Volume 33, Issue 8 (11-2025)
JSSU 2025, 33(8): 9269-9279 |
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Gheibollahi H, Moradi H. Conservative Management of a Parakeratinized Odontogenic Keratocyst in the Anterior Maxilla: A Case Report. JSSU 2025; 33 (8) :9269-9279
URL: http://jssu.ssu.ac.ir/article-1-6501-en.html
URL: http://jssu.ssu.ac.ir/article-1-6501-en.html
Abstract: (101 Views)
Introduction: The odontogenic keratocyst (OKC) is a highly aggressive lesion that exhibit a significant recurrence rate. Its occurrence in the anterior maxilla is rare and presents distinct treatment difficulties due to its proximity to vital anatomical structures.
Case Report: A 57-year-old male patient presented with a chronic، painless swelling in the anterior maxilla. Radiographic and histopathological examinations confirmed the diagnosis of a parakeratinized OKC. Given the large size of the lesion and its sensitive location، a conservative two-stage treatment approach was implemented. This included initial marsupialization، then a postponed enucleation with peripheral ostectomy after 8 months. Marsupialization resulted in a significant reduction in lesion size and notable bone density improvement، as evidenced on the 6-month follow-up panoramic radiograph. The second-stage enucleation was subsequently performed without any complications.
Conclusion: Staged management of parakeratinized OKCs in anatomically sensitive areas، such as the anterior maxilla، can serve as an effective and minimally invasive treatment option، preserving adjacent structures. Long-term follow-up is essential to monitor for potential recurrence.
Case Report: A 57-year-old male patient presented with a chronic، painless swelling in the anterior maxilla. Radiographic and histopathological examinations confirmed the diagnosis of a parakeratinized OKC. Given the large size of the lesion and its sensitive location، a conservative two-stage treatment approach was implemented. This included initial marsupialization، then a postponed enucleation with peripheral ostectomy after 8 months. Marsupialization resulted in a significant reduction in lesion size and notable bone density improvement، as evidenced on the 6-month follow-up panoramic radiograph. The second-stage enucleation was subsequently performed without any complications.
Conclusion: Staged management of parakeratinized OKCs in anatomically sensitive areas، such as the anterior maxilla، can serve as an effective and minimally invasive treatment option، preserving adjacent structures. Long-term follow-up is essential to monitor for potential recurrence.
Keywords: Odontogenic keratocyst, Parakeratinized, Marsupialization, Enucleation, Maxilla, Conservative treatment.
Type of Study: case report |
Subject:
Dental
Received: 2025/08/26 | Accepted: 2025/09/15 | Published: 2025/11/6
Received: 2025/08/26 | Accepted: 2025/09/15 | Published: 2025/11/6
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