A CONSERVATIVE SURGICAL APPROACH IN THE TREATMENT OF ODONTOGENIC KERATOCYSTS; SIX YEARS OF CLINICAL AND IMAGING FOLLOW UP
Authors:
Oscar Iván Fortuna Sandoval
Affiliation:
Iaoms, Blacibu, Mexican Board Of Oral And Maxillofacial Surgeons, Tampico, Mexico
Doi: 10.54936/haoms242p86
ABSTRACT:
Objectives: Odontogenic keratocysts have been treated with various surgical modalities, the choice of treatment method today is still controversial and varies from the most conservative to the very aggressive with extensive resections, the most conservative approach has proven to be the most predictable of treatment.
We recommend a conservative approach with a combination of methods such as enucleation, decompression with and without curettage, and/or marsupialization followed by peripheral osteotomy.
Material and Methods: We have had a six-year clinical and imaging follow-up of multiple cases treated with this method.
Results: Patients treated with this modality have presented much less morbidity and much more predictable results with less postoperative discomfort, adequate bone healing, no recurrence, and no need for bone resection.
Conclusions: Treatment such as enucleation with or without bone curettage, decompression, marsupialization followed by a final peripheral osteotomy, have presented a more predictable development and with a much lower morbidity in the treatment.
KEY WORDS:
Authors:
Oscar Iván Fortuna Sandoval
Affiliation:
Iaoms, Blacibu, Mexican Board Of Oral And Maxillofacial Surgeons, Tampico, Mexico
Doi: 10.54936/haoms242p86
ABSTRACT:
Objectives: Odontogenic keratocysts have been treated with various surgical modalities, the choice of treatment method today is still controversial and varies from the most conservative to the very aggressive with extensive resections, the most conservative approach has proven to be the most predictable of treatment.
We recommend a conservative approach with a combination of methods such as enucleation, decompression with and without curettage, and/or marsupialization followed by peripheral osteotomy.
Material and Methods: We have had a six-year clinical and imaging follow-up of multiple cases treated with this method.
Results: Patients treated with this modality have presented much less morbidity and much more predictable results with less postoperative discomfort, adequate bone healing, no recurrence, and no need for bone resection.
Conclusions: Treatment such as enucleation with or without bone curettage, decompression, marsupialization followed by a final peripheral osteotomy, have presented a more predictable development and with a much lower morbidity in the treatment.
KEY WORDS: