A clinical case of surgical treatment of a large odontogenic keratocyst

Sazhina T.G.; Sashkina T.I.; Zhuravleva A.V.

doi:https://doi.org/10.17116/stomat202510404193

Sazhina T.G.

Russian University of Medicine

Sashkina T.I.

Pirogov Russian National Research Medical University

ORCID: 0000-0002-5643-7573

Zhuravleva A.V.

Russian University of Medicine

ORCID: 0000-0001-9655-9383

A clinical case of surgical treatment of a large odontogenic keratocyst

Authors:

Sazhina T.G., Sashkina T.I., Zhuravleva A.V.

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Journal: Stomatology. 2025;104(4): 93‑97

DOI: 10.17116/stomat202510404193

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To cite this article:

Sazhina TG, Sashkina TI, Zhuravleva AV. A clinical case of surgical treatment of a large odontogenic keratocyst. Stomatology. 2025;104(4):93‑97. (In Russ.)
https://doi.org/10.17116/stomat202510404193

Подписка 2026 Стоматология (Stomatology)

Использование инфографики авторами научных работ

OBJECTIVE

Analysis of a clinical case of successful removal of odontogenic keratocyst of the mandible using methods of differential diagnostic, clinical and X-ray analyses and by forming several bone windows.

MATERIAL AND METHODS

The clinical case of a patient who applied to the clinic of the Russian University of Medicine for consultation and treatment is presented. For diagnostic purposes, computed tomography and histological examination were performed to determine the condition of bone tissue and teeth.

RESULTS

Based on clinical and laboratory studies, the diagnosis of “Odontogenic keratocyst occupying the body, angle and branch of the mandible” was confirmed. Through the formed three windows, the cyst shell was removed without fragmentation. Bone tissue restoration was monitored for 4 years. For complete restoration of bone tissue, an audit was carried out, followed by the use of hydroxyapatite and a resorbable membrane, for complete restoration of bone tissue.

CONCLUSION

The creation of bone windows to isolate the cyst shell without fragmentation is the optimal approach to the treatment of large-sized odontogenic keratocysts. We guided the patient using the principle of both cystectomy and cystotomy, despite the removal of the keratocyst shell in full. The management of the patient by cystotomy, using iodophoric turunda, allowed to avoid complications associated with the formation of a large clot, and residual phenomena in case of recurrence after removal of the cyst shell. To enhance the formation of healthy bone tissue, we performed depulpation and resection of the roots of the teeth, which were at the defect level bone tissue, to improve the appositional bone growth.

Keywords:

odontogenic keratocyst

clinical case

mandible

surgical treatment

enucleation

Authors:

Sazhina T.G.

Russian University of Medicine

Sashkina T.I.

Pirogov Russian National Research Medical University

ORCID: 0000-0002-5643-7573

Zhuravleva A.V.

Russian University of Medicine

ORCID: 0000-0001-9655-9383

Received:

14.05.2024

Accepted:

05.04.2025

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References:

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