Conservative Treatment of Keratocystic Odontogenic Tumour:-A Case Report

Abstract

The treatment of keratocystic odontogenic tumour remains controversial. The aim of this article is to report the outcome of conservative treatment protocol for a large keratocystic odontogenic tumour crossing the midline treated with enucleation and open dressing. A 33 year old male patient with mandibular anterior swelling was referred to Department of Oral and Maxillofacial Surgery. CBCTreports revealed a large radiolucent lesion extending from 37 to 46 region and associated with bilateral mandibular impacted canines. Histopathological evaluation suggested akeratocystic odontogenic tumour. To minimize the possibility of pathologic fracture and complex surgical intervention the patientwas treated by enucleation followed by open packing. This conservative treatmentwas selected since the patient was young.Postoperative results are encouraging. This conservative treatment protocol for keratocystic odontogenic tumors, based on enucleation followed by open packing can be a possible choice in young patients.