Particularities of the treatment of odontogenic keratocyst by cystectomy. Clinical case

Odontogenic keratocysts (KO) are benign uni- or multichystic, intraosseous lesions of development located in the oro-maxillo-facial region. They appear as a result of the disruption of odontogenesis, the main sources being the dental lamina with its remains and the extensions of the basal layer of the oral covering epithelium. It is characterized by a potential aggressive, infiltrative or diffuse behavior. Due to the fact that the condition is associated with an asymptomatic clinical picture, it is diagnosed late, when the formation is in a phase of chronic evolution, reaching considerable dimensions. Thus, there is a dilemma among specialists regarding the choice of the optimal treatment method, addressing the need to combine surgical-conservative methods with surgical methods that have a radical character, such as mandibular resection. The aim of the study is the early diagnosis of odontogenic keratocyst and the treatment of the disease in a minimally invasive way. The study examined a patient who was diagnosed with odontogenic keratocyst and treated by the cystectomy method. Analyzing the data of the literature and the aspects of the treatment of odontogenic keratocysts, it was found that the surgical management of patients with KO is individually being influenced by the high recurrence rate and its morphopathological peculiarities.