Successfully Treating an Odontogenic Keratocyst with Surgery and Carnoy’s Solution: A Case Study

Berhasil Mengobati Keratokista Odontogenik dengan Pembedahan dan Solusi Carnoy: Sebuah Kasus Studi

Authors

  • Athraa A. Ahmed Al_Sheikhly Dentistry Department, Al-Rasheed University College, Baghdad

DOI:

https://doi.org/10.21070/ijhsm.v2i1.116

Keywords:

Bone Cysts, Odontogenic keratocyst, Enucleation, Bone healing

Abstract

Odontogenic keratocyst (OKC) is a type of cyst found in the jaw that has sparked debate on whether it should be classified as a cyst or a tumor.  While it was briefly categorized as a tumor (KCOT) due to its aggressive behavior and unique microscopic appearance, it has since been reclassified as a cyst in the latest World Health Organization guidelines. (1) This study presents the case of an 18-year-old male who underwent successful surgical removal of a large OKC in his lower jaw. The procedure involved carefully removing the cyst, trimming surrounding bone, and applying a solution to minimize recurrence. After six months, the patient showed no signs of the cyst returning.

This case highlights the effectiveness of a conservative surgical approach in treating OKC, leading to minimal complications, quick healing, and restored jaw function

Highlights:

  1. Classification: OKC is reclassified as a cyst by WHO guidelines.
  2. Case: Successful surgical removal of OKC in an 18-year-old male.
  3. Outcome: Conservative surgery ensured minimal complications and no recurrence after six months

Keywords: Bone Cysts. Odontogenic keratocyst. Enucleation. Bone healing.

References

[1] A. C. P. Athira, Niveditha, T. S. Sundaram, L. M. Thampy, S. Sadasivan, and S. Raj, “Odontogenic Keratocyst with Diverse Histopathological Features,” Oral Maxillofac Pathol J, vol. 14, no. 2, pp. 229–232, 2023.

[2] P. Chen, B. Liu, B. Wei, and S. Yu, “The clinicopathological features and treatments of odontogenic keratocysts,” Am J Cancer Res, vol. 12, no. 7, pp. 3479–3485, Jul. 2022. PMID: 35968329; PMCID: PMC9360231.

[3] V. Ebenezer and B. Ramalingam, “Importance of different modalities of treatment for the management of Keratocystic Odontogenic Tumour with five year follow-up,” J. Clin. Diagnostic Res., vol. 8, no. 3, pp. 225–228, 2014, doi: 10.7860/JCDR/2014/7486.4168.

[4] H. Al-Huwaizi and S. A. Issa, “Joint surgical and endodontic treatment of a huge keratocyst lesion (18 months follow up),” Dentist Case Rep., vol. 4, no. 1, pp. 5–7, 2020.

[5] N. J. Alchalabi, A. M. Merza, and S. A. Issa, “Using Carnoy’s Solution in Treatment of Keratocystic Odontogenic Tumor,” Ann Maxillofac Surg, vol. 7, no. 1, pp. 51–56, 2017, doi: 10.4103/ams.ams_127_16.

[6] N. Jafaripozve, S. Jafaripozve, and M. A. Khorasgani, “Keratocyst odontogenic tumor: importance of selection the best treatment modality and a periodical follow-up to prevent from recurrence: a case report and literature review,” Int. J. Prev. Med., vol. 4, no. 8, pp. 967–970, 2013.

[7] A. Diaz-Belenguer, A. Sánchez-Torres, and C. Gay-Escoda, “Role of Carnoy’s solution in the treatment of keratocystic odontogenic Tumor: a systematic review,” Med. Oral Patol. Oral Cir. Bucal, vol. 21, no. 6, pp. e689–e695, 2016.

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Published

2025-03-13

How to Cite

Al_Sheikhly , A. A. A. (2025). Successfully Treating an Odontogenic Keratocyst with Surgery and Carnoy’s Solution: A Case Study: Berhasil Mengobati Keratokista Odontogenik dengan Pembedahan dan Solusi Carnoy: Sebuah Kasus Studi. Indonesian Journal on Health Science and Medicine, 2(1), 10.21070/ijhsm.v2i1.116. https://doi.org/10.21070/ijhsm.v2i1.116

Issue

Vol. 2 No. 1 (2025): July

Section

Articles

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Copyright (c) 2025 Indonesian Journal on Health Science and Medicine

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