Treatment of Odontogenic Keratocyst Occurring in Two Quadrants of the Posterior Mandible: A Case Report

KONURALP NATIONAL MULTIDISIPLINARY STUDIES CONGRESS IN MEDICINE AND HEALTH SCIENCES, Ankara, Türkiye, 22 Aralık 2023, ss.27, (Özet Bildiri)

The aim of this case report is to describe the treatment of odontogenic keratocyst, which has features such as

locally aggressive behavior, high recurrence rate and distinctive histological appearance. During the clinical and

radiological examination of the patient, who did not have any systemic disease and came to our clinic for routine

check-ups, a sharply circumscribed, non-expandable radiolucent formation was detected in the left mandibular

posterior region, seen in two separate sections, the middle of which was separated by the mandibular tooth

number 7. After the teeth number 7 and 8 of the patient, who was operated on for excisional biopsy, were

extracted, the pathological tissue was carefully cleaned from both the extraction site and the mesiobuggal of

tooth number 7 by opening a window. Pathological tissue was sent separately as anterior and posterior regions.

As a result of the examination, a diagnosis of surface parakeratinized odontogenic keratocyst was made, which

showed similar histological findings in two different regions. The patient was informed about recurrence and

followed up with annual check-ups. Odonotogenic keratocyst is a cyst that rarely expands and has a high risk of

recurrence. Dentists should take this situation into consideration when evaluating their patients and carefully

evaluate suspicious formations and refer them to a specialist.

Keywords: Odontogenic keratocyst, oral surgery, oral pathology