There are various surgical methods for management of KOTs. Each with its own set of advantages and disadvantages . However, there is no method with zero recurrence rate.
What surgical treatment has the lowest recurrence rate following the management of keratocystic odontogenic tumor?
Unfortunately there are only two methods: 1. Enucleation with peripheral osteotomy and peripheral radicalization with Carnoy's solution.
2. resection of bone
Decompression of the Keratocystic odontogenic tumor for a period of 6-9 months followed by enucleation has low recurrence rate. It is important to completely remove the tumor tissue adherent to the roots of the teeth; or else it may result in recurrence. It is better to extract the teeth whose roots are completely surrounded by tumor at the end of period of decompression.
I also think that good methods are - first enucleation with peripheral osteotomy and peripheral radicalization with Carnoy's solution application, second resection of bone (0% of recurrence). Sometimes when KCOT is a large lesion is better option two step treatment: decompresion and curretage (15,8% recurrence Johnson, et al. 2013; 32% recurrence Kaczmarzyk, 2012).
Extraction of involved teeth , enucleation of cyst with peripheral osteotomy , chemical cauterization with Carnoy's solution and excision of overlying mucosa as proposed by Stoelinga . This is the best treatment method to achieve best possible results and a close long term follow up too .
- Badges
- Science topic
- Similar topics
- Clinical Pharmacology
- Dosing