Odontogenic Keratocyst Presented as Multi-Locular Radiolucency in Mandibular Canine and Premolar Region: A Case Report.
| Autor: | Alwakeel A; Oral Medicine and Oral Pathology, Tabuk Dental Center, Tabuk, SAU., Arakkal Vettath M; Pediatric Dentistry, Tabuk Specialist Dental Center, Ministry of Health in Tabuk City, Tabuk, SAU., Eltanany MA; Maxillofacial, Ain Shams University, Cairo, EGY., Waznah R; Restorative Dentistry, Tabuk Dental Center, Tabuk, SAU., Aloufi A; Restorative Dentistry, Special Needs Dentistry, Tabuk Specialist Dental Center, Ministry of Health in Tabuk City, Tabuk, SAU. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2023 May 21; Vol. 15 (5), pp. e39291. Date of Electronic Publication: 2023 May 21 (Print Publication: 2023). |
| DOI: | 10.7759/cureus.39291 |
| Abstrakt: | An odontogenic keratocyst (OKC) was first described by Philipsen in 1956. They are benign cysts of odontogenic origin that behave aggressively and have a high recurrence rate. The present case report describes an unusual presentation of OKC as a multi-locular lesion in the anterior mandible. A 14-year-old male patient was referred to the oral maxillofacial surgery clinic in Tabuk Specialist Dental Centre by his orthodontist to evaluate a radiolucent lesion that had been identified in his lower anterior teeth during an OPG examination. The patient was medically fit and had multiple previous dental restorations. An intraoral examination revealed a small bony expansion in the cystic lesion on the buccal side. The panoramic radiograph showed well-defined multi-locular radiolucencies in the lower left canine area, despite there being no tooth resorption; however, there was a slight divergence noted between the teeth. An excisional biopsy was performed, and the subsequent histopathological examination revealed a cystic lesion diagnosed as an odontogenic keratocyst. The six-month follow-up OPG showed that the site had completely healed without any lesions recurring. OKCs can present at any age, irrespective of gender. The differential diagnosis included a lateral periodontal cyst or a radicular cyst when the tooth was not vital. In this case, the six-month follow-up OPG following surgery revealed no recurrence, although a close follow-up is recommended because of the high recurrence rate. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2023, Alwakeel et al.) |
| Databáze: | MEDLINE |
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