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Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report

The odontogenic keratocyst (OKC) is among the most aggressive odontogenic cysts because of its high recurrent rate. This study’s objective was to describe a 7-year radiological and clinical follow-up of an OKC with two recurrences and a combination of surgical treatments. The cyst contents were drai...

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Autores principales: Gelețu, Gabriela Luminița, Burlacu, Alexandru, Baciu, Elena-Raluca, Diaconu-Popa, Diana, Murariu, Alice, Foia, Liliana Georgeta, Ungureanu, Loredana, Onică, Neculai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914541/
https://www.ncbi.nlm.nih.gov/pubmed/36766990
http://dx.doi.org/10.3390/healthcare11030416
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author Gelețu, Gabriela Luminița
Burlacu, Alexandru
Baciu, Elena-Raluca
Diaconu-Popa, Diana
Murariu, Alice
Foia, Liliana Georgeta
Ungureanu, Loredana
Onică, Neculai
author_facet Gelețu, Gabriela Luminița
Burlacu, Alexandru
Baciu, Elena-Raluca
Diaconu-Popa, Diana
Murariu, Alice
Foia, Liliana Georgeta
Ungureanu, Loredana
Onică, Neculai
author_sort Gelețu, Gabriela Luminița
collection PubMed
description The odontogenic keratocyst (OKC) is among the most aggressive odontogenic cysts because of its high recurrent rate. This study’s objective was to describe a 7-year radiological and clinical follow-up of an OKC with two recurrences and a combination of surgical treatments. The cyst contents were drained at the biopsy to allow decompression, and then marsupialization (Partsch I) was carried out with good results. In the following two years, the endodontic and radiological evaluation of the neighboring teeth indicated endodontic avoidance. The remaining OKC enucleation (Partsch II) with chemical curettage and suture was performed two years after the first presentation, and the multifocal recurrences developed were also treated by enucleation and chemical curettage. At the last radiological follow-up, no recurrence was evident. Based on our experience, we concluded that patients diagnosed with a OKC should be radiologically evaluated at least once a year for at least 7 years, the endodontic diagnosis and treatment of neighboring teeth should be performed as early as possible, and the combination of surgical treatment and the long follow-up period is challenging.
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spelling pubmed-99145412023-02-11 Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report Gelețu, Gabriela Luminița Burlacu, Alexandru Baciu, Elena-Raluca Diaconu-Popa, Diana Murariu, Alice Foia, Liliana Georgeta Ungureanu, Loredana Onică, Neculai Healthcare (Basel) Case Report The odontogenic keratocyst (OKC) is among the most aggressive odontogenic cysts because of its high recurrent rate. This study’s objective was to describe a 7-year radiological and clinical follow-up of an OKC with two recurrences and a combination of surgical treatments. The cyst contents were drained at the biopsy to allow decompression, and then marsupialization (Partsch I) was carried out with good results. In the following two years, the endodontic and radiological evaluation of the neighboring teeth indicated endodontic avoidance. The remaining OKC enucleation (Partsch II) with chemical curettage and suture was performed two years after the first presentation, and the multifocal recurrences developed were also treated by enucleation and chemical curettage. At the last radiological follow-up, no recurrence was evident. Based on our experience, we concluded that patients diagnosed with a OKC should be radiologically evaluated at least once a year for at least 7 years, the endodontic diagnosis and treatment of neighboring teeth should be performed as early as possible, and the combination of surgical treatment and the long follow-up period is challenging. MDPI 2023-02-01 /pmc/articles/PMC9914541/ /pubmed/36766990 http://dx.doi.org/10.3390/healthcare11030416 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Gelețu, Gabriela Luminița
Burlacu, Alexandru
Baciu, Elena-Raluca
Diaconu-Popa, Diana
Murariu, Alice
Foia, Liliana Georgeta
Ungureanu, Loredana
Onică, Neculai
Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title_full Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title_fullStr Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title_full_unstemmed Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title_short Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report
title_sort various surgical interventions in treating odontogenic keratocyst: a radiological case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914541/
https://www.ncbi.nlm.nih.gov/pubmed/36766990
http://dx.doi.org/10.3390/healthcare11030416
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