Conservative Surgical Treatment of Keratocystic Odontogenic Tumor : A Case Report

Shin, Seyoung; Yang, Yeonmi; Kim, Jaegon; Baik, Byeongju

Journal of the Korean Academy of Pediatric Dentistry 2013;40(4):328-334.
Published online November 30, 2013.

Conservative Surgical Treatment of Keratocystic Odontogenic Tumor : A Case Report

Seyoung Shin, Yeonmi Yang, Jaegon Kim, Byeongju Baik

Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University

각화낭성 치성 종양의 보존적 외과적 치료 : 증례보고

신세영, 양연미, 김재곤, 백병주

전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소

Correspondence: Yeonmi Yang, Tel: +82-63-250-2128, Fax: +82-63-250-2131, Email: pedodent@chonbuk.ac.kr

Received: 24 June 2013 • Accepted: 12 September 2013

Abstract

The keratocystic odontogenic tumor (KCOT) is a unique cyst because of its locally aggressive behavior, high recurrence rate and characteristic histological appearance. Various options are available for treatment. While some clinicians advocate aggressive forms of dental treatment, others prefer more conservative therapy. In this study, two types of conservative surgical procedures were performed to treat the tumor; marsupialization and cyst enucleation. The patients showed healing process on conservative surgical treatment and teeth erupted without recurrence. Conservative surgical treatment can be an effective treatment option for young children because of their efforts to preserve teeth and other anatomical structures.

Key Words: Keratocystic odontogenic tumor, Conservative surgical treatment, Marsupialization, Cyst enucleation