Akademik Veri Yönetim Sistemi
açbid, Antalya, Türkiye, 10 - 14 Mayıs 2023, ss.223-224
Objective: Odontogenic keratocysts (OKC) are an epithelial developmental. This name is
known as OKC due to involving keratinized epithelium. On radiography, it is seen as unilocular
or multilocular radiolucency with sclerotic border. Its clinical findings are swelling, pain and pus
formation. Although marsupialization, decompression, and enucleation have been reported in
the treatment of OKC, their combinations have also been described.
Case: 32 year-old male patient applied to our clinic with complaints of swelling and pain in the
right mandibular region. Radiographic examination shows unilokuler radiolucency associated
with an impacted third molar and extended to the right mandibular ramus. In the evaluation of
cone beam computed tomography, the inferior alveolar nerve was appear in direct contact with
the cystic lesion. There was no perforation in the lingual and buccal bone cortex. A diagnosis
of odontogenic keratocyst was made as a result of the insizyonel biopsy. Enucleation treatment
was planned according to the results of histopathological findings. Under local anesthesia, total
enucleation of the cystic lesion, curettage of the region and third molar tooth extraction were
meticulously performed. Excisional biopsy confirmed the keratocyst result. The patient’s no
recurrence was observed after 6 months of follow-up and improvement was observed in the
6-month follow-up radiograph.
Conclusion: Odontogenic keratocysts are usually asymptomatic and may reach large sizes.
Due to the high rate of recurrence after treatment of odontogenic keratocysts, it is beneficial
to perform radical curettage around the lesion. Therefore, long-term follow-up of patients after
surgical treatment is necessary. The patient’s follow-up continues.