Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge
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Background: Odontogenic keratocyst (OKC) is considered an odontogenic cyst, with the unique clinical characteristics of this entity being local destruction, aggressive behavior, a high recurrence rate, specific histopathologic features, and the tendency for multiple lesions when associated with syndromes. Odontogenic keratocyst accounts for 12–14% of all cysts in the jaws. Purpose: The aim of this case report is to present an unusual odontogenic keratocyst associated with impacted maxillary central incisor, case management of anterior maxilla odontogenic keratocyst involving an adjacent tooth, and its postoperative six-month follow-up. Case: A 13-year-old female patient was referred to the Universitas Airlangga Hospital with a complaint that her upper front teeth had not erupted. The parents revealed that the patient had suffered trauma from falling down the stairs at the age of four, i.e., eight years ago. Case Management: The cyst was enucleated together with the associated permanent upper right central incisor, retained deciduous upper right central incisor, the permanent upper right lateral incisor, and upper right canine. Post surgical treatment, the patient used a partial denture to increase her self-confidence. Conclusion: Enucleation of the cyst with extraction of the permanent teeth should be performed to avoid recurrence of the OKC. Periodic radiographic evaluation is required with long-term follow-up.
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Astuti E, Mira Sumarta N, Putra R, Pramatika B. Treatment evaluation of odontogenic keratocyst by using CBCT and fractal dimension analysis on panoramic radiograph. J Indian Acad Oral Med Radiol. 2019; 31(4): 391–6. doi: https://doi.org/10.4103/jiaomr.jiaomr_138_19
Cunha JF, Gomes CC, de Mesquita RA, Andrade Goulart EM, de Castro WH, Gomez RS. Clinicopathologic features associated with recurrence of the odontogenic keratocyst: a cohort retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 121(6): 629–35. doi: https://doi.org/10.1016/j.oooo.2016.01.015
Berge TI, Helland SB, Sælen A, Øren M, Johannessen AC, Skartveit L, Grung B. Pattern of recurrence of nonsyndromic keratocystic odontogenic tumors. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 122(1): 10–6. doi: https://doi.org/10.1016/j.oooo.2016.01.004
Essaket S, Benjelloun L, Chbicheb S. Odontogenic Keratocyst Mimicking a Radicular Cyst. Integr J Med Sci. 2021; 8: 1–4. doi: https://doi.org/10.15342/ijms.2021.356
Silva L-P, Rolim L-S, Silva L-A, Pinto L-P, Souza L-B. The recurrence of odontogenic keratocysts in pediatric patients is associated with clinical findings of Gorlin-Goltz Syndrome. Med Oral Patol Oral Cir Bucal. 2020; 25(1): e56–60. doi: https://doi.org/10.4317/medoral.23185
Correa Pontes FS, de Souza LL, Bittencourt de Oliveira LT, Khan W, de Abreu MC, Rebelo Pontes HA. Odontogenic Keratocyst in a 9-Month-Old Patient: A Case Report. J Clin Pediatr Dent. 2021; 45(3): 199–203. doi: https://doi.org/10.17796/1053-4625-45.3.9
Borghesi A, Nardi C, Giannitto C, Tironi A, Maroldi R, Di Bartolomeo F, Preda L. Odontogenic keratocyst: imaging features of a benign lesion with an aggressive behaviour. Insights Imaging. 2018; 9(5): 883–97. doi: https://doi.org/10.1007/s13244-018-0644-z
Ibrahim Elnouaem M, El Sayed Darwish Z, Aly Sharaf R. An unusual presentation of odontogenic keratocyst with malignant changes in a 13-year-old girl. Int J Case Reports Images. 2016; 7(10): 657. doi: https://doi.org/10.5348/ijcri-2016116-CR-10704
Chen P, Liu B, Wei B, Yu S. The clinicopathological features and treatments of odontogenic keratocysts. Am J Cancer Res. 2022; 12(7): 3479–85. pubmed: http://www.ncbi.nlm.nih.gov/pubmed/35968329
Chaves FN, Fernandes JDL, França SR, Oliveira DHIP, Sampieri MB da S, Carvalho FSR, Costa FWG, Pereira KMA. Conservative management of an extensive odontogenic keratocyst in the anterior region of a pediatric patient’s jaw. Res Soc Dev. 2021; 10(4): e44410414303. doi: https://doi.org/10.33448/rsd-v10i4.14303
