Conservative management of keratocystic odontogenic tumor

Admin Dental Press

Edition V01N01 | Year 2015 | Editorial Case Report | Pages 65 to 70

Saulo De Matos Barbosa, Paulo José De Medeiros, Danilo Passeado Branco Ribeiro, Fabio Gamboa Ritto

Keratocystic odontogenic tumor (KOT) is a lesion of odontogenic origin that distinguish from other lesions for presenting distinct histopathological features, aggressive clinical behavior, and a great potential for recurrence. In the context of a benign disease, the therapeutical purpose is to identify treatments that may reduce morbidity and recurrence. A 16-year-old female patient who presented painless lesion in the left mandibular ramus sought surgical treatment after finding a lesion in a routine radiographic examination. Incisional biopsy confirmed the diagnosis of a keratocystic odontogenic tumor. Given the lesion extension and proximity to important anatomical structures, decompression was planned. he patient currently presents 10 years of follow-up without any signs of recurrence. hough aggressive, KOT is considered a benign neoplasm. In this context, decompression proves a treatment method that presents minimum morbidity and low-rate recurrence. In the presented case, decompression followed by curettage showed to be successful, preventing the patient from undergoing a resection procedure, which would result in considerable aesthetic and functional morbidity. he device was efective and decompression proved to be a viable  technique.

Odontogenic keratocyst, Odontogenic tumour, Surgical decompression, Conservative management,

Barbosa SM, Medeiros PJ, Ribeiro DPB, Ritto FG. Abordagem conservadora no tratamento do tumor ceratocístico odontogênico. J Braz Coll Oral Maxillofac Surg. 2015 jan-abr;1(1):65-70. DOI:

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