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Recurrent peripheral odontogenic keratocyst: Review of the literature and presentation of a novel case initially masquerading as an atypical infected lateral periodontal cyst.
- Source :
-
Journal of stomatology, oral and maxillofacial surgery [J Stomatol Oral Maxillofac Surg] 2024 Sep; Vol. 125 (4S), pp. 101540. Date of Electronic Publication: 2023 Jun 15. - Publication Year :
- 2024
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Abstract
- Aim: To review published cases and case series of the peripheral odontogenic keratocyst (POKC) of the gingiva, report an unusual presentation, and discuss lesional recurrence.<br />Materials and Methods: A search of the English language literature for gingival OKCs was conducted. The inclusion of new case yielded a database containing 29 affected patients. Clinical, surgical, radiographic, and histopathologic findings have been summarized.<br />Results: With available patient demographics, 62.5% were female and 37.5% were male, with an overall mean age at diagnosis of 53.8 years. There was near-equal lesional affinity for the jaws, of which 44.0% occurred in the posterior region, 32.0% anteriorly, and 24.0% overlapped these areas. Twenty-five percent of lesions had a normal color, 30.0% appeared yellow, 20.0% were white, and 10.0% were blue. The majority of lesions were < 1 cm and nearly 42% manifested exudation or fluctuance. Lesional pain was infrequent. Pressure resorption was recorded in 45.8% of cases. Most lesions were managed with conservative surgical modalities. Follow-up information was available in 16 primary cases, of which 5 recurred, signifying a 31.3% recurrence rate, including the featured case, which recurred twice.<br />Conclusion: To reduce recurrence of a gingival OKC, supraperiosteal dissection is advocated. Further, it is advised to follow POKCs for 5-7 years postoperatively, remaining vigilant for subtle clinical manifestations of recurrence. Timely discovery and excision of a POKC of the gingiva may decrease the incidence of a mucogingival defect.<br />Competing Interests: Declaration of Competing Interest None.<br /> (Copyright © 2023 Elsevier Masson SAS. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 2468-7855
- Volume :
- 125
- Issue :
- 4S
- Database :
- MEDLINE
- Journal :
- Journal of stomatology, oral and maxillofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 37327876
- Full Text :
- https://doi.org/10.1016/j.jormas.2023.101540