Odontogenic Keratocyst finding with Cone Beam Computed Tomography (CBCT): a case report
Abstract
Objectives: The purpose of this case report is to analyze the incidental finding of an odontogenic keratocyst on cone beam computed tomography (CBCT) examination for the case of an impacted tooth 48.Case Report: A 48-year-old man came with a consul letter to perform a CBCT examination with complaints of loose teeth on the right posterior mandible starting from the premolars. Coincidentally found on a sagittal view showed a wide radiolucency lesion on the internal part of the jaw and not related to the impacted tooth. The treatment plan is to remove the lesion and perform a biopsy and perform postoperative panoramic radiograph.
Conclusion: The characteristics of the odontogenic keratocyst lesion can be visualized clearly on CBCT. The use of CBCT in analyzing the type and size of the lesion is very helpful in planning surgical treatment. Odontogenic keratocysts can be well-diagnosed using a combination of CBCT examination with histopathological examination to determine the most effective management and prevent a recurrence.
References
Borghesi A, Nardi C, Giannitto C, Tironi A, Maroldi R, Di Bartolomeo F, et al. Odontogenic keratocyst: imaging features of a benign lesion with an aggressive behaviour. Insights Imaging. 2018;9:883–97.
Antonoglou GN, Sándor GK, Koidou VP, Papageorgiou SN. Non-syndromic and syndromic keratocystic odontogenic tumors: Systematic review and meta-analysis of recurrences. J Cranio-Maxillofacial Surg. 2014;30:1–8.
Jaeger F, de Noronha MS, Silva MLV, Amaral MBF, Grossmann S de MC, Horta MCR, et al. Prevalence profile of odontogenic cysts and tumors on Brazilian sample after the reclassification of odontogenic keratocyst. J Cranio-Maxillofacial Surg. 2017;45(2):267–70.
Kshirsagar R, Bhende R, Raut P, Mahajan V, Tapadiya V, Singh V. Odontogenic keratocyst: Developing a protocol for surgical intervention. Ann Maxillofac Surg. 2019;9:152–7.
Avril L, Lombardi T, Ailianou A, Burkhardt K, Varoquaux A, Scolozzi P, et al. Radiolucent lesions of the mandible: A pattern-based approach to diagnosis. Vol. 5, Insights into Imaging. 2014. p. 85–101.
Mendes RA, Carvalho JFC, van der Waal I. Characterization and management of the keratocystic odontogenic tumor in relation to its histopathological and biological features. Oral Oncol. 2010;46(4):219–25.
Sekhar MC, Thabusum DA, Charitha M, Chandrasekhar G, Shalini M. A Review of the Odontogenic Keratocyst and Report of a Case. J Adv Med Med Res. 2019;29(8):1–7.
Kadam VD, Changule G, Gade LP, Choudhary SH. An interesting case of odontogenic keratocyst mimicking traumatic bone cyst. Int J Med Dent Case Reports. 2021;7:1–3.
Mallaya S, Lam E. White and Pharoah’s Oral Radiology. White and Pharoah’s Oral Radiology: Principles and Interpretation. 2018.
Byatnal A, Natarajan J, Narayanaswamy V, Radhakrishnan R. Orthokeratinized odontogenic cyst - critical appraisal of a distinct entity. Brazilian J Oral Sci. 2013;12(1):71–5.
Alves DBM, Tuji FM, Alves FA, Rocha AC, Dos Santos-Silva AR, Vargas PA, et al. Evaluation of mandibular odontogenic keratocyst and ameloblastoma by panoramic radiograph and computed tomography. Dentomaxillofacial Radiol. 2018;47(7):1–7.
Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Diagnosis and treatment of keratocystic odontogenic tumor mimicking a dentigerous cyst in panaromic radiography. TURKISH J Clin Lab. 2017;8(1):28–31.
Kitisubkanchana J, Reduwan NH, Poomsawat S, Pornprasertsuk-Damrongsri S, Wongchuensoontorn C. Odontogenic keratocyst and ameloblastoma: radiographic evaluation. Oral Radiol. 2021;37(1):55–65.
Mhaske SJ, Mulchandani R, Saawarn S, Mandale SS. Unusual Aggressive Presentation of Orthokeratinized Odontogenic Cyst -A Case Report with Systematic Review of Literature. Int J Contemp Med Res Int J Contemp Med Surg Radiol. 2017;2(3):97–101.
Karwasra K, Choudhary D, Astekar M, Gandhi N. Clinicopathological study of Odontogenic Cysts -a retrospective study. RUHS J Heal Sci. 2017;2(1):29–32.
