The recurrence of odontogenic keratocysts in pediatric patients is associated with clinical findings of Gorlin-Goltz Syndrome
Med. oral patol. oral cir. bucal (Internet)
; 25(1): e56-e60, ene. 2020. tab
Article
in English
| IBECS
| ID: ibc-196196
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
BACKGROUND:
Odontogenic keratocyst (OKC) is an odontogenic developmental cyst that presents distinct clinical behavior. This lesion has been described as dental cysts with keratinization since the 1930s, however the term "OKC" was established in 1956. This study aims to determine the frequency and features of OKC in children aged 0 to 14 years in an oral pathology service in Brazil. MATERIAL ANDMETHODS:
A retrospective study was performed to review cases of OKC in children diagnosed be-tween 1986 and 2017. Clinical data were evaluated from medical records (gender, race, age, anatomical location, treatment, radiographic findings and follow-up).RESULTS:
Ninety-seven cases of OKC were diagnosed in a 31-year-period in all age groups and 10 were found in children (10.3%). Age ranged from 2 to 14 years (mean age = 10.5 ± 3.5), with 8 males and 2 females. The most fre-quent location was the anterior region of the mandible (n = 4). Patients were predominantly asymptomatic. More-over, in two children, clinical findings of Gorlin-Goltz Syndrome were observed. The most commonly used treat-ment was enucleation followed by curettage. In all cases of Gorlin-Goltz Syndrome were observed recurrences and occurrence of new keratocysts.CONCLUSION:
Although uncommon in pediatric patients, OKC should be considered a differential diagnosis in cases of osteolytic lesions in gnathic bones. Thus, the periodic assessment of children by dentists and pediatricians is essential to get a correct diagnosis and early treatment to avoid greater mutilation of these patientsABSTRACT
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Full text:
Available
Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Basal Cell Nevus Syndrome
/
Odontogenic Cysts
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
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Infant
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2020
Document type:
Article