CONSERVATIVE TREATMENT OF ODONTOGENIC KERATOCYST: OBSERVATION FOR 4 YEARS
| Autor: | Hermes Dário De Azevedo Junior, Marianne de Vasconcelos Carvalho, Stefânia Jeronimo Ferreira, Raíssa Soares dos Anjos, Igor Henrique Morais Silva, Fabiana de Godoy Bené Bezerra Laureano |
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| Rok vydání: | 2020 |
| Předmět: |
Panoramic radiograph
medicine.diagnostic_test business.industry medicine.medical_treatment Enucleation Mandible Dentistry Physical examination Marsupialization Curettage Pathology and Forensic Medicine stomatognathic diseases Medicine Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Surgery Oral Surgery Keratocyst medicine.symptom business Bone regeneration |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 130:e186 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2020.04.363 |
| Popis: | A 61-year-old male patient was asymptomatic. In 2016, he sought a dental service for oral rehabilitation. Extraoral physical examination is not worth noting. Intraoral examination found dental absences bilaterally in the posterior region of the mandible. Panoramic radiograph and conical beam tomography showed a radiolucent, unilocular, well-delimited image, affecting the region of teeth 45/46 without causing root resorption of adjacent teeth. Aspiration punch was performed, and yellow-colored liquid was noted. Incisional biopsy was performed, and the histopathologic diagnosis was compatible with odontogenic keratocyst. A marsupialization was performed for 1 month, and the iodopovidone-soaked gasses were changed daily. After 3 and 6 months, the imaging examinations showed a significant reduction of the lesion accompanied by circumferential bone neoformation. Thus enucleation/curettage of the lesion followed by guided bone regeneration was performed. The patient has been under follow-up for 4 years, and the imaging tests show bone neoformation without signs of relapse. |
| Databáze: | OpenAIRE |
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