Gadicherla S, Kamath AT, Dhara BV, Smriti K. Keratocystic Odontogenic Tumor Involving Maxillary Antrum. Online J Heal Allied Sci. 2017;16(4):1–3.
Sheethal HS, Rao K, S UH, Chauhan K. Odontogenic keratocyst arising in the maxillary sinus: A rare case report. J oral Maxillofac Pathol. 2019;23:S74–7.
Boopathi D, Kumaran JV, Subramanian S, Vasudevan, Mariappan JD, Department. Conventional radiograph and cone‑beam computed tomography in the evaluation of odontogenic cysts and tumors ‑ An analysis of seven cases. 2020;11:54–9.
Azevedo RS, Cabral MG, Santos TCRB Dos, De Oliveira AV, De Almeida OP, Pires FR. Histopathological features of keratocystic odontogenic tumor: A descriptive study of 177 cases from a Brazilian population. Int J Surg Pathol. 2012;20(2):154–60.
Karaca Ç, Dere KA, Er N, Aktaş A, Tosun E, Köseoğlu OT, et al. Recurrence rate of odontogenic keratocyst treated by enucleation and peripheral ostectomy retrospective case series with up to 12 years of follow-up. Med Oral Patol Oral y Cir Bucal. 2018;23(4):e443–8.
Cunha JF, Gomes CC, De Mesquita RA, Andrade Goulart EM, De Castro WH, Gomez RS. Clinicopathologic features associated with recurrence of the odontogenic keratocyst: A cohort retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):629–35.
Polak K, Jędrusik-Pawłowska M, Drozdzowska B, Morawiec T. Odontogenic keratocyst of the mandible: A case report and literature review. Dent Med Probl. 2019;56(4):433–6.
Whaites E, Cawson RA. Essentials of Dental Radiography and Radiology. 5th ed. Elsevier; 2013.
Cardoso LB, Lopes IA, Ikuta CRS, Capelozza ALA. Study Between Panoramic Radiography and Cone Beam-Computed Tomography in the Diagnosis of Ameloblastoma, Odontogenic Keratocyst, and Dentigerous Cyst. J Craniofac Surg. 2020;31(6):1747–52.
Yang H, Jo E, Kim HJ, Cha I, Jung Y-S, Nam W, et al. Deep Learning for Automated Detection of Cyst and Tumors of the Jaw in Panoramic Radiographs. J Clin Med. 2020;9(6):1839.
Liu Z, Liu J, Zhou Z, Zhang Q, Wu H, Zhai G, et al. Differential diagnosis of ameloblastoma and odontogenic keratocyst by machine learning of panoramic radiographs. Int J Comput Assist Radiol Surg. 2021;16(3):415–22.
Antonoglou GN, Sándor GK, Koidou VP, Papageorgiou SN. Non-syndromic and syndromic keratocystic odontogenic tumors: Systematic review and meta-analysis of recurrences. J Cranio-Maxillofacial Surg. 2014;30:1–8.
Jaeger F, de Noronha MS, Silva MLV, Amaral MBF, Grossmann S de MC, Horta MCR, et al. Prevalence profile of odontogenic cysts and tumors on Brazilian sample after the reclassification of odontogenic keratocyst. J Cranio-Maxillofacial Surg. 2017;45(2):267–70.
Kshirsagar R, Bhende R, Raut P, Mahajan V, Tapadiya V, Singh V. Odontogenic keratocyst: Developing a protocol for surgical intervention. Ann Maxillofac Surg. 2019;9:152–7.
Avril L, Lombardi T, Ailianou A, Burkhardt K, Varoquaux A, Scolozzi P, et al. Radiolucent lesions of the mandible: A pattern-based approach to diagnosis. Vol. 5, Insights into Imaging. 2014. p. 85–101.
Mendes RA, Carvalho JFC, van der Waal I. Characterization and management of the keratocystic odontogenic tumor in relation to its histopathological and biological features. Oral Oncol. 2010;46(4):219–25.
Sekhar MC, Thabusum DA, Charitha M, Chandrasekhar G, Shalini M. A Review of the Odontogenic Keratocyst and Report of a Case. J Adv Med Med Res. 2019;29(8):1–7.
Kadam VD, Changule G, Gade LP, Choudhary SH. An interesting case of odontogenic keratocyst mimicking traumatic bone cyst. Int J Med Dent Case Reports. 2021;7:1–3.
Mallaya S, Lam E. White and Pharoah’s Oral Radiology. White and Pharoah’s Oral Radiology: Principles and Interpretation. 2018.
Byatnal A, Natarajan J, Narayanaswamy V, Radhakrishnan R. Orthokeratinized odontogenic cyst - critical appraisal of a distinct entity. Brazilian J Oral Sci. 2013;12(1):71–5.
