Lado Lako Loro , Anne Christine Johannessen , Kathrine Skarstein , Sølve Hellem
{"title":"Peripheral odontogenic keratocyst causing bone resorption: Report of two cases","authors":"Lado Lako Loro , Anne Christine Johannessen , Kathrine Skarstein , Sølve Hellem","doi":"10.1016/j.omsc.2023.100301","DOIUrl":null,"url":null,"abstract":"<div><p>Two cases of peripheral odontogenic keratocyst (POKC) of the gingiva presenting as asymptomatic nodules are described. The exceptional finding of cystic radiolucency in POKCs was observed on dental radiography in one case, which had a diameter of 10 mm. Conservative surgical excision was performed on both cases, and histopathological examination showed features consistent with keratocysts. POKC may recur and should thus be followed up like intraosseous keracysts. No recurrences were observed after 10-years in our two cases. POKC is managed by conservative treatment. Recurrences should be excised more radically. Adjunct treatment with modified Carnoy's solution or topical 5Fluorouracil should be considered. POKC should be included in the differential diagnosis of asymptomatic gingival nodules.</p></div>","PeriodicalId":38030,"journal":{"name":"Oral and Maxillofacial Surgery Cases","volume":"9 2","pages":"Article 100301"},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Oral and Maxillofacial Surgery Cases","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S221454192300010X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Dentistry","Score":null,"Total":0}
引用次数: 0
Abstract
Two cases of peripheral odontogenic keratocyst (POKC) of the gingiva presenting as asymptomatic nodules are described. The exceptional finding of cystic radiolucency in POKCs was observed on dental radiography in one case, which had a diameter of 10 mm. Conservative surgical excision was performed on both cases, and histopathological examination showed features consistent with keratocysts. POKC may recur and should thus be followed up like intraosseous keracysts. No recurrences were observed after 10-years in our two cases. POKC is managed by conservative treatment. Recurrences should be excised more radically. Adjunct treatment with modified Carnoy's solution or topical 5Fluorouracil should be considered. POKC should be included in the differential diagnosis of asymptomatic gingival nodules.
期刊介绍：
Oral and Maxillofacial Surgery Cases is a surgical journal dedicated to publishing case reports and case series only which must be original, educational, rare conditions or findings, or clinically interesting to an international audience of surgeons and clinicians. Case series can be prospective or retrospective and examine the outcomes of management or mechanisms in more than one patient. Case reports may include new or modified methodology and treatment, uncommon findings, and mechanisms. All case reports and case series will be peer reviewed for acceptance for publication in the Journal.
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