Peripheral odontogenic keratocyst causing bone resorption: Report of two cases

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 o...

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Main Authors: Lado Lako Loro, Anne Christine Johannessen, Kathrine Skarstein, Sølve Hellem
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Oral and Maxillofacial Surgery Cases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S221454192300010X
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author Lado Lako Loro
Anne Christine Johannessen
Kathrine Skarstein
Sølve Hellem
author_facet Lado Lako Loro
Anne Christine Johannessen
Kathrine Skarstein
Sølve Hellem
author_sort Lado Lako Loro
collection DOAJ
description 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.
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spelling doaj.art-b02bd61f737c422fa988f475852efc132023-06-19T04:28:13ZengElsevierOral and Maxillofacial Surgery Cases2214-54192023-06-0192100301Peripheral odontogenic keratocyst causing bone resorption: Report of two casesLado Lako Loro0Anne Christine Johannessen1Kathrine Skarstein2Sølve Hellem3Section for Oral and Maxillofacial Surgery, Aalesund Hospital, Norway; Institute of Clinical Dentistry, Faculty of Medicine, University of Bergen, Norway; Corresponding author. Section for Oral and Maxillofacial Surgery, Aalesund Hospital, Moere & Romsdal Health Trust, Norway.Institute of Clinical Dentistry, Faculty of Medicine, University of Bergen, Norway; Department of Pathology, Institute of Clinical Medicine, University of Bergen, Norway; The Gade Laboratory for Pathology, Haukeland University Hospital, NorwayInstitute of Clinical Dentistry, Faculty of Medicine, University of Bergen, Norway; Department of Pathology, Institute of Clinical Medicine, University of Bergen, Norway; The Gade Laboratory for Pathology, Haukeland University Hospital, NorwayInstitute of Clinical Dentistry, Faculty of Medicine, University of Bergen, NorwayTwo 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.http://www.sciencedirect.com/science/article/pii/S221454192300010XOdontogenic keratocystOdontogenic cystPeripheralExtra-osseousAlveolar bone resorption
spellingShingle Lado Lako Loro
Anne Christine Johannessen
Kathrine Skarstein
Sølve Hellem
Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
Oral and Maxillofacial Surgery Cases
Odontogenic keratocyst
Odontogenic cyst
Peripheral
Extra-osseous
Alveolar bone resorption
title Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
title_full Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
title_fullStr Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
title_full_unstemmed Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
title_short Peripheral odontogenic keratocyst causing bone resorption: Report of two cases
title_sort peripheral odontogenic keratocyst causing bone resorption report of two cases
topic Odontogenic keratocyst
Odontogenic cyst
Peripheral
Extra-osseous
Alveolar bone resorption
url http://www.sciencedirect.com/science/article/pii/S221454192300010X
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AT annechristinejohannessen peripheralodontogenickeratocystcausingboneresorptionreportoftwocases
AT kathrineskarstein peripheralodontogenickeratocystcausingboneresorptionreportoftwocases
AT sølvehellem peripheralodontogenickeratocystcausingboneresorptionreportoftwocases