Alves DBM, Tuji FM, Alves FA, Rocha AC, Dos Santos-Silva AR, Vargas PA, et al. Evaluation of mandibular odontogenic keratocyst and ameloblastoma by panoramic radiograph and computed tomography. Dentomaxillofacial Radiol. 2018;47(7):1–7.
Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Diagnosis and treatment of keratocystic odontogenic tumor mimicking a dentigerous cyst in panaromic radiography. TURKISH J Clin Lab. 2017;8(1):28–31.
Kitisubkanchana J, Reduwan NH, Poomsawat S, Pornprasertsuk-Damrongsri S, Wongchuensoontorn C. Odontogenic keratocyst and ameloblastoma: radiographic evaluation. Oral Radiol. 2021;37(1):55–65.
Mhaske SJ, Mulchandani R, Saawarn S, Mandale SS. Unusual Aggressive Presentation of Orthokeratinized Odontogenic Cyst -A Case Report with Systematic Review of Literature. Int J Contemp Med Res Int J Contemp Med Surg Radiol. 2017;2(3):97–101.
Karwasra K, Choudhary D, Astekar M, Gandhi N. Clinicopathological study of Odontogenic Cysts -a retrospective study. RUHS J Heal Sci. 2017;2(1):29–32.
Gadicherla S, Kamath AT, Dhara BV, Smriti K. Keratocystic Odontogenic Tumor Involving Maxillary Antrum. Online J Heal Allied Sci. 2017;16(4):1–3.
Sheethal HS, Rao K, S UH, Chauhan K. Odontogenic keratocyst arising in the maxillary sinus: A rare case report. J oral Maxillofac Pathol. 2019;23:S74–7.
Boopathi D, Kumaran JV, Subramanian S, Vasudevan, Mariappan JD, Department. Conventional radiograph and cone‑beam computed tomography in the evaluation of odontogenic cysts and tumors ‑ An analysis of seven cases. 2020;11:54–9.
Azevedo RS, Cabral MG, Santos TCRB Dos, De Oliveira AV, De Almeida OP, Pires FR. Histopathological features of keratocystic odontogenic tumor: A descriptive study of 177 cases from a Brazilian population. Int J Surg Pathol. 2012;20(2):154–60.
Karaca Ç, Dere KA, Er N, Aktaş A, Tosun E, Köseoğlu OT, et al. Recurrence rate of odontogenic keratocyst treated by enucleation and peripheral ostectomy retrospective case series with up to 12 years of follow-up. Med Oral Patol Oral y Cir Bucal. 2018;23(4):e443–8.
Cunha JF, Gomes CC, De Mesquita RA, Andrade Goulart EM, De Castro WH, Gomez RS. Clinicopathologic features associated with recurrence of the odontogenic keratocyst: A cohort retrospective analysis. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016;121(6):629–35.
Polak K, Jędrusik-Pawłowska M, Drozdzowska B, Morawiec T. Odontogenic keratocyst of the mandible: A case report and literature review. Dent Med Probl. 2019;56(4):433–6.
Whaites E, Cawson RA. Essentials of Dental Radiography and Radiology. 5th ed. Elsevier; 2013.
Cardoso LB, Lopes IA, Ikuta CRS, Capelozza ALA. Study Between Panoramic Radiography and Cone Beam-Computed Tomography in the Diagnosis of Ameloblastoma, Odontogenic Keratocyst, and Dentigerous Cyst. J Craniofac Surg. 2020;31(6):1747–52.
Yang H, Jo E, Kim HJ, Cha I, Jung Y-S, Nam W, et al. Deep Learning for Automated Detection of Cyst and Tumors of the Jaw in Panoramic Radiographs. J Clin Med. 2020;9(6):1839.
Liu Z, Liu J, Zhou Z, Zhang Q, Wu H, Zhai G, et al. Differential diagnosis of ameloblastoma and odontogenic keratocyst by machine learning of panoramic radiographs. Int J Comput Assist Radiol Surg. 2021;16(3):415–22.
Published
2021-08-31
How to Cite
PUTRA, Phimatra Jaya; HARTOYO, Hutomo Mandala; SIM, Mellisa.
Odontogenic Keratocyst finding with Cone Beam Computed Tomography (CBCT): a case report.
Jurnal Radiologi Dentomaksilofasial Indonesia (JRDI), [S.l.], v. 5, n. 2, p. 60-65, aug. 2021.
ISSN 2686-1321.
Available at: <http://jurnal.pdgi.or.id/index.php/jrdi/article/view/705>. Date accessed: 18 nov. 2024.
doi: https://doi.org/10.32793/jrdi.v5i2.705.
Section
Case Report
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
