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- Title
MARSUPIALIZAREA KERATOCHISTURILOR ODONTOGENE DENTIGERE MARI - STUDIU DE CAZ.
- Authors
Cumpătă, Cristian Niky; Voinea Georgescu, Ruxandra Nicolette; Răescu, Mihaela; Gheorghiţă, Mircea; Nicola, Andreea Gabriela; Cosac, Dana
- Abstract
In 2005, the World Health Organization published the latest classification of odontogenic tumors (1). Within this classification, the odontogenic keratocyst with parakeratosis was called the odontogenickeratocystic tumor and was defined as a "uni- or multilocularintraosseous tumor of odontogenic origin, characteristically lined with a parakatinized type epithelial epithelium with an aggressive potential (1). The treatment of the dentigerodontogenic keratocyst is surgical and consists mostly of cystectomy (5). For large sizes, marginal or segmental marsupialisation or even resection (14,15) is indicated. This article presents a clinical case of a voluminous dentigerodontogenickeratocyst, localized to the mandible that was treated by marsupialization because of the risk of damage to the alveolar vasculo-nervous pack as well as the risk of fracture in the pathological bone if the radical treatment of first intention. After decompression of the cyst, the premise of bone regeneration is created due to the absence of intracystic pressure. One year after marsupialization, we proceed with a radical cure of the cyst and once the bone is healed, the edentation is treated by implanto-prosthetic rehabilitation.
- Subjects
ODONTOGENIC tumors; SPONTANEOUS fractures; THERAPEUTICS; BONE regeneration; WORLD Health Organization; TUMOR classification; BONE cysts; ODONTOGENIC cysts
- Publication
Romanian Journal of Stomatology / Revista Romana de Stomatologie, 2019, Vol 65, Issue 1, p75
- ISSN
1843-0805
- Publication type
Article