The keratocystic odontogenic tumor, although a benign lesion, is peculiarly aggressive with a high recurrence rate. Its involvement with the maxillary antrum is atypical. We report the unusual case of a 20-year-old male patient with an extensive antral tumor associated with an impacted third molar, which was initially misdiagnosed as a dentigerous cyst. Clinical, radiographic, and histopathologic aspects were analyzed to provide useful information for the correct diagnosis, treatment, and prognosis within a multidisciplinary approach.
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http://dx.doi.org/10.4322/acr.2016.043 | DOI Listing |
Georgian Med News
November 2024
1Faculty of Dentistry, Azerbaijan Medical University, Baku, Azerbaijan.
Background: Odontogenic cysts, generally classified as inflammatory or developmental, in dental practice are usually identified incidentally, on routine exams and constitute an important aspect of oral and maxillofacial pathology. A few literature sources provide epidemiological data on odontogenic cysts and tumors. However, these findings may help us to better understand such lesions and improve the diagnosis of odontogenic cysts and tumors.
View Article and Find Full Text PDFSemin Diagn Pathol
January 2025
Dept of Oral Pathology, King George's Medical University, Uttar Pradesh, India. Electronic address:
Primary intraosseous carcinoma (PIOC) is a rare and challenging jawbone malignancy often linked to odontogenic cysts. With minimal connection to oral mucosa and a low incidence rate, PIOC presents significant diagnostic difficulties, often mimicking other odontogenic lesions. Histogenesis and the correct classification of the lesion remains debated, with theories suggesting origins from odontogenic epithelium or cysts.
View Article and Find Full Text PDFHua Xi Kou Qiang Yi Xue Za Zhi
February 2025
Dept. of Oral and Maxillofacial Surgery, Zibo Central Hospital, Zibo 255036, China.
Pathological fractures after jaw cyst surgery are rare clinically but are a serious complication. Once a pathological fracture occurs, treatment time and economic costs increase, and doctors face difficulty in handling it. This article reports a case of a patient with mandibular pathological fractures after multiple odontogenic keratocyst surgery of the jaw.
View Article and Find Full Text PDFHua Xi Kou Qiang Yi Xue Za Zhi
February 2025
Dept. of Stomatology, the First Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China.
Objectives: This study aims to evaluate the changes in the mandibular canal following the treatment of large odontogenic keratocysts through decompression and curettage, providing a theoretical basis for sequential treatment.
Methods: Twenty patients were selected for each decompression and curettage treatment of large odontogenic keratocysts in the mandible. Postoperative follow-up with was conducted every three months, during which cone beam computed tomography (CBCT) scans were performed.
Cureus
December 2024
Oral and Maxillofacial Radiology, Henry M. Goldman School of Dental Medicine, Boston, USA.
A dentigerous cyst (DC) is the most common developmental cystic lesion of the jaws. Histologically, these cysts derive from the odontogenic epithelium that includes the reduced enamel epithelium, epithelial cell rests of Serres, and epithelial cell rests of Malassez. Radiographically, DCs are usually presented as well-defined radiolucencies associated with the crown of an unerupted tooth at the level of the cementoenamel junction (CEJ).
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