BackgroundThe keratocystic odontogenic tumour is classified
as a developmental cyst derived from the enamel organ or from the dental lamina.
The treatment of keratocystic odontogenic tumour of the jaw remains controversial.
The aim of this study was to report the outcome of our conservative treatment protocol
for keratocystic odontogenic tumour.MethodsThree patients
with different complaints referred to Oral and Maxillofacial Surgery Clinic, Faculty
of Dentistry, Selçuk University. Initial biopsy was carried out in all patients
and keratocystic odontogenic tumours was diagnosed subsequent to histopathological
examination. The patients with keratocystic odontogenic tumours were treated by
enucleation followed by open packing. This conservative treatment protocol was selected
because of existing young aged patients. The average follow-up duration of the cases
was 2 years.ResultsOut of 3 cases, 2 lesions were present in mandible
and 1 lesion in maxilla. There was no evidence of recurrence during follow-up. All
the cases were monitored continuously with panoramic radiographs, computed tomography
and clinical evaluations.ConclusionsThis conservative treatment protocol for keratocystic
odontogenic tumours, based on enucleation followed by open packing would be a possible
choice with a view of offering low recurrence rate and low morbidity rate particularly
in young patients.
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