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Large mandibular odontogenic keratocyst treated by decompression and secondary enucleation: a case report

  • Jianfeng He1
  • Huijing Wang1
  • Jun Zeng1
  • Libin Zhou1,*,

1Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Guangdong Engineering Research Center of Oral Restoration and Reconstruction & Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou Medical University, 510182 Guangzhou, Guangdong, China

DOI: 10.22514/jocpd.2024.142 Vol.48,Issue 6,November 2024 pp.213-220

Submitted: 13 February 2023 Accepted: 20 March 2023

Published: 03 November 2024

*Corresponding Author(s): Libin Zhou E-mail: fmmumario@126.com

Abstract

Odontogenic keratocyst (OKC) is a common developmental odontogenic cyst in clinic patients. Odontogenic cysts are often treated by enucleation, curettage, marsupialization and decompression. With apparent advantages, marsupialization and decompression are often the preferred option for adolescents with large jaw cysts. This article aimed to report a case of large OKC involving the left mandibular second molar and third molar in a 13-year-old adolescent. Decompression was performed to preserve the second molar and inferior alveolar nerve, and the third molar was extracted. After ten months of follow-up, cyst volume decreased significantly, and the impacted second molar erupted spontaneously through the bony window. Subsequently, the residual cyst was removed by enucleation. After 18 months, the second molar erupted to the occlusal plane and played a normal function. No evidence of recurrence was found during the entire follow-up period.


Keywords

Odontogenic keratocyst; Decompression; Impacted tooth; Tooth eruption


Cite and Share

Jianfeng He,Huijing Wang,Jun Zeng,Libin Zhou. Large mandibular odontogenic keratocyst treated by decompression and secondary enucleation: a case report. Journal of Clinical Pediatric Dentistry. 2024. 48(6);213-220.

References

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