Ab. Bataineh et Ma. Alqudah, TREATMENT OF MANDIBULAR ODONTOGENIC KERATOCYSTS, Oral surgery, oral medicine, oral pathology, oral radiology and endodontics, 86(1), 1998, pp. 42-47
Citations number
47
Categorie Soggetti
Pathology,Surgery,"Dentistry,Oral Surgery & Medicine
Objective. The purpose of this study was to report our experience with
surgical treatment of 31 mandibular odontogenic keratocysts, with spe
cial reference to their recurrence; and to review the literature on th
is subject. Study design. A retrospective analysis was conducted of al
l odontogenic cysts treated in the Department of Oral Surgery and Oral
Medicine at Jordan University of Science and Technology between 1989
and 1995. Of a total of 227 odontogenic cysts, 31 odontogenic keratocy
sts were histopathologically diagnosed preoperatively. They were surgi
cally treated through an intraoral approach by resection without conti
nuity defects. The lower border of the mandible and/or the posterior b
order of the ramus was left intact. In cases where teeth were in conti
nuity with the lesion, they were extracted. In cases where cortical pe
rforation occurred, any associated overlying mucoperiosteum was excise
d. All patients were reviewed annually for a follow-up period of 2 to
8 years. Results. All odontogenic keratocysts were found in the mandib
le. Of these, 23 were in the ramus and angular region (74.2%) and 8 we
re located in the body of the mandible. No recurrences of the operated
odontogenic keratocysts were observed during the follow-up period. Co
nclusion. Our findings indicate that removal of odontogenic keratocyst
s by resection without continuity defects is a satisfactory method of
treatment.