TREATMENT OF A LARGE ODONTOGENIC KERATOCYST: A 5-YEAR FOLLOW-UP

Year 2024, Volume: 13 Issue: 1, 161 - 166, 26.01.2024

Gülin Acar Selen Adiloğlu Alper Aktaş

https://doi.org/10.54617/adoklinikbilimler.1380700

Abstract

The Odontogenic Keratocyst (OKC) presents a unique challenge in the field of dentistry and oral pathology. This locally aggressive lesion has been a subject of debate in the literature, with discussions revolving around its classification as either a cyst or a tumor. Its prominence as the third most common cyst in the jaw bones has captured the attention of clinicians and researchers alike. Given its aggressive clinical behavior and high recurrence rate, various treatment methods have been proposed to address OKC and mitigate the risk of recurrence, yet the ideal treatment approach and surgical margins remain elusive. This case report highlights the management of a large circumscribed OKC and underscores the importance of long-term patient follow-up. The patient has undergone 5 years of vigilant monitoring without any signs of recurrence. Ultimately, this case underscores the significance of adopting a personalized treatment approach that considers the patient's specific needs and lesion characteristics. By prioritizing patient-centered and lesion-oriented decision-making, this case offers valuable insights for clinicians and serves as a reference for future similar cases.

Keywords

Oral Pathology, Keratocysts, Surgical Pathology

Büyük Boyutlu Odontojenik Keratokist Olgusunun Tedavisi ve 5 yıllık Takibi

Abstract

Özet
Odontojenik Keratokist (OKK), literatürde kist veya tümör olup olmadığı tartışmaları hala devam ancak günümüzde odontojenik kist sınıflamasında olan lokal agresif bir kisttir. Çene kemiklerinde en sık görülen 3.kist olduğu için klinik davranışı ve histolojik karakteri hem klinisyenlerin hem de araştırmacıların ilgisini çekmektedir. Agresif klinik davranışı ve yüksek nüks oranı nedenleri ile tedavi OKK'nin tedavisi ve nüks riskini azaltmak için bir çok yöntem önerilmiştir, ancak optimal tedavi yöntemi ve cerrahi sınırlar hala net değildir. Bu olgu raporu, geniş sınırlı bir OKK'nin yönetimini ele almaktadır ve hastanın uzun vadeli izlemine vurgu yapmaktadır. Hastanın takip süreci, 5 yıl boyunca nüks belirtileri olmaksızın devam etmektedir. Sonuç olarak, hastanın özel gereksinimlerine ve lezyon özelliklerine uygun olarak kişiselleştirilmiş bir tedavi yaklaşımı benimsenmiştir. Bu olgu, hastaya odaklı ve lezyon-odaklı tedavi kararının doğruluğunu vurgulayarak klinisyenlere kılavuzluk etmek ve gelecekteki benzer olgular için referans oluşturmak amacıyla sunulmaktadır.

Keywords

oral Patoloji, Keratokistler, cerrahi patoloji

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