USE OF CARNOY’S SOLUTION AS A CO-ADJUVANT IN THE TREATMENT OF ODONTOGENIC KERATOCYST

2020 ◽  
Vol 130 (3) ◽  
pp. e223
Author(s):  
ALLYSON LUCAS LIMA ◽  
ANA CARMELITA DO NASCIMENTO BASTOS ◽  
RONIELE LIMA DOS SANTOS ◽  
JESSICA EMANUELLA ROCHA PAZ ◽  
ÍCARO GIRãO EVANGELISTA ◽  
...  
Keyword(s):  
Odontogenic Keratocyst ◽  
Carnoy’S Solution

scholarly journals Surgical Treatment of Odontogenic Keratocyst with Application of Carnoy's Solution: Case Report

2019 ◽  
Vol 21 (2) ◽  
pp. 108
Author(s):  
Adriano Lima Garcia ◽  
Marden José Pereira Ramos Júnior ◽  
Eduvaldo Campos Soares Júnior ◽  
Bruno Reinoso Noronha ◽  
Thiago Iafelice dos Santos ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Treatment Protocol ◽  
Odontogenic Keratocyst ◽  
Histopathological Diagnosis ◽  
Squamous Cells ◽  
Carnoy’S Solution ◽  
Neoplastic Lesions ◽  
Mandibular Body ◽  
Teeth Development

AbstractOdontogenic cysts are benign non-neoplastic lesions that originate from epithelial cells Arachnida-Araneae) community in the process of the teeth development. Among them, the odontogenic keratocyst is a developmental cyst characterized by its epithelium of parakeratinized stratified and aggressive squamous cells as well as infiltrative behavior. Thus, the objective of this study was to describe a clinical case of surgical treatment of odontogenic keratocysts in a 52-year-old female patient, who presented for the treatment of a large lesion in a region of the left mandibular body and angle. After incisional biopsy and installation of a decompression device, the histopathological diagnosis of odontogenic keratocyst was obtained. Subsequently to a period of 9 months with the decompression device in place, a decrease of the lesion was noticed, thus allowing intervention to be performed the excision of the lesion. Thus, the patient was subjected, under general anesthesia, to enucleation of the lesion as the main treatment, with complementary maneuvers of peripheral ostectomy and application of Carnoy solution over the remaining bone bed. After an outpatient follow-up of 16 months, no signs of recurrence of the lesion were observed. The proposed treatment was efficient in removing the keratocyst with minimal surgical morbidities. In conclusion, the treatment protocol was effective and conservative in the surgical management of the lesion, allowing rapid recovery and return of the  function.       Keywords: Bone Cysts. Decompression. Dental Care. ResumoCistos odontogênicos são lesões benignas não-neoplásicas que tem por origem células remanescentes epiteliais do processo de formação do órgão dental. Dentre elas, o queratocisto odontogênico é um cisto de desenvolvimento caracterizado por seu epitélio de células escamosas estratificadas paraqueratinizadas, pelo comportamento agressivo e infiltrativo. Sendo assim, o objetivo desse estudo foi descrever um caso clínico de tratamento cirúrgico do queratocisto odontogênico em uma paciente do gênero feminino de 52 anos de idade, que compareceu para o tratamento de uma lesão de grande porte em região de corpo e ângulo mandibulares à esquerda. Após biópsia incisional e instalação de um dispositivo descompressivo, obteve-se o diagnóstico histopatológico de queratocisto odontogênico. Posteriormente a um período de 9 meses com o dispositivo de descompressão em posição, notou-se uma diminuição da lesão, permitindo assim a execução de intervenção para exérese da lesão. Assim, a paciente foi submetida, sob anestesia geral, à enucleação da lesão como tratamento principal, com manobras complementares de ostectomia periférica e aplicação de solução de Carnoy sobre o leito ósseo remanescente. Após um acompanhamento ambulatorial de 16 meses, não foi observado nenhum sinal de recorrência da lesão. O tratamento proposto foi eficiente em remover o queratocisto com as mínimas morbidades cirúrgicas. Concluindo, o protocolo de tratamento foi efetivo e conservador no manejo cirúrgico da lesão, permitindo rápida recuperação e retorno da função. Palavras-chave: Cistos Ósseos. Descompressão. Assistência Odontológica.

scholarly journals Combined conservative treatment of a recurrent mandibular keratocyst by enucleation, diode laser, 5-Fluorouracil and dental implants: a case report with 18 years-follow up

