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Revista Portuguesa de Estomatologia,
Medicina Dentária e Cirurgia Maxilofacial
rev port estomatol med dent cir maxilofac. 2021;62(1):50-55
Case Report
14-Year evolution odontogenic keratocyst: Case report
Cintia Mussi Milani*, Camyla Moussa Mauricio, Luciano Francio,
Natanael Henrique Ribeiro Mattos
Faculty of Dentistry, Universidade Tuiuti do Paraná, Curitiba, Brazil
a r t i c l e i n f o a b s t r a c t
Article history: Odontogenic keratocyst is a developmental odontogenic cyst that is usually diagnosed
Received 28 June 2020 in routine radiographs in the early stages. This fact increases the dentist’s responsibility
Accepted 20 February 2021 for its diagnosis, and the professional should pay attention to all maxillomandibular
Available online 17 March 2021 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
Keywords: recurrence rate, especially in those cases with extensive bone destruction. The enuclea-
Bone cyst tion followed by Carnoy’s solution application has been shown to be a good alternative
Oral pathology to resection and pointed out as the conservative method associated with the lowest
Oral radiology recurrence rates in the treatment of odontogenic keratocyst. This study aimed to report
Oral surgery 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. (Rev Port Estomatol Med
Dent Cir Maxilofac. 2021;62(1):50-55)
© 2021 Sociedade Portuguesa de Estomatologia e Medicina Dentária.
Publicado por SPEMD. Este é um artigo Open Access sob uma licença CC BY-NC-ND
(http://creativecommons.org/licenses/by-nc-nd/4.0/).
* Corresponding author.
E-mail address: cintiammilani@hotmail.com (Cintia Mussi Milani).
http://doi.org/10.24873/j.rpemd.2021.03.824
1646-2890/© 2021 Sociedade Portuguesa de Estomatologia e Medicina Dentária. Published by SPEMD.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

