CATEGORY: Oral Pathology: Benign & Malignant

PAPER PRESENTATION

Use of Enucleation and Chemical Cauterization (Carnoy’s) in the Management of

Keratocystic Odontogenic Tumor- A Case Report

ABSTRACT
Odontogenic Keratocyst is one of the most aggressive and recurrent of all the odontogenic lesion
and shows characteristics resembling both a cyst and a benign tumor. The lesion traditionally
named as Odontogenic Keratocyst has been renamed by WHO in 2005 to KERATOCYSTIC
ODONTOGENIC TUMOR (KCOT). Most (60%) arise from dental lamina rests or from the
basal cells of oral epithelium and are thus primordial‐origin. The remaining 40% arise from the
reduced enamel epithelium of the dental follicle and are thus dentigerous‐origin. Clinical
identification is of some importance because recurrences are more frequently seen after treatment
of the primordial origin type. It is not uncommon and has been reported to account for 3 to
10.5% of all benign jaw lesions. The two most common reasons for recurrence are failure to
remove all of the original cyst lining within bone and new primary cyst formations from
additional activated rests or oral basal epithelium. There is no consensus on ideal management of
KCOT. Some authors advocate conservative management taking into consideration the benign
nature of the lesion and the age group affected. Others advocate resection due to the high rate of
recurrence. A case of recurrent KCOT that was managed in our institution is presented.

Dr Antony Juju Vincent

1st YEAR MDS,
DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY,
PMS COLLEGE OF DENTAL SCIENCE AND RESEARCH,
VATTAPARA, TRIVANDRUM,
KERALA.
E mail: jujuvincent@gmail.com

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