scholarly journals Third molar in the orbital floor: A precarious presentation of odontogenic keratocyst-A case report and review of literature

2018 ◽  
Vol 6 (9) ◽  
pp. 1854-1861 ◽  
Author(s):  
Premalatha Shetty ◽  
Sameep Shetty ◽  
Nancy Agarwal ◽  
Pritika Srivastava
2012 ◽  
Vol 3 (1) ◽  
pp. 100-108 ◽  
Author(s):  
A Nagaraja ◽  
Praveen S Anigol ◽  
Venkatesh Vishwanath Kamath ◽  
Krishnanand P Setlur

ABSTRACT The odontogenic keratocyst (OKC) has recently been reclassified by the WHO (2005), as keratocystic odontogenic tumor (KCOT) based on clinical, histological and immunohistochemical parameters. KCOT more commonly occurs in the mandible and cases involving the maxilla are infrequent. We report an unusual and rare case of a KCOT of the maxilla in a middle-aged individual with extensive involvement and displacement of the maxillary third molar to the zygomatic region. A discussion of the parameters involved in the reclassification of the lesion as a tumor is presented alongwith a review of literature. How to cite this article Nagraja A, Anigol PS, Kamath VV, Setlur KP. Keratocystic Odontogenic Tumor of the Maxilla: Report of a Rare Case and Review of Literature. World J Dent 2012;3(1):100-108.


2012 ◽  
Vol 69 (12) ◽  
pp. 1101-1105 ◽  
Author(s):  
Stevo Matijevic ◽  
Zoran Damjanovic ◽  
Zoran Lazic ◽  
Milka Gardasevic ◽  
Dobrila Radenovic-Djuric

Introduction. Odontogenic keratocyst (OKC) is a rare developmental, epithelial and benign cyst of the jaws of odontogenic origin with high recurrence rates. The third molar region, especially the angle of the mandible and the ascending ramus are involved far more frequently than the maxilla. The choice of treatment approach was based on the size of the cyst, recurrence status, and radiographic evidence of cortical perforation. Different surgical treatment options like marsupialization, decompression, enucleation, enucleation with Carnoy?s solution, peripheral ostectomy with or without Carnoy?s solution, and jaw resection have been discussed in the literature with variable rates of recurrence. Case report. We presented a 52-yearold male with orthokeratinized odontogenic keratocyst. Elliptical unilocular radiolucency located in the third molar region and the ascending ramus of the mandible, 40 ? 25 mm in diameter with radiographic evidence of cortical perforation at the anterior ramus border of the mandible 20 mm in diameter, was registrated on orthopantomographic radiography. Surgical treatment included enucleation of the cyst and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa. Postoperatively, no paresthesia in the inervation area of the inferior alveolaris nerve was registrated. Recurrences were not registrated within 5 years post-intervention. Coclusion. Treatment of odontogenic keratocyst with enucleation and peripheral ostectomy with the use of Carnoy?s solution and excision of the overlying attached mucosa had a very low rate of recurrence. Radical and more aggressive surgical treatments as jaw resection should be reserved for multiple recurrent cysts and when OKC is associated with nevoid basal cell carcinoma syndrome (NBCCS). Following the treatment protocol in the management of OKC and systematic and long-term postsurgical follow-up are considered key elements for successful results.


2020 ◽  
Vol 9 (45) ◽  
pp. 3399-3401
Author(s):  
Amal Ahmed Khawaji ◽  
Maryam Mohammed Maashi ◽  
Nedaa Hasan Alhazmi ◽  
Fareedi Mukram Ali

2020 ◽  
Vol 8 (1) ◽  
pp. 21-25
Author(s):  
Seema Ahuja ◽  
Upasana Sethi Ahuja ◽  
Nidhi Puri Narang

2019 ◽  
Vol 7 (11) ◽  
Author(s):  
Rodolfo Pollo Soares ◽  
Aline Reis Stefanini ◽  
André Luis da Silva Fabris ◽  
Paulo Henrique Bortoluzo ◽  
Luciana Estevam Simonato

