mandibular right canine to permanent mandibular left first molars. Assistance was provided with the eruption of permanent mandibular left first and second pre-molar, and patient has been followed up for two year. Conservative treatments offer reduced morbidity and the need for recovery, particularly in the cases of patients who are still growing, or those who are systemically compromised. Key words: bone cysts, decompression, odontogenic cysts. Received: 15 04 2020 Accepted for publishing: 21 06 2024 ¹Department of Clinical and Social Dentistry, Federal University of Paraiba, João Pessoa, Paraiba, Brazil ²Department of Dentistry, University of Paraíba, Araruna, Paraíba, Brazil ³Department of Oral Diagnosis, Division of Oral and Maxillofacial Surgery, Piracicaba Dental School, University of Campinas, São Paulo, Brazil Address correspondence to Anibal Henrique Barbosa Luna, Department of Clinical and Social Dentistry, Federal University of Paraiba, Campus I - Lot. Cidade Universitaria, João Pessoa/Paraíba, postal code: 58051-900, Brazil. E-mail address: dr.anibal.luna@gmail.com