Conservative therapy for odontogenic keratocyst: Decompression as the definitive treatment.

Abstract

Odontogenic keratocyst (OKC), is a lesion with aggressive behavior and different descriptions of treatment modalities. It most frequently occurs in the posterior region of the mandible, in men in the second and third decades of life. Among the treatments proposed, the great challenge is to reduce the morbidity of the procedure and maintain a low risk or recurrence. The aim was to relate case of patient with OKC located in the mandible and treated by means of decompression only. The case concerned an eight-year-old patient, female gender, presenting with a OKC from teeth permanent mandibular right canine to permanent mandibular left first molars. Assistance was provided with the eruption of permanent mandibular left first and second pre-molar, and patient has been followed up for two year. Conservative treatments offer reduced morbidity and the need for recovery, particularly in the cases of patients who are still growing, or those who are systemically compromised.