Non syndromic synchronous multiple odontogenic keratocysts in a western Indian population: A series of four cases

Abstract

Odontogenic keratocysts (OKCs) are developmental odontogenic cysts affecting the maxillofacial region and their association with a syndrome especially Naevoid basal cell carcinoma syndrome (NBCCS) is a common occurrence in comparison to non syndromic multiple OKCs. In a first, we present a series of four non syndromic cases with multiple OKCs in western Indian population. The presence of multiple OKC in our present case series may be because of the multifocal nature of the lesion rather than its association with any syndrome. Thus, a comprehensive evaluation of any patients reporting with multiple cysts/OKCs always has to be undertaken and the dental practitioner may be the play a key role in early detection and subsequent follow-up. Key words:Abnormalities, multiple; basal cell nevus syndrome, India, odontogenic cysts.

Synchronous jawbone diseases: a multicenter retrospective study

“…Simple bone cyst (SBC) were found in three cases (4.1%). SBC was observed mainly in male patients (2 cases; 66.6%) and in one case, the sex was not reported; the mean age was 15 years (range: [13][14][15][16][17][18][19]. In two cases, the diagnostic criteria were CE, PR, and CT (66.6%).…”

“…The two cases had two affected quadrants. Langerhans cell histiocytosis (LCH) corresponded to 2 cases (2.7) in males at a mean age of 14.5 years (range: [11][12][13][14][15][16][17][18]. Under the main diagnostic criteria, CE, PR, and biopsy were performed in both cases (100%) and both cases presented an ill-defined, radiolucent image, and had four affected quadrants.…”

“…The most common radiographic characteristics are multiple well-defined, unilocular radiolucencies, and the lower jaw is more affected than the upper jaw (Figure 1C). 3,18 Abnormalities in vertebrae (fused or bifid) and ribs (fused, bifid, splayed, or missing) can be found, and calcification of falx cerebri is pathognomonic (Figure 3A). Also, there is frontal and temporoparietal bossing, prominent supra-orbital ridges, and increased occipitofrontal circumference (Figures 3B, 3C).…”

Tratamento cirúrgico do ceratocisto odontogênico por meio de enucleação e osteotomia periférica: relato de caso

“…Especificamente em relação a variante radiográfica unilocular, as características podem causar dúvidas quanto ao diagnóstico, sendo necessário a realização de diagnóstico diferencial para cisto dentígero, cisto periodontal lateral e cistos radiculares. Os deslocamentos dentários e reabsorções radiculares também podem estar presentes nos achados radiográficos, embora a reabsorção radicular seja um achado incomum nesse tipo de lesão 1,[3][4][5] .…”

“…Quanto as características histopatológicas, verifica-se uma fina camada de tecido epitelial escamoso uniforme paraqueratinizado de superfície corrugada, composto de 5 a 10 camadas de células basais em paliçada, estando os núcleos dispostos de forma vertical 1,4 . O tratamento para o ceratocisto odongênico é variado, podendo-se encontrar modalidades tais como: enucleação, isolada ou associada a curetagem, com osteotomia periférica, aplicação da solução de Carnoy ou crioterapia, descompressão, marsupialização e ressecções [1][2][3][4][5] . O presente trabalho tem como objetivo relatar um caso de ceratocisto odontogênico, onde foi escolhida abordagem conservadora por curetagem e osteotomia periférica.…”