Diagnostic and therapeutic approach to a case of odontogenic keratocyst
Abstract
Introduction: the odontogenic keratocyst is a benign epithelial lesion with aggressive behavior and high recurrence, whose early detection is essential to preserve maxillofacial function.
Objective: to present the diagnostic and therapeutic approach of a clinical case of odontogenic keratocyst in a young patient.
Case presentation: a 23-year-old male patient from riobamba was described, with an incidental radiographic finding of a unilocular radiolucent image associated with the impacted lower left third molar. Clinical examination revealed no alterations. Extraction of the molar was performed, followed by enucleation of the lesion, curettage, and application of carnoy’s solution, complemented with excisional biopsy. Histopathological analysis confirmed a parakeratinized odontogenic keratocyst, characterized by stratified squamous epithelium with prominent nuclei and satellite cysts. Clinical and radiographic follow-up at three months showed adequate bone regeneration and absence of recurrence. Management included conservative techniques combined with adjuvants to reduce the risk of relapse, prioritizing the preservation of anatomical structures.
Conclusions: this case highlights the importance of early diagnosis and personalized treatment. The combination of marsupialization, enucleation, and Carnoy’s solution represents an effective alternative to decrease recurrence, ensuring functionality and aesthetics in young patients.
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Copyright (c) 2025 Víctor Manuel Barragán Guillen
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