Abstract

Odontogenic keratocyst is an injury that requires special considerations because of its aggressive appearance and its potential for recurrence. This is a case report of a young asymptomatic patient with leukoderma, aged 16 years, undergoing dental treatment. During panoramic radiography, a well-delimited radiolucent image around the crown of tooth #48 was identified. Excisional biopsy was performed, and histologic examination revealed a luminal surface exhibiting parakeratotic epithelial cells, with a diagnosis of odontogenic keratocyst. Despite the slow growth, when evaluating radiographs performed 3 years earlier, the element 48 dental germ was normal. In the reassessment of the case after 1 year of removal of the lesion, a new panoramic radiograph was performed where it was observed that tooth #48 is in the process of eruption. The extraction of teeth #38 and #48 was indicated with tissue delivery around tooth #48 for evaluation.

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