Batool S, Yazdanie N, Ahmed A.
Role of obturator in conservative management of keratocystic odontogenic tumor with marsupialization in a young adult.
Biomedica Jan ;32(1):41-4.

Background and Objectives: Keratocystic odontogenic tumor (KCOT) is a fairly common oral and maxillofacial lesion that is derived from remnants of the dental lamina. It grows rapidly, has an aggressive behavior and hence invades the adjacent tissues. Owing to its specific histo-pathological features, aggressive behavior and high recurrence rates, the odontogenic keratocyst was reclassified and renamed “keratocystic odontogenic tumor” (KCOT) in the World Health Organization (WHO) classification of head and neck tumors in 2005. Methods: Considering the young age of the patient, a less invasive treatment option i.e. marsupialzation was done which resulted in a window in the sulcus region between central and lateral incisors. An acrylic obturator was used for keeping the window patent and decompression. Various treatment modalities and differing recurrence rates have been reported for KCOT. This case report describes the assistance of an obturator in the management of KCOT. As most of the time obturators are used in maxillofacial prosthesis, here it has been used for the conservative management of KCOT to keep opening patent until cyst reduces in size. Results: The cystic lesion decreased to a pinhole. Conclusion: Marsupialization is the simplest treatment option which should be considered as first line of action in such cases.

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