Saskianti T, Tedjosaongko U, Pramudita RA, Naomi N, Restu AR. Multidisciplinary Case Management in Mesiodens Impacted Cases with Calcifying Odontogenic Cyst. Case Rep Dent. 2022; 2022. doi: https://doi.org/10.1155/2022/4084857
Lunawat SD, Kunte VR, Bhoosreddy AR, Gade LP, Patil RS. Odontogenic Keratocyst: A Rare Presentation in Anterior Maxilla. J Coll Physicians Surg Pak. 2020; 30(11): 1226–9. doi: https://doi.org/10.29271/jcpsp.2020.11.1226
Nair K, Lingappa A, Rangaiah P, Vittobarao P. Keratocystic odontogenic tumor: A case report and review of literature. J Indian Acad Oral Med Radiol. 2015; 27(2): 253. doi: https://doi.org/10.4103/0972-1363.170148
Bilodeau EA, Hunter KD. Odontogenic and Developmental Oral Lesions in Pediatric Patients. Head Neck Pathol. 2021; 15(1): 71–84. doi: https://doi.org/10.1007/s12105-020-01284-3
Ghandour L, Bahmad HF, Bou-Assi S. Conservative Treatment of Dentigerous Cyst by Marsupialization in a Young Female Patient: A Case Report and Review of the Literature. Case Rep Dent. 2018; 2018: 1–6. doi: https://doi.org/10.1155/2018/7621363
Suryabharata CG, Rizqiawan A, Mulyawan I, Wati SM, Rahman MZ. The diagnostic challenges and two-step surgical approach to an infected dentigerous cyst resembling a unicystic ameloblastoma: A case report. Dent J. 2023; 56(3): 202–7. doi: https://doi.org/10.20473/j.djmkg.v56.i3.p202-207
Roman CR, Faur CI, Boţan E, Ghiurca RS, Moldovan MA. Odontogenic Keratocyst: The Dos and Don’ts in a Clinical Case Scenario. Am J Case Rep. 2022; 23: e936641. doi: https://doi.org/10.12659/AJCR.936641
Weiss R, Read-Fuller A. Cone Beam Computed Tomography in Oral and Maxillofacial Surgery: An Evidence-Based Review. Dent J. 2019; 7(2): 52. doi: https://doi.org/10.3390/dj7020052
Hamied MA-S, Al-Shaikhani SM, Ali ZD. Inflammatory Odontogenic Cysts. AL-Kindy Coll Med J. 2021; 17(3): 135–44. doi: https://doi.org/10.47723/kcmj.v17i3.260
Pramatika B, Sitam S, Firman RN. Temuan Keratocyst Odontogenic Tumor besar pada maksila pada pemeriksaan CBCT. J Radiol Dentomaksilofasial Indones. 2019; 3(2): 31. doi: https://doi.org/10.32793/jrdi.v3i2.487
Tandon S, Phull K, Tandon P. Pathogenesis of Keratocystic Odontogenic Tumor-a Review. 2014; 1(3): 100–5. web: http://tmujdent.co.in/pdf/vol1issue3/04%20TMU_JD_26.pdf
Kotanli MV, Doğan ME, Kotanli S, Doğan MS. Dental traumatic injuries during the COVID-19 pandemic: A retrospective study. Dent J. 2023; 56(3): 139–43. doi: https://doi.org/10.20473/j.djmkg.v56.i3.p139-143
Sarfi D, Bouya M, Ben Yahya I. Conservative management of a large Odontogenic Keratocyst: A case report. Adv Oral Maxillofac Surg. 2022; 5(December 2021): 100238. doi: https://doi.org/10.1016/j.adoms.2021.100238
Gelețu GL, Burlacu A, Baciu E-R, Diaconu-Popa D, Murariu A, Foia LG, Ungureanu L, Onică N. Various Surgical Interventions in Treating Odontogenic Keratocyst: A Radiological Case Report. Healthc (Basel, Switzerland). 2023; 11(3): 416. doi: https://doi.org/10.3390/healthcare11030416
Wibowo MD, Fathurochman AF. Aggressiveness tumor: A case report of recurrent ameloblastoma in the mandible. Bali Med J. 2021; 10(1): 184–8. doi: https://doi.org/10.15562/bmj.v10i1.2114
Lay E, Kentjono WA. Bilateral ramus mandibulectomy with plate reconstruction in ameloblastic carcinoma patient. Dent J. 2022; 55(3): 174–8. doi: https://doi.org/10.20473/j.djmkg.v55.i3.p174-178
Wang LL, Olmo H. Odontogenic cysts. [Updated 2022 Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.
Rajendra Santosh AB. Odontogenic cysts. Dent Clin North Am. 2020; 64(1): 105–19. doi: https://doi.org/10.1016/j.cden.2019.08.002
Rączkiewicz M, Parchańska-Kowalik M, Stós W, Stypułkowska J, Loster BW. Interdisciplinary surgical and orthodontic treatment of odontogenic keratocyst of the mandibular body in a 12-year-old female patient, with a relapse after 7 years of observation: A case report. J Stomatol. 2018; 71(4): 373–80. doi: https://doi.org/10.5114/jos.2018.83412
Titinchi F. Protocol for management of odontogenic keratocysts considering recurrence according to treatment methods. J Korean Assoc Oral Maxillofac Surg. 2020; 46(5): 358–60. doi: https://doi.org/10.5125/jkaoms.2020.46.5.358
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