2021 ◽  
Author(s):  
Antoine Berberi ◽  
Georges Aoun ◽  
Bouchra Hjeij ◽  
Maissa AboulHosn
Keyword(s):  
Diode Laser ◽  
World Health ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Complete Excision ◽  
Carnoy’S Solution ◽  
The World ◽  
Chemical Solutions ◽  
Health Organization

In 2017, the World Health Organization classified the odontogenic keratocyst as a developmental odontogenic cyst. The posterior parts of the mandible, especially the angle and the ramus, are the most involved sites. Due to their high recurrence rate, keratocysts are managed surgically with careful complete excision. Additionally, chemical solutions such as Carnoy's solution, modified Carnoy's solution, and 5-Fluorouracil have been associated with surgical treatment. Diode lasers generate diverse wavelengths that have photothermal and photochemical special properties and could have some effects on the lining epithelium remnants of the cyst. In this paper, we discuss a case of mandibular recurrent odontogenic keratocyst treated with 5-Fluorouracil topical application after enucleation and diode laser application with 18 years follow-up and teeth replacement with dental implant. 5-Fluorouracil and diode laser have been found to be very effective in the treatment of keratocysts.

Marsupialization and Enucleation of Odontogenic Keratocyst with Carnoy's Solution: Case Report

2018 ◽  
Vol 126 (3) ◽  
pp. e118
Author(s):  
Juliana Mariano Beraldo ◽  
Solimar De Oliveira Pontes ◽  
Winnie Sousa Barbier ◽  
Vanessa Sousa Meccatti ◽  
Fábio Ricardo Loureiro Sato ◽  
...  
Keyword(s):  
Case Report ◽  
Odontogenic Keratocyst ◽  
Carnoy’S Solution

scholarly journals EVALUATION OF THE EFFICACY OF CARNOY’S SOLUTION IN THE MANAGEMENT OF ODONTOGENIC KERATOCYST

2019 ◽  
Vol 6 (17) ◽  
pp. 1341-1346
Author(s):  
Kamalakannan Padmanabhan ◽  
Karthikeyan Ramalingam ◽  
Arunkumar Kamalakaran ◽  
Cheruvathur Prasad ◽  
Davidson Rajiah ◽  
...  
Keyword(s):  
Odontogenic Keratocyst ◽  
Carnoy’S Solution

scholarly journals Decompression, Enucleation and Carnoy’s Solution as a Conservative Management of an Odontogenic Keratocyst: A Case Report

2020 ◽  
Vol 4 (7) ◽  
pp. 119-124
Keyword(s):  
Case Report ◽  
Surgical Technique ◽  
Complete Recovery ◽  
Odontogenic Keratocyst ◽  
Sufficient Data ◽  
Carnoy’S Solution ◽  
Quality Life ◽  
Invasive Techniques ◽  
Relapse Rates

Odontogenic keratocyst (OKC) is a controversial pathology in terms of designation and treatment because it is a locally aggressive cyst that through its history has had different names and a number of alternatives for its management, such as enucleation, cryotherapy, decompression, Carnoy’s solution (CS) application or peripheral osteotomy. All the techniques having different results in relapse rates some with more advantages than others; however, until now there are no studies with sufficient data to define which is the best surgical technique to treat the OKC. We report the case of a 48-year-old man diagnosed with OKC who was treated combining different techniques. Further follow-up at the 3-, 6-, 10- and 14-month marks and three years, showed complete recovery and no evidence of recurrence. Therefore large and invasive mandibular cysts could be treated by decompression, followed by enucleation, peripheral ostectomy and then the application of CS to the bony cavity. This approach seems to be effective in the management of large and invasive mandibular cysts OKC attenuating recurrence until long follow up and impacting quality life instead of invasive techniques such as hemimandibulectomy.

scholarly journals 14-Year evolution odontogenic keratocyst: Case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Cintia Milani ◽  
◽  
Camyla Mauricio ◽  
Luciano Francio ◽  
Natanael Mattos ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Good Alternative ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Standard Protocol ◽  
Recurrence Rates ◽  
Panoramic Radiographs ◽  
Carnoy’S Solution

Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed in routine radiographs in the early stages. This fact increases the dentist’s responsibility for its diagnosis, and the professional should pay attention to all maxillomandibular complex and not only to the teeth. There is no standard protocol for the treatment of odontogenic keratocyst. However, surgical resection is recommended because of its high recurrence rate, especially in those cases with extensive bone destruction. The enucleation followed by Carnoy’s solution application has been shown to be a good alternative to resection and pointed out as the conservative method associated with the lowest recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report a case of an extensive odontogenic keratocyst with more than 14 years of evolution that had not been diagnosed in three previous different panoramic radiographs and was treated with enucleation and application of Carnoy’s solution.