O cisto dentígero é um cisto odontogênico que é classificado como de desenvolvimento. Normalmente, está relacionado à coroa de um dente incluso, sendo um dos cistos odontogênicos mais frequentes nos ossos gnáticos. Na maioria das vezes é diagnosticado em pacientes entre a segunda e a terceira década de vida, com grande ocorrência em terceiros molares inferiores e caninos superiores. Clinicamente, apresenta evolução lenta, assintomática e pode causar discreta deformidade facial, deslocamento de dentes e alterações de estruturas na região. Radiograficamente, os cistos dentígeros são descritos como lesões radiolúcidas bem delimitadas e uniloculares. Na maioria dos casos, são observados em exames de rotina ou durante a pesquisa da causa da não erupção de um dente permanente. Apesar da singularidade clínica de cada caso, o prognóstico dessa lesão é favorável. O tratamento para o cisto dentígero pode ser a marsupialização em casos de lesões grandes, enucleação com exodontia do dente incluso ou preservação do elemento dental. Este trabalho visa apresentar um caso clínico de cisto dentígero em região posterior de mandíbula, abordando aspectos clínicos, imaginológicos, histopatológicos e terapêuticos, com a finalidade de familiarizar o cirurgião dentista com tal lesão.Descritores: Cisto; Cisto Dentígero; Diagnóstico Bucal.ReferênciasJones TA, Perry RJ, Wake MJ. Marsupialization of a large unilateral mandibular dentigerous cyst in a 6-year-old boy – a case report. Dent Update. 2003;30(10):557-61.Chapelle KOM, Stoelinga PJ, de Wilde PC, Brouns JJ, Voorsmit RA. Rational approach to diagnosis and treatment of ameloblastomas and odontogenic keratocists. Br J Oral Maxilofac Surg. 2004;42(5):381-90.Sampaio RK, Prado R. Cirurgia dos cistos odontogênicos. In: Prado R, Salim M. Cirurgia bucomaxilofacial: diagnóstico e tratamento. Belo Horizonte: Medsi; 2004. p. 365-407.Ustuner E, Fitoz S, Atasoy C, Erden I, Akyar S. Bilateral maxillary dentigerous cysts: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2003; 95(5):632-35.Tsukamoto G, Sasaki A, Akyama T, Ishikawa T, Kishimoto K, Nishiyama A et al. A radiologic analysis of dentigerous cyst and odontogenic keratocysts associated with a mandibular third molar. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;91(6):743-47.Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma.Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):77-81.Regezi JA, Sciubba JJ. Patologia bucal: correlações clinicopatológicas. Rio de Janeiro: Guanabara Koogan; 2000.Shafer WG, Hine MK, Levy BM. Tratado de patologia bucal. 4. ed. Rio de Janeiro: Guanabara Koogan; 1987.Aziz SR, Pulse C, Dourmas MA, Roser SM. et al. Inferior alveolar nerve paresthesia associated with a mandibular dentigerous cyst. J Oral Maxillofac Surg. 2002;60(4):457-59.Hyomoto M, Kawakami M, Inoue M, Kirita T. Clinical conditions for eruption of maxillary canines and mandibular premolars associated with dentigerous cysts. Am J Orthod Dentofac Orthop. 2003;124(5):515-20.Thosaporn W, Iamaroon A, Pongsiriwet S, Ng KH. A comparative study of epithelial cell proliferation between the odontogênic keratocyst, orthokeratinized odontogenic cyst, dentigerous cyst, and ameloblastoma. Oral Dis. 2004;10(1):22-6.Neville BW, Damm DD, Allen CM, Bouquot JE. Patologia Oral & Maxilofacial. 4.ed. Rio de Janeiro: Guanabara Koogan; 2016.Bajaj MS, Mahindrakar A, Pushker N. Dentigerous cyst in the maxillary sinus: a rare cause of nasolacrimal obstruction. Orbit. 2003;22(4):289-92.Kawamura JY, de Magalhães RP, Sousa SC, Magalhães MH. Management of a large dentigerous cyst occurring in a six-year-old boy. J Clin Pediatr Dent. 2004;28(4):355-57.Motamedi MH, Talesh KT. Management of extensive dentigerous cysts. Br Dent J. 2005;198(4):203-6.Ertas U, Yavuz S. Interesting eruption of 4 teeth associated with a large dentigerous cyst in mandible by only marsupialization. J Oral Maxilofac Surg. 2003;61(6):728-32.Kim SG, Yang BE, OH SH, Min SK, Hong SP, Choi JY. The differential expression pattern of BMP-4 between the dentigerous cystand the odontogenic keratocyst. J Oral Pathol Med. 2005;34(3):178-83.Benn A, Altine M. Dentigerous cyst of infl amatory origin: a cliniopathologic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;81(2):203-9.Dunsche A, Babendererde O, Luttges J, Springer IN. Dentigerous cyst versus unicystic ameloblastoma – differential diagnosis in routine histology. J Oral Pathol Med. 2003;32(8):486-91.Fortin T, Coudert JL, Francois B, Huet A, Niogret F,Jourlin M et al. Marsupialization of dentigerous cyst associated with foreign body using 3D CT images: a case report. J Clin Pediatr Dent. 1997;22(1):29-33.Martínez-Pérez D, Varela-Morales M. Conservative treatmentof dentigerous  cysts in children: report of four cases. J Oral Maxillofac Surg. 2001;59(3):331-34.Vaz LGM, Rodrigues MTV, Ferreira Júnior O. Cisto dentígero: características clínicas, radiográficas e critérios para o plano de tratamento. RGO. 2010;58(1):127-30.


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