Dental keratocyst: recurrence rate due to the type of treatment

Authors

  • Mateus Henrique de Oliveira Cirurgião-dentista. Faculdade de Odontologia da Universidade Federal de Mato Grosso do Sul
  • Maisa de Oliveira Aguillera Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0003-0055-6984
  • Muryllo Eduardo Sales dos Santos Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Francielly Thomas Figueiredo Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Yuri Nejaim Preceptor da Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Daniella Moraes Antunes Preceptora da Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Julio Cesar Leite da Silva Preceptor da Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Rosana Leite de Melo Preceptora da Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul
  • Ellen Cristina Gaetti Jardim Preceptora da Residência em Cirurgia e Traumatologia Bucomaxilofacial da Faculdade de Odontologia e Hospital Universitário “Maria Aparecida Pedrossian” da Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0003-2471-465X

DOI:

https://doi.org/10.21270/archi.v10i9.5471

Keywords:

Odontogenic Cysts, Therapeutics, Recurrence

Abstract

Odontogenic keratocyst is a developmental cyst with a high power of recurrence that mainly affects the posterior region of the mandible and is often asymptomatic and diagnosed only on the basis of an imaging finding. Its treatment can vary from cystic decompression followed by enucleation with the aid of complementary techniques such as peripheral osteotomy to a more aggressive intervention such as en bloc resection of the region involved. Therefore, due to the recurrence rate and the range of existing treatments, this study aims to conduct a literature review to analyze a possible relationship between the percentage of recurrence and the choice of type of treatment. To this end, a bibliographic search was performed using the PUBMED, SCIELO and MEDLINE database. Articles with the theme odontogenic keratocyst or keratocystic odontogenic tumor and their surgical treatment approaches were included. according to the classification of the World Health Organization. The studies concluded that there may be a correlation between the most aggressive treatment and the lowest injury recurrence rate.

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References

Kahraman D, Gunhan O, Celasun B. A series of 240 odontogenic keratocysts: Should we continue to use the terminology of 'keratocystic odontogenic tumour' for the solid variant of odontogenic keratocyst?. J Craniomaxillofac Surg. 2018;46(6):942-46.

Speight PM, Takata T. New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours odontogenic and maxillofacial bone tumours. Vichows Arch. 2018;472:331-39.

Neville BW, Allen CM, Damm DD, Chi AC. Patologia Oral e Maxilofacial. 4. ed. Rio de Janeiro: Elsevier; 2016.

Pindborg JJ, Kramer IRH, Torloni H, World Health Organization. Tipos histológicos de tumores odontogénicos, quistes de los maxilares y lesiones afines. Ginebra: Organizacion Mundial de la Salud. 1972.

Forssell K, Kallioniemi H, Sainio P. Microcysts and epithelial islands in primoridal cysts. Proceedings of the Finnish Dental Society. Suomen Hammaslaakariseuran toimituksia. 1979;75(5-6):99-102.

Barnes L, Eveson JW, Reichart P, Sidransky D. Keratocystic odontogenic tumors in World Health Organization classification of tumours. Pathology and genetics of head and neck tumours. Lyon (France): IARC. 2005; p. 306–7.

Fidele NB, Yueyu Z, Zhao Y, Tianfu W, Liu J, Sun Y, Liu B. Recurrence of odontogenic keratocysts and possible prognostic factors: Review of 455 patients. Med Oral Patol Oral Cir Bucal. 2019;24(4):e491-501.

Goddard AC, Brooks JH, Lewis RH, Lewis PS. Treatment for Recurrent Odontogenic Keratocysts. J Tenn Dent Assoc. 2016;96(1):20-6.

Al-moraissi EA, Dahan AA, Alwadeai MS, Oginni FO, Al-jamali JM, Alkhutari AS et al. What surgical treatment has the lowest recurrence rate following the management of keratocystic odontogenic tumor? A large systematic review and meta-analysis. J Craniomaxillofac Surg. 2017;45:131-44.

Meningaud JP, Oprean N, Pitak-Arnnop P, Bertrand JC. Odontogenic cysts: a clinical study of 695 cases. J Oral Sci. 2006;48(2):59-62.

Chan JKC, El-Naggar AK, Grandis JR, Takata T, Slootweg PJ. Who classification of head and neck tumours. World Health Organization.4. ed. 2017

Wright JM, Vered M. Update from the 4th edition of the world health organization classification of head and neck tumours: odontogenic and maxillofacial bone tumors. Head Neck Pathol. 2017;11(1):68-77.

Moura BS, Cavalcante MA, Hespanhol W. Tumor odontogênico ceratocístico. Rev Col Bras Cir. 2016;43(6):466-71.

Fonseca EV, Franzi SA, Marcucci M, Almeida RC. Fatores clínicos, histopatológicos e tratamento do tumor queratocisto odontogênico. Rev Bras Cir Cabeça Pescoço. 2010;39(1):57-61.

Llauradó AV, Montero RA, Olmo IT, Enric JS, Roig AM, Lopez J. Opciones terapéuticas en quistes odontogénicos: revisión. Av Odontoestomatol. 2013;29(2):81-93.

Karaca C, Dere KA, Er N, Aktaş A, Tosun E, Köseoğlu O et al.Recurrence rate of odontogenic keratocyst treated by enucleation and peripheral ostectomy: Retrospective case series with up to 12 years of follow-up. Med Oral Patol Oral Cir Bucal. 2018;23(4):e443-48.

Ribeiro Junior O, Borba AM, Alves CAF, Guimarães Junior J. Complicações da solução de Carnoy no tratamento de tumores odontogênicos. RGO. 2007;55(3):263-66.

