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Revista Ciencias de la Salud
Print version ISSN 1692-7273On-line version ISSN 2145-4507
Abstract
GIRALDO RENDON, Leidy; CORDOBA MOSQUERA, Jarlinson; TOVIO-MARTINEZ OD, ESP, Eilien and URBANO-DEL-VALLE OD, ESP, Samuel. Conservative Surgery as First-Line Treatment for Keratocyst: A Case Report. Rev. Cienc. Salud [online]. 2023, vol.21, n.3, e12. Epub June 04, 2024. ISSN 1692-7273. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.12541.
Introduction:
Keratocyst is a developmental odontogenic cyst originating from dental lamina residues. Its biological behavior is similar to that of a benign neoplasm. Furthermore, it is aggressive and has a high recurrence rate, causing massive bone destruction. It can appear in any area of the jaw and is associated with impacted teeth. On imaging, it appears as a multilocular or polycystic radiolucent lesion with a thin cortical border.
Objective:
To show the importance of a precise diagnosis, an early and accurate detection, and to determine the use and appropriate time of the application of Carnoy's solution as first-line treatment.
Case presentation:
A 34-year-old man, with no relevant personal history, who 3 years ago presented with a radiolucent lesion located at the level of teeth 34 and 35. He underwent endodontic treatment and lesion removal. Approximately 8 months later, cone-beam computed tomography revealed a hypodense lesion larger than the initial lesion at the level of the lower left hemi-arch.
Conclusion:
Marsupialization; enucleation along with adjuvant therapy; and correct evaluation of clinical, radiographic, and histopathological characteristics enabled a conservative surgical treatment to be performed without using Carnoy's solution; nevertheless, postoperative follow-up is recommended. However, in the long term, the use of Carnoy's solution is not eliminated in isolated cases and will be based on the operator's criteria.
Keywords : Diagnosis; oral surgery; odontogenic cysts; odontogenic keratocyst; biopsy.