Conservative Treatment Protocol for Para-Keratinized Odontogenic Keratocysts by Enucleation and Open Packing

Document Type : Original Article

Authors

1 Assistant Professor of Oral and Maxillofacial Surgery, Faculty of Dentistry, October 6 University. Head of Oral and Maxillofacial Surgery Unit, October 6 University Hospital.

2 Lecturer of Oral and Maxillofacial Surgery, Faculty of Dentistry, October 6 University.

Abstract

Background: odontogenic keratocyst is classified as a developmental cyst derived from enamel organ or from dental lamina. Treatment of odontogenic keratocysts of the jaws remains controversial.
Aim of study: was to report the outcome of a conservative treatment protocol in the form of enucleation with open packing for surgical treatment of parakeratinized odontogenic keratocysts.
Methods: after clinical and radiographic examination, fine needle aspiration was obtained from lesions and submitted for histopathological examination. Then the patients were treated by enucleation and open packing. This conservative treatment protocol was selected to decrease the morbidity rate in young aged patients. The follow-up duration of the cases was 2 years. All the cases were monitored continuously with clinical evaluations and radiographically through Orthopantomographs (OPG) and Cone beam computed tomography (CBCT).
Results: Clinical evaluation showed healing improvement of the surgical site with no signs of infection. Radiographic examination showed newly formed bony trabeculation at surgical site.
Conclusions: This conservative treatment protocol for odontogenic keratocysts based on enucleation with open packing would be a possible choice with a view of offering low recurrence rate and low morbidity rate particularly in young patients.

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