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Nonsurgical Management of Keratocystic Odontogenic Tumor: Report of a Clinical Case
Isaac Vieira Queiroz1*, Carolina Ribeiro Starling2, Diego Tosta Silva2, Ieda Margarida Crusoe-Rebello3, Rui Medeiros Junior4 and Carlos Augusto Pereira do Lago5
1PhD student of Dentistry, Federal University of Bahia, Salvador, Brazil
2Dentists graduated, Federal University of Bahia, Salvador, Brazil
3Associated teacher of Radiology, Faculty of Dentistry, Federal University of Bahia, Salvador, Brazil
4Specialist in oral and maxillofacial surgery, Hospital of the Restoration, Recife, Brazil
5Associated teacher of Oral and Maxillofacial Surgery and Traumatology, Faculty of Dentistry of Pernambuco, Brazil
- *Corresponding Author:
- Isaac Vieira Queiroz
PhD student of Dentistry
Federal University of Bahia
Salvador, Brazil
Tel: (71) 3245-4389
Fax: (71) 3213-3665
E-mail: isaacvq@yahoo.com.br
Received Date: September 17, 2013; Accepted Date: October 07, 2013; Published Date: October 10, 2013
Citation: Queiroz IV, Starling CR, Silva DT, Crusoe-Rebello IM, Junior RM, et al. (2013) Nonsurgical Management of Keratocystic Odontogenic Tumor: Report of a Clinical Case. J Oral Hyg Health 1:114. doi: 10.4172/2332-0702.1000114
Copyright: © 2013 Queiroz IV, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Because of its intrinsic characteristics consistent with neoplasms, the odontogenic keratocyst has joined the group of benign odontogenic tumors in 2005 and renamed keratocystic odontogenic tumor (KOT). The main characteristics of this pathology include: aggressive behavior, autonomous growth, high recurrence rate and, sometimes, silent clinical manifestation of lesions to large size. These peculiarities, combined with their frequency, delay diagnosis, prognosis and limited treatment difficult. This study aims to present a case of atypical KOT emphasizing its solvability without surgical intervention or invasive procedures, and comparing its clinical, radiological and histopathological characteristics and therapeutic alternatives to those described in the literature. The most common treatment for KOT is enucleation followed by curettage, but its friable nature, associated with a fibrous connective tissue with thin, hinders its complete removal. In large lesions, it has been chosen by marsupialization followed by enucleation. The advantages of this technique are the thickness of the capsule, the reduction in lesion size and, therefore, easy and complete removal lower recurrence rate. Due to the characteristics of this injury, it deserves special attention, since successful treatment depends on accurate diagnosis, an appropriate surgical procedure and an appropriate and periodic radiographic preservation, in order to prevent the appearance of new lesions in the area.
