Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge
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 synd...
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Universitas Airlangga
2024-12-01
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| Online Access: | https://e-journal.unair.ac.id/MKG/article/view/50688 |
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| author | Shinta Purnamasari Luc A. M. Marks Paramita Devi Oktaviani Leviena Merlynike Leo Indra Mulyawan Retno Pudji Rahayu Tania Saskianti |
| author_facet | Shinta Purnamasari Luc A. M. Marks Paramita Devi Oktaviani Leviena Merlynike Leo Indra Mulyawan Retno Pudji Rahayu Tania Saskianti |
| author_sort | Shinta Purnamasari |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a2971d92eef54fb1a74d0f80d369cfee |
| institution | Kabale University |
| issn | 1978-3728 2442-9740 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Universitas Airlangga |
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| series | Dental Journal |
| spelling | doaj-art-a2971d92eef54fb1a74d0f80d369cfee2024-12-03T02:04:49ZengUniversitas AirlanggaDental Journal1978-37282442-97402024-12-0157429830410.20473/j.djmkg.v57.i4.p298-30448846Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challengeShinta Purnamasari0https://orcid.org/0009-0000-1286-7371Luc A. M. Marks1https://orcid.org/0000-0001-5098-6726Paramita Devi Oktaviani2Leviena Merlynike Leo3Indra Mulyawan4https://orcid.org/0000-0003-1551-3602Retno Pudji Rahayu5https://orcid.org/0000-0003-4429-3653Tania Saskianti6https://orcid.org/0000-0003-2083-2413Department of Pediatric Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaFaculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Surgery-Special Care in Dentistry, Department Cranio-Maxillofacial Surgery, Antwerp University Hospital, Antwerp, BelgiumDepartment of Pediatric Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Pediatric Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Oral and Maxillofacial Pathology, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, IndonesiaDepartment of Pediatric Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, Indonesia; Pediatric Dentistry Department, Universitas Airlangga Hospital, Surabaya, IndonesiaBackground: 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.https://e-journal.unair.ac.id/MKG/article/view/50688dental traumadentigerous cystenucleationimpacted teethodontogenic keratocyst |
| spellingShingle | Shinta Purnamasari Luc A. M. Marks Paramita Devi Oktaviani Leviena Merlynike Leo Indra Mulyawan Retno Pudji Rahayu Tania Saskianti Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge Dental Journal dental trauma dentigerous cyst enucleation impacted teeth odontogenic keratocyst |
| title | Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge |
| title_full | Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge |
| title_fullStr | Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge |
| title_full_unstemmed | Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge |
| title_short | Unusual odontogenic keratocyst with impacted maxillary central incisor: A diagnosis challenge |
| title_sort | unusual odontogenic keratocyst with impacted maxillary central incisor a diagnosis challenge |
| topic | dental trauma dentigerous cyst enucleation impacted teeth odontogenic keratocyst |
| url | https://e-journal.unair.ac.id/MKG/article/view/50688 |
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