scholarly journals Keratocystic Odontogenic Tumor

2013 ◽  
Vol 3 (2) ◽  
pp. 87-91
Author(s):  
Jyotsna Galinde ◽  
Sunil Sidana ◽  
Radhika Ramaswami ◽  
N Srivalli
Keyword(s):  
Odontogenic Tumor ◽  
World Health ◽  
Odontogenic Keratocyst ◽  
Keratocystic Odontogenic Tumor ◽  
Carnoy’S Solution ◽  
Good Healing ◽  
Chronic Irritation ◽  
Health Organization ◽  
Histology Report

ABSTRACT In 2005, the World Health Organization renamed the lesion, previously known as an odontogenic keratocyst, as the keratocystic odontogenic tumor (KOT or KCOT). The term odontogenic keratocyst (OKC) was first used by Philipson in 1963 and its clinical and histologic features were confirmed by Browne in 1970 and 1971. In this case report, a young patient with a histology report as an orthokeratinized variety of KCOT and it was a primary lesion with amcystic lining that was thick may be due to chronic irritation because of which it could be removed in toto. Resection was not advocated as it causes morbidity, peripheral ostectomy could not be performed as the buccal and lingual cortical plates were already thinned out with areas of perforation. Thus, enucleation with Carnoy's solution was considered ideal for this case. Also, this patient has been on regular follow-up for around 8 months showed good healing with no signs of recurrence. How to cite this article Ramaswami R, Galinde J, Srivalli N, Sidana S. Keratocystic Odontogenic Tumor. J Contemp Dent 2013;3(2):87-91.

scholarly journals Factors influencing the recurrence of keratocysts: monocentric study

2019 ◽  
Vol 26 (1) ◽  
pp. 1
Author(s):  
Francesco Giovacchini ◽  
Caterina Bensi ◽  
Daniele Paradiso ◽  
Stefano Belli ◽  
Valeria Mitro ◽  
...  
Keyword(s):  
Recurrence Rate ◽  
Medical Records ◽  
Odontogenic Keratocyst ◽  
High Tendency ◽  
Carnoy’S Solution ◽  
Factors Influencing ◽  
Odontogenic Keratocysts ◽  
Soft Tissue Involvement ◽  
Simple Enucleation ◽  
Aggressive Clinical Behavior

Introduction: The purpose of the study was to retrospectively analyse the recurrence rate of odontogenic keratocysts and to identify eventual features of the lesions that may influence recurrence. Material and methods: This was a retrospective study carried out for a period of 3 years. The medical records of patients treated in our institution were analysed to identify all the cases of odontogenic keratocysts. Results: A total of 16 odontogenic keratocysts were recorded. These lesions were treated with simple enucleation with or without adjuvant Carnoy's solution. The relapse occurred in 4 patients treated with simple enucleation and in none of the patients that underwent enucleation and Carnoy's solution application. The kind of treatment appeared not to influence recurrence rate at statistical analysis. Conclusions: Odontogenic keratocyst is a lesion with a locally aggressive behavior and a high tendency to relapse. This tendency of recurrence may be greater with syndromic presentation of odontogenic keratocyst, with soft tissue involvement, and with teeth proximity to the lesion. The application of Carnoy's solution may be useful to minimize recurrence rate in those odontogenic keratocysts with an aggressive clinical behavior and secondly may be used for all the other lesions treated with simple enucleation that experienced relapse.

14-Year evolution odontogenic keratocyst: Case report

2021 ◽  
Vol 62 (1) ◽  
Author(s):  
Cintia Milani ◽  
◽  
Camyla Mauricio ◽  
Luciano Francio, ◽  
Natanael Mattos ◽  
...  
Keyword(s):  
Case Report ◽  
Recurrence Rate ◽  
Bone Destruction ◽  
Good Alternative ◽  
Odontogenic Keratocyst ◽  
High Recurrence Rate ◽  
Standard Protocol ◽  
Recurrence Rates ◽  
Panoramic Radiographs ◽  
Carnoy’S Solution

Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed in routine radiographs in the early stages. This fact increases the dentist’s responsibility for its diagnosis, and the professional should pay attention to all maxillomandibular complex and not only to the teeth. There is no standard protocol for the treatment of odontogenic keratocyst. However, surgical resection is recommended because of its high recurrence rate, especially in those cases with extensive bone destruction. The enucleation followed by Carnoy’s solution application has been shown to be a good alternative to resection and pointed out as the conservative method associated with the lowest recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report a case of an extensive odontogenic keratocyst with more than 14 years of evolution that had not been diagnosed in three previous different panoramic radiographs and was treated with enucleation and application of Carnoy’s solution.

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