Gosau M, Draenert FG, Müller S, Frerich B, Bürgers R, Reichert TE et al. Two modifications in the treatment of keratocystic odontogenic tumors (KCOT) and the use of carnoy's solution (CS)-a retrospective study lasting between 2 and 10 years. Clin Oral Investig. 2010;14:27-34.

Freitas DA, Veloso DA, Santos ALDA, Freitas VA. Maxillary odontogenic keratocyst: a clinical case report. RGO. 2015;63(4):484-88.

Kolokhytas A, Fernandes RP, Pazoki A, Ord RA. Odontogenic keratocyst: To decompress or not to decompress? A comparative study of decompression and enucleation versus resection/peripheral ostectomy. J Oral Maxillofac Surg. 2007;65(4):640-44.

Balmick S, Hespanhol W, Cavalcante MADA, Gandelmann IHA. Recidiva do tumor odontogênico ceratocístico: análise retrospectiva de 10 anos. Rev cir traumatol buco-maxilo-fac. 2011;11(1):85-91.

Berge TI, Helland SB, Sælen A, Øren M, Johannessen AC, Skartveit L, Grung B, Pattern of recurrence of non-syndromic keratocystic odontogenic tumours, Oral Surgery Oral Med Oral Pathol Oral Radiol. 2016;122(1):10-6.

Chrcanovic BR, Gomez RS. Recurrence probability for keratocystic odontogenic tumors: An analysis of 6427 cases. J CranioMaxillofac Surg. 2017;45(2):244-51.

Alchalabi NJ, Merza AM, Issa SA. Using Crnoy’s Solution in Tratamento of Keratocystic Odontogenic Tumor. Ann Maxillofac Surg. 2017;7(1):51-6

de Souza Cruz EL, da Silva Tabosa AK, Falcão ASC, Tartari T, de Menezes LM, da Costa ET, Carneiro-Júnior JT. Use of refrigerant spray of a propane/butane/isobutane gas mixture in the management of keratocystic odontogenic tumors: a preliminary study. Oral Maxillofac Surg. 2017;21(1):21-6.

Spivakovsky, S. Surgical treatments for nonsyndromic odontogenic keratocysts. Evidence-based Dent. 2018;19(2):55-6.

de Castro MS, Caixeta CA, de Carli ML, Ribeiro Júnior NV, Miyazawa M, Pereira AAC, Sperandio FF, Hanemann JAC. Conservative surgical treatments for nonsyndromic odontogenic keratocysts: a systematic review and meta-analysis. Conservative surgical treatments for nonsyndromic odontogenic keratocysts: a systematic review and meta-analysis. Clin Oral Investig. 2018;22(5):2089-101.

Slusarenko da Silva Y, Stoelinga PJW, Naclério-Homem MDG. Recurrence of nonsyndromic odontogenic keratocyst after marsupialization and delayed enucleation vs. enucleation alone: a systematic review and meta-analysis. Oral Maxillofac Surg. 2019;23(1):1-11.

Tabrizi R, Hosseini Kordkheili MR, Jafarian M, Aghdashi F. Decompression or Marsupialization; Which Conservative Treatment is Associated with Low Recurrence Rate in Keratocystic Odontogenic Tumors? A Systematic Review. J Dent (Shiraz). 2019;20(3):145-51.

Telles DC, Castro WH, Gomez RS, Souto GR, Mesquita RA. Morphometric evaluation of keratocystic odontogenic tumor before and after marsupialization. Braz Oral Res. 2013;27(6):496-502.

Tolstunov L, Treasure T. Surgical treatment algorithm for odontogenic keratocyst: combined treatment of odontogenic keratocyst and mandibular defect with marsupialization, enucleation, iliac crest bone graft, and dental implants. J oral maxillofac surg. 2008;66(5):1025-36

Díaz-Belenguer Á, Sánchez-Torres A, Gay-Escoda C. Role of Carnoy's solution in the treatment of keratocystic odontogenic tumor: A systematic review. Med Oral Patol Oral Cir Bucal. 2016;21(6):e689-95.

Costa Jr. AS, Miotto A, Paulo GA, Ferrari AP, Ota LH. Estudo experimental para avaliação de um sistema de baixo custo para crioterapia em spray. Einstein (São Paulo). 2019;17(2):1-5.

Cunha JF, Gomes CC, de Mesquita RA, Andrade Goulart EM, de Castro WH, Gomez RS. Clinicopathologic features associated with recurrence of the odontogenic keratocyst: a cohort retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):629-35.

Warburton G, Shihabi A, Ord RA. Keratocystic Odontogenic Tumor (KCOT/OKC) - Clinical Guidelines for Resection. J Maxillofac Oral Surg. 2015;14(3):558-64.

Madras J, Lapointe H. Keratocystic odontogenic tumour: reclassification of the odontogenic keratocyst from cyst to tumour. Tex Dent J. 2008;125:446-54.

Published

2021-07-16

How to Cite

Oliveira, M. H. de, Aguillera, M. de O., Santos, M. E. S. dos ., Figueiredo, F. T., Nejaim, Y. ., Antunes, D. M., Silva, J. C. L. da ., Melo, R. L. de, & Gaetti Jardim, E. C. (2021). Dental keratocyst: recurrence rate due to the type of treatment. ARCHIVES OF HEALTH INVESTIGATION, 10(9), 1396–1402. https://doi.org/10.21270/archi.v10i9.5471

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Section

Original Articles